Gastric Sleeve in Iran

Gastric Sleeve Surgery in Iran: Why?

Just as obesity does not happen quickly in the body, weight loss is not a fast-moving phenomenon. Healthy weight loss is a long-term goal, plus quick weight loss methods and being reversible can pose serious health risks, so be patient and Find out obese before you lose weight. After finding the cause, it is time for treatment, and there are several ways to treat obesity.

Any obesity cannot be treated surgically, and if all the conditions are met, surgery is still the last step in treating obesity. Types of surgery include gastric banding, gastric bypass, gastric bypass, and other gastric bypass methods. Gastric Sleeve is a minimally invasive surgery performed by laparoscopy.

Gastric Sleeve is an invasive surgery performed by laparoscopy. During this procedure, the patient will lose more than 70% of their stomach volume, leaving only a narrow and bony portion of the stomach. In addition, the part of the stomach that is responsible for the secretion of appetite-stimulating hormone (ghrelin) is also the part of the stomach that exits the body. So, in addition to reducing gastric volume, we will see a decrease in appetite in the patient.

Weight loss happens faster in a Sleeve than in other surgeries. In the sixth month after surgery, the patient loses about 50 percent of their weight. This percentage reaches over 70 percent at the end of the first year after surgery and usually returns to a stable position after two years. However, it is essential to note that not following the proper diet in the long run and restarting overeating can lead to stomach lengthening and excess weight gain.

In this surgery, the patient loses more than 70% of their stomach volume, and only the narrow and bony part of the stomach remains. In addition, the part of the stomach that is responsible for the secretion of appetite-stimulating hormone (ghrelin) is also the part of the stomach that exits the body.

Consequently, the patient’s appetite will be reduced, and the stomach volume will be reduced. Weight loss happens faster in Sleeve than in other surgeries. At the end of the first year following surgery, the patient will have lost over 70 percent of their excess weight and should return to a stable weight after two years.

It is important to note that not following the proper diet in the long run and restarting overeating can lead to stomach lengthening and excess weight gain.

Obese people are constantly exposed to various physical and mental illnesses. Nowadays, there are many ways to treat these people. These methods help them lose weight to restore physical and psychological health.

The causes of obesity vary widely. Many researchers attribute the causes of obesity to lifestyle changes. Due to our busy schedules, most of us do not have time for cooking, and we take the first step toward obesity by eating fast food. The bad news is that obesity has infected many of our children worldwide.

According to the researchers, the prevalence of overweight and obesity in 73 countries has doubled from 1980 to 2015. Its catastrophic complications have affected about 30% of the world’s population (more than 2 billion people). The trend of being overweight is rapidly increasing. As obesity rates are rising globally, the demand for slimming surgeries is also increasing.

If you have tried different ways, from diets to diverse slimming techniques, and failed, obesity surgery is probably an appropriate way for you. There are different types of obesity treatments in Iran.

Approximate Cost of Gastric Sleeve Surgery in Iran

It should be noted that owing to yearly changes in public and private tariffs. It is not feasible to establish pricing properly. The prices are provided as a guideline only. Furthermore, the rates indicated are exclusively for your treatment and do not cover extra travel expenditures such as tickets and accommodations. At Amitis Relax Wave Company, we offer all of the services you need in one package to travel to Iran securely.

In Iran, the cost of this procedure is between $ 2100 and $ 2500. It costs $ 28,700 in the United States, $5,000 in India, $7,200 in Turkey, $8,900 in Mexico, $9,900 in Thailand, and $8,400 in Malaysia. Given the high prices, Iran can be considered a low-cost treatment destination, which has resulted in the recent concentration of government tourism and private health institutions in the health tourism business. And currently, Iran is a popular destination for health tourists worldwide, particularly in neighboring countries.

