Tube stomach surgery is technically a removal of the large part of the stomach which serves as a storage. Thus, the normally 1.5-2 liters of the stomach is roughly 50-100 ml in volume (roughly a banana is a banana) is to transform into a thin scarf. The aim is to reduce the amount of food that can be consumed at one time, but there is no intervention to reduce the absorption of the digestive tract’s natural flow.
Even in the United States, where gastric bypass surgery is once considered the gold standard, sleeper gastrectomy rates, which were 24% at the end of 2011, now exceed 60%. During this period gastric bypass decreased from 62% to 37%.
The main advantages of tube stomach surgery are that it does not alter the natural flow of the digestive tract, causing less vitamins and minerals deficiency, not seeing dumping syndrome, causing much less reflux than the stomach band, and not placing a foreign body in the body; the most important disadvantages are the risk of bleeding and leakage from the stapler line because it involves a relatively long stapler, that is, the incision line.
Complaints such as nausea, vomiting and pain are extremely rare if the patient complies with the nutritional rules after gastric surgery, which is made according to the technique. Clearly, the only significant effect of sleeve gastrectomy is the reflux that can affect the comfort of life after surgery. Almost 5 patients in the first year after surgery have reflux, but after 3 years this rate drops to 3%.
In terms of short-term risks, the tube has a stomach gastric bypass equal to the stomach band and a low risk of duodenal switch. In terms of long-term risks, it has a lower risk than all other methods. The feeling of hunger is lower than gastric band and gastric bypass surgery.
The effectiveness of sleeve gastrectomy for gastric bypass is similar or equal to that of gastric bypass. However, there are studies showing that diabetes can recur in the long run. Sleeve gastrectomy bypasstan is much more advantageous in terms of operation time. In terms of quality of life, both operations have similar effects.