Sleeve Gastrectomy Treatment Cost in India

?Sleeve Gastrectomy also known as 'sleeve' is a surgical weight loss procedure where the side part of the stomach is removed and is reduced to 15% of its original size by eliminating or surgically removing a massive portion of the greater curvature of the stomach. This aims to reduce the intake of food and makes the person in concern less hungry thus facilitating weight loss goals. It is technically simpler than the gastric bypass.?

Getting a sleeve gastrectomy surgery in India is not on your wish. There are certain conditions that you need to fulfill to be qualified for this particular surgery. Only patients with the following conditions can be considered for sleeve gastrectomy

• People with a body mass index higher than 35 and associated obesity-related diseases like hypertension, joint pain, infertility, heart diseases and type 2 diabetes.
• People who are psychologically ready to undergo this change over some time.

Your health care team will give you instructions on how to prepare for surgery if you qualify for sleeve gastrectomy. Until surgery, you may need to have specific laboratory tests and exams like:

• Lipid profile
• Fasting blood glucose
• Thyroid tests
• Serum chemistries
• Blood tests to check the cell count of RBC, WBC, and platelets.

Sleeve Gastrectomy is a procedure where the side part of a stomach is removed, producing a tube-shaped stomach. In this procedure, a hormone called 'Ghrelin' which is a hormone responsible for stimulating hunger is removed. The best Sleeve Gastrectomy surgery is available in India.

A very small incisions are made in the abdominals walls through which trocars are placed which act as passageways for small instruments.  To lift the stomach walls from other organs around, it is filled with carbon dioxide gas. Now with the laparoscope, the surgeon observes the inside of the abdominal cavity.

The liver is positioned next. The part of the esophagus is in contact with the edge of the liver which is like the starting point of the stomach. To view the stomach properly throughout the procedure a retractor is placed to lift the liver off the stomach.

To see the area under the stomach, the tissue that attaches the stomach to omentum is removed. The organs that lie beneath the stomach like the pancreas and spleen are now clearly visible.

The blood vessels and attachments that line the greater curvature of the stomach is now cut and sealed by the sleeve gastrectomy surgeon. This action has to be continued on the surface of the stomach starting from the esophagus to the beginning of duodenum (first part of the small intestine).

It is crucial to identify all the anatomic landmarks during the cutting and sealing. The angle of His which is referred to as an area between the lower esophageal sphincter and the gastroesophageal junction undergoes dissection and opened up, thus finally rendering it irrelevant.

 The tissues connecting the stomach and large intestine and stomach and spleen are divided separating the stomach from bowels and spleen. It is important to have the stomach free from the left side of the diaphragm (the structure attaching diaphragm with the vertebral column). Blood supply to the vagus nerve and left side of the stomach has to be preserved.

Through an opening in the diaphragm the surgeon checks for the protrusion of the upper portion of the stomach for the existence of hiatal hernia. If that is found then the defect has to be closed with sutures anterior and posterior to the esophagus.

The greater curve of the stomach is now elevated after identifying the pylorus part of the duodenum that connects the small intestine to the stomach. Through the division of the greater omentum, the surgeon enters the general cavity of the abdomen.

The cavity of the stomach is transversely divided around a sizing device called the bougie for the creation of a gastric tube. The pylorus valve is kept intact with some part of the cavity of the stomach to ensure gastric emptying. Until the gastroesophageal junction, the stomach is divided.

The gastric sleeve is like a pouch with a capacity volume of fewer than 150 ml.  A narrow tube is formed when the length of the stomach formed by the bougie is stapled. The stapled line is covered with a substance that will prevent bleeding or leakage.

 There is an area of a notch called the incisura angularis in the horizontal and vertical part junction of the stomach where special care has to be taken to avoid relative narrowing.

Finally, the staples are checked for good health durability. Finally, the resected stomach is kept in a specimen bag and extracted out of the initially placed trocars. To prevent port site hernia, the port sites of the stomach is closed with nonabsorbable sutures.

Everything and anything in the world has an alternative to it and so does sleeve gastrectomy.

Though bariatric surgeries In India are very effective as it is done by best gastrectomy surgeons, many patients fear invasive procedures and look for alternatives to sleeve gastrectomy. For such patients, the intragastric dual balloon procedure is very helpful. In this case, the patient is kept under anesthesia while through an endoscope a balloon is placed via the patient's mouth to the stomach. The balloon once placed inside the stomach is then inflated with saline solution.  This system will be kept in the body of the patient for about 6 months. During this time the patient will be closely monitored on their food habits and lifestyle choices. A psychiatrist will also help the patient to make conscious choices for a healthy lifestyle. Due to the presence of this balloon, the patient will feel full with little food.

Again after 6 months, this balloon is removed in a 20-minute short non-invasive method.

Preparing for your life after getting Best sleeve gastrectomy surgery in India will be exciting and challenging at the same time.The diet that you will need to follow before and after this surgery is very precise and aimed at helping you heal and prevent complications.

There are a couple of things that a patient should do on a mandatory basis, certain activities on the other hand should be done to feel good about the whole treatment and lastly, a few things should be done to enjoy best outcomes of Sleeve gastrectomy Treatment In India.

• Mandatory things: quit smoking and alcohol, be on a preoperative diet as charted by the healthcare provider and stop any medications immediately as the surgeon advises.
• Feel good things: Patients should talk to their sleeve gastrectomy surgeon to find is it safe to have sleeve gastrectomy and to friends and family members more to make them understand the implication of the surgery. If required should join a group that has similar people so that they get the motivation to continue the lifestyle pre and post-surgery.
• To enjoy better outcomes: Start working out by walking at least 30 minutes to get a feel to ease the surgery as much as possible.

This can begin with frequent medical checkups to monitor your health in the first several months after weight-loss surgery. You may need to go through blood tests and various other tests.

This can be a long procedure where the patient will expect pain in the ports of stitches for a significantly long period of time. One the first day the patient will be in the hospital and will be only on ice to prevent them from getting dehydrated. A doctor always advises the patient to walk from the first day itself to manage pain.

From the next day, some liquid foods will be allowed to the patient and pain will be significantly more from this day to a week. Depending on the intensity doctor will advise pain management.

On the third day most likely the patient will be released but the pain will remain. Natural fruit juice may be allowed from now.

The next two to 3 months will be all about a controlled diet and work out and the patient will slowly get rid of the pain as movement increases. By third month patient will be able to see visible changes in their body in terms of weight loss and by 6th month with lifestyle change patient is more likely to see a positive change in his/her life.

Cheap and Best gastric sleeve surgery options are available in India. The stomach sleeve surgery cost in India ranges from $3500 TO $6000 which is the lowest when compared to other countries like Singapore, Malaysia etc.