Preoperative costs of Gastric Sleeve Surgery in Iran

• The cost of nutrition counseling
• The cost of specialist consultation
• The cost of psychological counseling
• The cost of an anesthesia consultant
• Blood test costs
• The cost of echocardiography (if needed) and ECG
• The cost of ultrasound or gastric computed tomography
• The cost of medications needed before surgery

It always seems like the costs of surgery are over at the end of the surgery. But the fact is that after surgery, you also need postoperative care to complete your treatment, and of course, this care is not without cost.

• You need to see your doctor several times after surgery and control the treatment to get the desired result or ideal weight.
• You may need to have abdominal ultrasound again.
• Don’t neglect to buy medications with vitamins and nutritional supplements.
• Don’t forget to exercise. You may be able to do this at no cost, but we recommend consulting with a sports consultant. At least 18 months after surgery, you will need professional help to correctly continue your weight loss process.

Extra and unexpected costs

Unexpected costs include expenses that are not seen in routine surgeries. For example, the cost of intensive care units such as ICU or CCU is not expected for gastric sleeve surgery. In the regular surgery courses, the patient will not need it and will usually be discharged after 2 or 3 nights in the ward. But if for any reason, the patient needs more hospitalization, the extra costs will have to be paid during the stay.

In addition to the above items, when you plan to travel to another country for surgery, you are a health tourist who also requires travel and logistic services.

Moj Aramesh Amitis Company has prepared all your medical and non-medical needs in a package to help you stay comfortable and not worry about travel services to recover your health safely.

Investigate the causes of excessive obesity

• Genetics: Don’t put all the blame on the genes. They account for only 30% of the total. It is true that obese parents are prone to having obese children, but not 100% uncontrollably.
• Consumption of processed foods and foods: Variety of delicious, affordable, and durable foods! There is no question left? These delightful and durable foods have gone out of their natural and organic form. They contain high amounts of sugars, calories, and harmful fats, which play a massive role in developing obesity. Are the dairy and organic meats we hear a lot today containing natural ingredients? Studies of dairy and organic meats have found that they contain 50% more omega-3 fatty acids than their traditional varieties, suggesting that the animals fed omega-3-rich grasses and their fat enters their meat and dairy.
• Eating Addiction: What is the relationship between overeating and addiction? Have you noticed that even when you’re not feeling hungry, you pass by a restaurant full of fast food and smell different foods, preferring to go in and eat some? Fast foods and other processed foods are make you dependent heavily. With that delicious taste and smell, it’s hard to ignore them. Over time, this dependence can create overwhelming obesity by creating a transient and robust feeling of joy in the body. Eliminating that dependence requires a great deal of planning and effort.
• You may not know, but many medicines have obese effects. Diabetes pills, antidepressants, cortisone, and some birth control pills have a fattening effect.
• Hypothyroidism, Leptin Hormone: One of the leading causes of overweight obesity that you may not even be aware of. Low working thyroid causes fat accumulation and an increased appetite. Conversely, overworked thyroid is associated with excessive weight loss.

But what is the leptin hormone, and what does it have to do with obesity? It is produced by fat cells, and It should give the hypothalamus satiety during bellyful. Still, this hormone disrupts the hypothalamic balance and cannot detect and command to stop eating when satiated.

• White Poison Consumption: White Poison or Sugar? If you are aware of the severe side effects of these delicious sweets, you will understand why many researchers have named them white poison. High sugar intake causes changes in the body’s hormones and increased insulin levels in the blood, eventually leading to leptin resistance and obesity.
• You and your stressful body: Did you know that a stressful body adds more than six kilograms in a year without you being aware? Stress means an increase in cortisol and a decrease in serotonin, and the result is a high desire to eat sweets to maintain hormone balance and, ultimately, stress-induced obesity.

Are you in the heavyweight category too?

There is an easy way to answer this question. Now that you are at home and in your country, first, determine the amount of obesity. And with a straightforward method called BMI (body mass index):
Height in meters to power 2 / Weight in kg = BMI
According to the following figure, make the necessary comparisons to find out the status of excess fat in your body:

• If the index is between 18.5 and 25, you have an average weight
• If the index is between 25 and 30, you are overweight
• If the index is between 30 and 40, you’re obese
• If your index is above 40, You have dangerous overweight or obesity. People who have 45kg more than average weight are usually in this category.

