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After sleeve gastrectomy, your diet begins with sugar-free, noncarbonated liquids for the first seven days, then progresses to pureed foods for three weeks, and finally to regular foods approximately four weeks after your surgery. You will be required to take a multivitamin twice a day, a calcium supplement once a day, and a vitamin B-12 injection once a month for life. Another method for hemostasis involves the use of buttressing materials. Several buttressing products made from different materials have been introduced into the market, including bovine pericardium (Peri-Strips Dry with Veritas, Synovis, Deerfield, IL, USA), absorbable synthetic polymer membranes (SEAMGUARD ®, Gore ®, W. L. Gore & Associates, Inc., Newark, DE, USA, or Tri-Staple™ 2.0 Reinforced Reload, Medtronic, Minneapolis, MN, USA). Many previous studies have been conducted to elucidate the efficacy of these buttressing products in preventing bleeding from staple lines and leakage from staple line disruption. Although the results from these studies were not entirely consistent, using the buttressing product along the staple line during SG appeared to reduce the incidence of staple line bleeding; its efficacy on leakage has not been clearly demonstrated [ 4, 11, 15, 16]. However, these buttressing products are not commercially available in Korea yet. Fizzy drinks (including fizzy water) as the gases may cause bloating, pain and can increase your stomach size

You are given general anesthesia before your surgery begins. Anesthesia is medicine that keeps you asleep and comfortable during surgery. Sleeve gastrectomy is done in the hospital. Depending on your recovery, your hospital stay may last one to two nights. During the procedure Levy JL, Levine MS, Rubesin SE, Williams NN, Dumon KR. Stenosis of gastric sleeve after laparoscopic sleeve gastrectomy: clinical, radiographic and endoscopic findings. Br J Radiol. 2018;91(1089):20170702. doi:10.1259/bjr.20170702 Abdominal CT after contrast swallow in a patient with a sleeve leak. Disruption of the staple lines (a), extralumination of the contrast medium to the left subphrenic area (b, c), reactive pleural effusion (d).In the weeks leading up to your surgery, you may be required to start a physical activity program and to stop any tobacco use. Singh Y, Cawich S, Aziz I, Naraynsingh V. Delayed splenic abscess after laparoscopic sleeve gastrectomy. BMJ Case Rep. 2015;bcr2014208057. doi:10.1136/bcr-2014-208057 Alhuzaim WM, Alajlan RM, Alshehri RA, et al. Post-gastric sleeve surgery chronic symptoms from a sample of patients in Saudi community. Cureus. 2023;15(7). doi: 10.7759/cureus.42000 Bariatric-specific endoscopic stents. (A) GastroSeal™ stent (M.I.TECH, Pyeongtaek, Korea), (B) MEGA™ stent (TaewoongMedical Co., Ltd. Gimpo, Korea), (C) BETA™ stent (TaewoongMedical Co., Ltd. Gimpo, Korea).

You must also be willing to make permanent changes to lead a healthier lifestyle. You may be required to participate in long-term follow-up plans that include monitoring your nutrition, your lifestyle and behavior, and your medical conditions. Cameron AM, et al. Management of morbid obesity. In: Current Surgical Therapy. 13th ed. Elsevier; 2020. https://www.clinicalkey.com. Accessed June 8, 2020.

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Ramadan M, Loureiro M, Laughlan K, et al. Risk of dumping syndrome after sleeve gastrectomy and Roux-en-Y gastric bypass: early results of a multicentre prospective study. Gastroenterol Res Pract. 2016;2570237. doi:10.1155/2016/2570237 Soft foods are foods that have a soft consistency, are well cooked and can be easily mashed with a fork. You do not need to use a blender during the soft stage. Foods to avoid:

Your BMI is 35 to 39.9 (obesity), and you have a serious weight-related health problem, such as type 2 diabetes, high blood pressure or severe sleep apnea. In some cases, you may qualify for certain types of weight-loss surgery if your BMI is 30 to 34 and you have serious weight-related health problems. Tabibian N, Swehli E, Boyd A, Umbreen A, Tabibian JH. Abdominal adhesions: A practical review of an often overlooked entity. Ann Med Surg (Lond). 2017;15:9-13. doi:10.1016/j.amsu.2017.01.021

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In a sleeve gastrectomy, part of the stomach is separated and removed from the body. The remaining section of the stomach is formed into a tubelike structure. This smaller stomach cannot hold as much food. It also produces less of the appetite-regulating hormone ghrelin, which may lessen your desire to eat. However, sleeve gastrectomy does not affect the absorption of calories and nutrients in the intestines. Results Cheyne Child Development: while you wait leaflet - Pre-School Age (Hammersmith and Fulham children)

Right before your procedure, you may have restrictions on eating and drinking and which medications you can take. Office of Patient Education. Nutrition guidelines after your bariatric surgery or endoscopic procedure. Mayo Clinic; 2019. Choose liquids that are high in protein to help you to meet your protein requirements. The average recommendation is 70-100g each day. Aim to have 1.5-2 litres of fluids each day to stay hydrated. Musella M, Vitiello A, Berardi G, Velotti N, Pesce M, Sarnelli G. Evaluation of reflux following sleeve gastrectomy and one anastomosis gastric bypass: 1-year results from a randomized open-label controlled trial. Surg Endosc. 2021;35(12):6777-6785. doi:10.1007/s00464-020-08182-3 Sleeve gastrectomy can provide long-term weight loss. The amount of weight you lose depends on your change in lifestyle habits. It is possible to lose approximately 60%, or even more, of your excess weight within two years.

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The Cheyne Child Development Service - School age Autism (ASD) Assessment Pathway Parent Information The day after your surgery, your surgical team will tell you when it is safe for you to begin to sip fluids. A member of the dietetic team will see you before you go home to discuss the post-operative diet and answer any questions you may have. Stage 1 – only smooth liquids for 2 weeks Bariatric surgery. National Institute of Diabetes and Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/weight-management/bariatric-surgery. Accessed June 2, 2020.