Sleeve Tunisia : Sleeve Gastrectomy Surgery for Weight Loss

• The pain is generally not very important. Simple analgesics are enough to calm them.
  Mobilization is usually resumed quickly. Professional activities can be resumed after 3 to 4 weeks, sports activities after 1 month*.
  During the first week following the operation, the food should be liquid (soup, compotes, yogurt, puree…). For the 2nd and 3rd week, the food must be soft (ratatouille, scrambled eggs…). From the 4th week onwards, the food becomes normal again. It should be noted, however, that tolerance to each food is very variable from one person to another.

• On average, people lose about 60-70% of their excess weight 
  First two weeks: 10-20 pounds; most patients lose about a pound a day
  First 3 months: 35-45% of excess weight loss
  First 6 months: 50-60% of excess weight loss
  First year: 60-70% of excess weight loss
  Most people reach their lowest weight 12 to 24 months after surgery
  The success rate of the gastric sleeve is approximately 80-90%.

Bariatric surgery of any type, including sleeve surgery in Tunisia, is only considered an option when attempts at diet and your exercise habits, as well as the use of weight loss medications, have not worked.

Even then, you must meet certain criteria to be considered for bariatric surgery. These criteria are based on your body mass index (BMI) and whether or not you have an obesity-related health problem.

Eligibility Requirements:

Extreme (morbid) obesity (BMI of 40 or higher).
Obesity (BMI of 35 to 39) with at least one significant obesity-related condition
Sometimes, gastric sleeve surgery in Tunisia is performed if you are overweight but do not meet the criteria for obesity, but have a significant health problem related to your weight.

Large-scale studies and clinical trials have proven that gastric sleeve surgery in Tunisia can resolve or improve many obesity-related health problems, such as

Type 2 diabetes: Most studies have indicated that 60-80% of patients with type 2 diabetes can achieve remission or improvement after gastric sleeve surgery
High blood pressure
Fatty liver disease
High cholesterol
Sleep apnea
Decreased risk of cancer
Polycystic ovary syndrome
Asthma
Migraine
Joint pain
Depression and other psychosocial problems
Infertility
Low testosterone levels: Gastric bypass surgery can naturally lead to increased testosterone levels
Urinary incontinence

Over the past decade, with the improvement of surgical techniques and the experience of surgeons, the sleeve in Tunisia has become an overall safe bariatric surgical procedure. However, complications can still occur during and after the operation. Below are the main complications and risks associated with gastric sleeve surgery Tunisia :

A fistula related to the release of the staple line – this is a common but serious complication of sleeve surgery in Tunisia. The reported leakage rate is between 0.7 and 3%. At Med Assistance Tunisia, we pay particular attention to our surgical techniques in order to minimize any complications. To date, we have never had a leak during gastric sleeve surgery at Med Assistance Tunisia.
Functional stenosis without anatomical stenosis – This rare complication is the result of a spiral staple
Bleeding
Blood clot
Heartburn – This is a very controversial topic in bariatric surgery and data from different centers are inconsistent. In our experience, most patients with heartburn prior to surgery see an improvement in symptoms after surgery due to weight loss. Some patients may develop new heartburn, which can be treated with over-the-counter antacid medications in most cases.
Nutrient or vitamin deficiency
Weight regain – After 1-2 years, mild weight regain is common among all bariatric procedures and about 10-20% of patients may have significant weight regain after sleeve surgery in Tunisia. After 5 years of follow-up, many centers have collected data showing that the majority of patients can maintain their weight loss after sleeve gastrectomy surgery.
Excess skin, in some cases, insurance will cover the excess skin

Day 1 to 3: fasting with an infusion. Some surgeons allow patients to drink water a few hours after the sleeve operation in Tunisia

Day 3-14: Full liquid diet including protein shakes, yogurt, broth, milk and juice

Weeks 3 to 5: Gentle diet

Patients can begin to introduce a regular diet 5 weeks after surgery. They are encouraged to eat a small amount of food each time and to eat more frequent meals.

All patients should change their eating habits and take multivitamins and B vitamins after surgery

Your surgeon may talk to you about sleeve gastrectomy as an option if you have a BMI over 60 or significant medical problems that increase your risk of undergoing anesthesia or gastric bypass surgery. A laparoscopic sleeve gastrectomy may also be offered as part of a clinical review if you have a lower BMI and diabetes.

You should discuss all available surgical procedures with your surgeon, get his or her opinion about sleeve surgery in Tunisia and determine which one is best for you.