Depending on your BMI, you can figure out your situation and take action to lose weight. But what are some ways to treat obesity? First, skip the quick treatment to lose weight. In addition to your body needing time for this significant change, you also need to be mentally strong enough to change and start with the knowledge that you have a long way to go.

But how can we start? First of all, you need to know a companion to follow this meandering path that they are no one else except your doctor. He will help you step-by-step to get regular and consistent treatment.

There are several ways you can get the treatment that you will be informed of them under medical advice. But the following general guidelines for treating obesity are recommended:

• Diet with exercise: Proper weight loss under the supervision of a nutritionist is one of the most effective ways to treat obesity. Many of us try to eliminate essential meals, such as breakfast, to start our diet, one of the worst ways to eat. Not eating breakfast can decrease blood sugar and aggression, reduce body fat throughout the day and prevent overeating in subsequent meals. The most scientific diet is one that contains all the nutrients needed for the body along with exercise.
• Medication treatment: Unfortunately, many overweight people use unscientific methods, such as the hormone medicine that cause hyperthyroidism, as well as laxatives or diuretic medicine to treat their obesity. Keep in mind that doctors do not approve these medications because of side effects such as excessive metabolism, dehydration, non-absorption of required materials, and malnutrition.
• Use slimming equipment such as slimming belts, different creams, slimming earrings, and so on, all of which are not medically approved.
• Slimming Surgery: Slimming surgeries such as ballooning, stomach ringing, bypass, and Sleeve are usually the latest method for doctors to treat excessive obesity. Slimming surgery is one of the ways to treat you when you are on a regular diet and exercise and not to get the ideal weight in addition to having other indications for surgery, slimming surgery is one of your treatments.

One of the most superficial answers to this question is determining the person’s body mass index (BMI). Usually, obesity surgery is recommended for a person his/BMI is over 35.

But the easy way to calculate your body mass index:

Height (meter) ² ÷ weight (kg) Body Mass Index (BMI)

According to the acquired number and based on the following figure, make the necessary comparisons to find out the status of excess fat in your body:

• If the index is from 18.5 to 25, your weight is average.
• If the index is from 25 to 30, you are overweight.
• If the index is from 30 to 40, you are obese.
• If your index is above 40, you have excessive obesity.

People who have 45 kg more than average weight are usually in this category.

Different surgical methods of obesity include gastric bypass, Gastric Banding, gastric balloon, and gastric sleeve.

Gastric Sleeve is a minimally invasive surgery performed by laparoscopy. In this surgery, the patient loses more than 70% of their stomach volume, and only the narrow and banana part of the stomach remains. Because of this, the term “Sleeve” is referred to this kind of surgery. Moreover, the amount of stomach responsible for the secretion of appetite hormone (Ghrelin) is also removed in this surgery. So, in addition to reducing the volume of the stomach, there will be a decrease in the patient’s appetite.

Weight loss on the sleeve is faster than in other surgeries. In the sixth month after surgery, the patient losses more than 50% of their weight, and at the end of the first year after surgery, the patient losses 70% of their weight. After two years, they reach a stable position. However, it is essential to note that not following the correct diet and restarting overeating can lead to stomach lengthening and gaining excess weight again.

Diseases Associated with Obesity

undergoing gastric sleeve surgery will help you lose weight more easily than before. In addition to contributing to weight loss, it reduces the risk of developing obesity-related diseases, including:

• 1- Heart disease
• 2- Hypertension
• 3- High cholesterol
• 4- Obstructive sleep apnea
• 5- Type 2 diabetes
• 6- Stroke
• 7- Cancer
• 8- Infertility

Candidates for Gastric Sleeve Surgery?

You can use this method to lose weight when exercise and proper diet do not help you lose weight. You can also use gastric sleeve surgery to lose weight if you have certain conditions, including:

1. Those with a BMI greater than 40:
   Your Body Mass Index (BMI) is 40 or higher (severe obesity). If your BMI is between 35 and 39.9, you are considered an obese person and more likely than anyone else to have type 2 diabetes, hypertension, or severe sleep apnea. In some cases, if your BMI is 30 to 34 and you have experienced severe obesity-related problems, you may be able to go under gastric sleeve surgery under certain conditions.
2. People with type 2 diabetes
3. Those with high blood pressure and cholesterol
4. No history of gastrointestinal cancer in first-degree relatives
5. It is not recommended for people with severe reflexes.

Sometimes you need to make permanent changes to have a new healthy lifestyle. These changes include complete monitoring of your nutrition, life, behavior, and medical condition.

What is severe sleep apnea?

As we mentioned earlier, one of the complications of obesity is severe sleep apnea, which may be unknown to some readers. Obstructive sleep apnea is a disorder that threatens you while you sleep. This disorder causes breathing to pause and repeatedly resume during sleep.

There are several types of sleep apnea. But the most common is obstructive sleep apnea. This type of apnea occurs when the throat muscles intermittently relax and block your airway during sleep. A striking symptom of obstructive sleep apnea is snoring. Fortunately, obstructive sleep apnea treatments are available. One involves using a positive pressure device to keep the airway open during sleep.

Another option is to pull your mandibular forward while sleeping. In some cases, surgery can also be a treatment option.

Symptoms of Sleep Apnea Disorder

Some of the symptoms of sleep apnea disorder include:

1. Excessive drowsiness during the day
2. Long snoring
3. Episodes of when you stop breathing during sleep
4. Sudden awakenings with asphyxiation
5. Waking up with a dry mouth or sore throat
6. Morning headache
7. Difficulty concentrating throughout the day
8. Experiencing mood swings, such as depression or anger
9. Hypertension
10. Night sweats
11. Decreased libido

Sleeve Surgery Process in Iran

Sleeve surgery is an almost severe operation performed under complete anesthesia for 2 to 3 hours. You will be in the hospital for 2 to 3 days after surgery. Your return to work will change from 4 to 6 weeks, depending on your health and the type and size of your work. The procedure is similar for Iranian and international patients at medical centers.

Sleeve surgery is an almost severe operation performed with complete anesthesia, and it takes about 2 to 3 hours. You will be hospitalized for 2 or 3 days after surgery. Your return to work will vary from 4 to 6 weeks after surgery, depending on your health and the type of your work.

The procedure for performing surgery is similar for Iranian and foreign patients at medical centers. But as a health tourist, you need to go through a different process before traveling to Iran and receiving medical care. Services include getting initial medical advice, early admission, booking, hotel preparation, etc.

At Moj Aramesh Amitis Company, we are ready to provide all the services for Iranian health tourists and facilitate all the processes related to international patients.

But as a health tourist, you need to go through a different process before traveling to Iran and receiving medical care. Services include getting initial medical advice, early admission, booking, hotel preparation, etc. At Amitis Aramesh Company, we are ready to provide all services to Iranian health tourists and facilitate all processes related to international patients.

Sleeve surgery is an almost painful surgery performed under complete anesthesia for 2 to 3 hours. You will be in the hospital for 2 to 3 days after surgery. Your return to work will vary from 4 to 6 weeks, depending on your health and the type and size of work.
The procedure is similar for Iranian and international patients at medical centers.

But as a health tourist, you need to go through a different process before traveling to Iran and receiving medical care. Services include getting initial medical advice, early admission, booking, hotel, etc. At Amitis mentor, we are ready to provide all Iranian health tourism services and facilitate all processes related to international patients.

International Patients Admitting Process in Iran

1. Choosing a hospital or health tourism facilitation company such as Amitis Relaxation Wave Company to submit medical records and provide an initial consultation
2. Provide initial consultation, determine all travel and treatment costs, and set your admission date
3. Send essential documents such as passports for tickets, hotel reservations, and hospital admission.
4. Hospital admission, initial visit, necessary tests, and surgical appointment
5. Doing surgery
6. Receive necessary hospital care services until discharge
7. Discharge from the hospital and receive a summary of the bills, bills documents, and documents required to receive surgery in the country of origin (if the surgery is covered by insurance in your country)
8. The nursing team gets the necessary care at the hotel
9. Final doctor visit
10. Attractive sightseeing tours according to your request
11. Follow up with patient until complete recovery.

Preparation for admission to medical centers in Iran:

• Choosing a hospital or health tourism facilitation company such as Amitis Relaxation Wave Company to submit medical records and provide an initial consultation. And a thorough examination of the patient’s physical and mental condition
• A complete review of the patient’s diet
• Patient BMI Determination (People with Massage Between 32 and 50 are gastric sleeve candidates)
• Contraindications to aspirin, ibuprofen, warfarin, and some other medicine that prevent blood clotting ten days before surgery
• Discontinue sugar about two weeks before surgery
• Quitting smoking and drinking alcohol a few months before surgery
• Determine all travel and treatment costs, and set your admission date
• Send essential documents such as passports for tickets, hotel reservations, and hospital admission.
• Hospital admission, initial visit, and complete explanation of the surgical procedure and the need for multiple referrals to the physician after surgery
• Complete blood test
• Perform heart, lung, and endocrine tests (note that patients with a history of gastric ulcer, duodenum, and previous gastric surgery are not candidates for this surgery)
• Total abdominal and pelvic ultrasound
• Complete anesthesiologist consultation
• Doing surgery
• Receive necessary care at the hospital until discharge
• Discharge from the hospital and receive a summary of the file, bills, and documents required to receive surgery cost in your home country (if the surgery is covered by insurance in your home country)
• Get the necessary care at the hotel from the nursing team.
• Final doctor visit
• Attractive Iran tourism tours according to your request
• Follow-up patient until complete recovery

Preoperative Evaluation and care

1. Complete physical and mental check-ups about three weeks before surgery
2. Whole blood and ECG (ECG) tests
3. Determination of BMI to confirm the necessity of surgery
4. Adopt a special diet to shrink the liver so that the doctor will have complete control over the stomach during surgery.
5. Contraindications to aspirin, ibuprofen, warfarin and other medicines prevent blood clots; days before surgery.
6. Discontinue sugar about two weeks before surgery
7. Quitting smoking and drinking a few months before surgery

Sleeve Surgery: Benefits and Complications

All surgeries have some side effects besides the benefits you have had under the knife, and Gastric Sleeve is no exception. On the one hand, the most significant advantage is weight loss due to decreased gastric volume. On the other hand, as an important complication of this surgery, the patient has lost a large part of his stomach forever.

Any type of bariatric surgery has its advantages and possible disadvantages. That’s why it’s important to share your weight loss options with your doctor to determine which solution suits you.

1. No need to move or remove part of the intestine
2. Absence of foreign body in the body
3. Stomach pylori intact
4. 60% weight loss within 18 months after surgery
5. Possible pregnancy about six months after surgery
6. Make muscle mass
7. Prevent loosening and falling skin after surgery
8. Assist in proper metabolism by performing aerobic exercise
9. Speed up recovery
10. Increased confidence and desire to continue changing lifestyle

Advantages of Gastric Sleeve Surgery in Iran

• A smaller stomach is still functioning normally. So you can eat more foods but in less volume.
• The gastric Sleeve can be converted to gastric bypass (Roux-En-Y) later if desired.
• Gastric sleeve surgery removes the upper part of the stomach that produces hunger-stimulating hormones (ghrelin), so your appetite often decreases.
• Acid secretion is more petite and, therefore, less likely to wound.
• Since the intestine remains intact, this surgery is less likely to cause block the intestines, anemia, osteoporosis, and lack of protein and vitamins.

Disadvantages of Gastric Sleeve Surgery in Iran

1. This operation is not reversible because part of the stomach is removed.
2. Weight loss without intestinal bypass may be more difficult.
3. The body still tolerates carbohydrate-rich and high-fat foods that can slow down weight loss.
4. Insurance companies may not cover it because the gastric Sleeve is still a research method.

Gastric Sleeve Surgery Complications are:

1. 1. Irreversible surgery. You will no longer own part of the stomach that you lost.
2. 2. Nausea and vomiting in the early days after surgery.

Possible Risks of Gastric Sleeve

Like all large and small medical surgeries, gastric sleeve surgery is no exception. This surgery also carries potential short-term risks. Some of the short-term risks of the disease include:

1. Excessive bleeding
2. Infection
3. Side effects of anesthesia
4. Blood clotting
5. Pulmonary or respiratory problems
6. Bleeding from the cut edge of the stomach

Another common concern, especially when you lose a lot of weight in a short period, is that you may experience skin drooping. It should be noted that this is a common complication after any weight loss.

If this sagging skin annoys you, you can surgically remove it and gift yourself with a beautiful look again. Another point to consider before deciding to have gastric sleeve surgery is that, unlike some other bariatric surgeries, gastric sleeve surgery is irreversible.

If you are not satisfied with the final result, you cannot return your stomach to its previous state. Rarely the side effects of gastric sleeve surgery can be fatal.

Long-term Risks of Gastric Sleeve

• Gastrointestinal obstruction
• Hernia
• Gastric reflux
• Low blood sugar (hypoglycemia)
• Malnutrition
• Vomiting

What is a Hernia?

A hernia occurs when tissue such as part of the intestine protrudes through a weak spot in the abdominal muscles. The resulting bulge can be painful, especially when coughing, bending, or lifting a heavy object.

However, many hernias are painless. Hernias are not necessarily dangerous, do not heal on their own, and can lead to life-threatening complications. Your doctor may recommend surgery for a painful or enlarged hernia.

During Gastric Sleeve Surgery

Your surgical condition depends on your circumstances and the actions of the hospital or doctor. Some gastric sleeve operations are performed with large traditional (open) incisions in the abdomen. But gastric Sleeve is usually done via laparoscopy, which cuts the upper abdomen and inserts a few small tools into it. Before starting gastric sleeve surgery, doctors will anesthetize you.

They do this through medication that helps you experience a comfortable sleep during surgery. The surgeon creates a narrow part in gastric sleeve surgery by removing the stomach’s more significant and curved part. The total time of the operation is not more than one or two hours. After the procedure, you rest in a room, and the hospital staff regularly checks your condition to control any possible complications.

Sleeve Postoperative Care

You may need to exercise regularly and refrain from smoking in the weeks coming up to surgery. You may be restricted from eating and drinking just before surgery. You may also need to discontinue some drugs temporarily. The preoperative phase is the optimum time to plan for recovery. After the sleeve operation, you may require the assistance of others. As a result, it is preferable to notify everyone around you about the process. A hospital is where gastric sleeve surgery is conducted. Hospitalization may take one to two nights, depending on the length of recovery.

After gastric sleeve surgery, your diet should be supplemented with carbon-free fluids within the first seven days. It is then pureed for three weeks and finally changed to regular foods approximately four weeks after surgery.

You should take a multivitamin twice a day, a calcium supplement once a day, and a vitamin (B-12) once a month. For the first few months after gastric sleeve surgery, you should visit your physician regularly to assess your medical condition.

• 1. Since the technique used in sleeve surgery is a laparoscopic approach, you will have a shorter recovery time than open surgeries, and you need to speed up the recovery process to:
• 2. Do not start eating solids after surgery. Your diet should begin from liquid to solid and slowly.
• 3. Do not lift heavy objects.
• 4. Avoid sitting in a hot tub for up to 3 weeks after surgery.
• 5. Drink water and fluids without a pulp during the day.
• 6. Patients usually complain of gastrointestinal problems such as constipation after surgery. This problem is common for up to a week after surgery and is no concern. Talk to your doctor if you have persistent bowel movements or exacerbated the pain.
• 7. Do not forget the stomach acid-reducing drugs.
• 8. Hiking and light exercise daily will accelerate your recovery.

Some tests, such as a blood test, may be required. You may experience changes in your body’s reaction to rapid weight loss in the first three to six months after gastric sleeve surgery, including:

1. Myalgia
2. Feeling as tired as when you have the flu.
3. Coldness
4. Dry skin
5. Hair loss
6. Mood swings

Don’t forget supplements.

Many of you have questions about taking medication and nutritional supplements after sleeve surgery. As for the importance and necessity of supplements and vitamins after sleeve surgery, it is essential to note that in all obesity surgeries that involve removing part of your stomach, the body cannot supply the necessary vitamins due to reducing gastric volume. If you do not take supplements continuously, you will have severe problems with vitamin deficiency.

Vitamin B12, Vitamin D, Iron, Folate, and Zinc deficiencies have been reported after sleeve surgery, so do not forget to consume essential multivitamins according to your nutrition and doctor’s advice. In fact, in addition to surgery, you need general changes to your diet. A nutrition consultant will help you quit eating habits like eating extreme foods, sweets, and alcohol.

Kind of vitamins should you take

Note that you have lost a lot of your stomach volume compared to an average person. So it’s normal to not eat like an average person and not get the vitamins needed by the body. Therefore, the need for vitamins and supplements after surgery is inevitable.

• Don’t forget to take a multivitamin daily
• Folic acid
• Iron tablets in case of anemia
• B1 and B12 vitamins
• Calcium tablets
• Talk to your doctor about how to use multivitamins

Exercise and its Benefits after Surgery

One way to maintain success after surgery is regular exercise throughout the week. Usually, two days of constant practice per week are recommended for the patient. Be aware, however, that these exercises and the type of exercise should be performed under the supervision of a sports physician. Heavy sports such as weightlifting are forbidden for up to one year after surgery. Activities that require balance training (gymnastics) can also be postponed for up to six months.

also:

• Drink water and fluids without pulp during the day
• Patients usually complain of gastrointestinal problems such as constipation after surgery. This problem is common until one week after surgery and is of no concern. Talk to your doctor if you have persistent bowel movements or exacerbated the pain.
• Do not forget the stomach acid-reducing drugs.
• Walking and moderate exercise daily will speed your recovery.
• Do not lift heavy objects.
• Avoid sitting in the hot tub for up to 3 weeks after surgery
  Keep in mind that eating after surgery is very important. You have lost a large portion of your stomach and cannot eat various foods like before. You need to have a diet that contains enough nutrients:
• In the first week after surgery, your diet will include clear fluids, such as muscle water or Non-fat meat juice.
• From the third week, you can start soft foods in the form of Purée. Foods should be thoroughly mixed and smooth so your new stomach can digest them—foods like very زlear soup, soft noodles in soup, yogurt, etc.
• You can start eating regular foods after the first month but in a low volume and healthy diet.
• Consider three small meals a day and serve yourself a light snack that includes nutrients in your diet.
• Don’t forget to consume protein, vegetables, and fruits
• Avoid carbonated drinks, white bread, fried and high-calorie foods
• Do not drink water an hour before and after meals

The Result of Gastric Sleeve Surgery in Iran

Your stomach gets significantly smaller. So the sooner you feel full, and the less you eat, the fewer calories you get. The part of your stomach that produces ghrelin (the hormone secreted by hunger) has been removed.

So you will feel less hungry than before. Gastric sleeve surgery can cause long-term weight loss, and the rate of weight loss depends on changes in daily living habits.

It is possible to lose approximately 60% or even more of your excess weight in two years. In addition to weight loss, gastric sleeve surgery may improve or alleviate obesity-related complications, including:

1. Heart disease
2. Hypertension
3. High cholesterol
4. Obstructive sleep apnea
5. Type 2 diabetes
6. Stroke
7. Infertility

Gastric sleeve surgery can also improve your ability to perform daily activities and help improve your quality of life.

Does the Gastric Sleeve Always Work?

You may experience weight gain after weight loss surgery. This may occur if you do not follow the recommended lifestyle changes. For example, if you eat high-calorie foods regularly, the operation may not be beneficial, and you may experience weight gain again.

To prevent weight gain, you need to regularly make healthy and permanent changes to your diet and exercise. It is essential to follow your specified plan after weight loss surgery so that your doctor can monitor your progress. Visit your doctor immediately if you notice that you are not losing weight or have experienced complications after surgery.

Proper Diet of Gastric Sleeve

You will usually have to agree to specific lifestyle changes recommended by your surgeon before having gastric sleeve surgery. These changes are to help you lose weight and achieve your desired weight.

One of these changes is choosing a healthy diet for the rest of your life. Your surgeon will prescribe the best type of gastric sleeve diet before and after surgery. The changes suggested by the surgeon may be similar to the general dietary guidelines, which are described below:

Nutritional Changes in Gastric Sleeve

• Two weeks before the surgery: Increase protein, reduce carbohydrates and remove sugar from the diet.
• Two days before and the first week after the surgery: Only consume clear liquids without caffeine and carbonate.
• You will soon notice that you eat less than before the surgery because you are quickly satiated and do not feel hungry.

Diet for the First Week After Gastric Sleeve

• Be sure to drink plenty of transparent liquids. If you have trouble staying hydrated, talk to your doctor about low-calorie electrolyte drinks such as Gatorade.
• Do not consume sugar. Sugar can lead to dumping syndrome. The complication is caused by too much sugar in the small intestine. Symptoms include nausea, fatigue, diarrhea, and even vomiting. Sugar also contains calories. This should be avoided in the long term.
• Caffeine may cause stomach acid reflux problems and dehydration. Therefore, it should be avoided.
• Fizzy drinks, including sugary drinks, can all play a role in causing gas and bloating. These notes should be avoided after surgery and possibly even in the long run.

Diet for the Second Week after Gastric Sleeve

Your diet should include the following:

• 1- Suitable drinks for breakfast
• 2- Light broth and creamy soups
• 3- Unsweetened milk
• 4- Fat and sugar-free pudding
• 5- Frozen and lean yogurt
• 6- Plain and thin Greek yogurt
• 7- Fruit juice without pulp and diluted with water
• 8- Cereals such as wheat or oatmeal

During this period, you may feel that your appetite increases. This is perfectly normal. But solid food must still be avoided. Your body system is not yet able to digest and manage solid foods.

Diet for the Third Week After Gastric Sleeve

Your diet may include the following:

• 1- Chopped baby food
• 2- Silk tofu
• 3- Cooked and pureed white fish
• 4- Soft or mixed eggs
• 5- Soup
• 6- Canned fruit
• 7- Mashed banana or very ripe mango
• 8- Pureed or mashed avocado
• 9- Plain Greek yogurt

Avoid sliced ​​and solid foods as well as caffeine during this time.

Now that it’s been a month after surgery, you can add solid foods to your diet. Sugar and fat consumption should be avoided, including high-fat dairy and hard-digestion foods such as steak and nuts.

Other foods to avoid include pasta, potatoes, and other high-carb foods. At this time, you can usually consume caffeine-containing beverages moderately. Foods you can add to your list include:

• 1- Well cooked chicken and fish
• 2- Well-cooked vegetables
• 3- Sweet potatoes
• 4- Lean cheese
• 6- Fruit
• 7- Low sugar cereals