Identical Sleeve
Identical Sleeve
It is important to fully understand the surgical procedure to determine and choose the best weight loss surgery for you, and this is what Dr. Ahmed Abd El Salam, Assistant Professor of General and Laparoscopic Surgery and Consultant in Bariatric Surgery, Kasr El-Ainy Faculty of Medicine, one of the most prominent bariatric surgeons in Egypt, is keen on. He and his team have made their best efforts over the past years to help obese patients on their weight loss journey, help them achieve their goals, and follow a healthier lifestyle.
One of the latest procedures for treating obesity is laparoscopic sleeve gastrectomy, or the "Identical Sleeve". Studies indicate that this procedure can lead to a 60–70% reduction in excess weight in the first year.
Dr. Ahmed Abd El Salam is applying the Identical Sleeve for the first time in the Middle East to achieve an ideal sleeve gastrectomy while avoiding vomiting complications. Let's first clarify the definition of sleeve gastrectomy, the process of achieving an identical sleeve, and its importance.
What is a sleeve gastrectomy, and when should you consider undergoing it?
Sleeve gastrectomy is one of the weight loss surgeries. Dr. Ahmed Abd El Salam sometimes recommends it for people suffering from morbid obesity or those suffering from obesity-related health problems who have not been able to lose weight through conservative methods such as following a specific diet, trying to make changes to the quantity and nature of food, exercising appropriately, or taking certain medications that may help people lose weight.
Gastric sleeve surgery involves removing a large part of the stomach. After the surgery, the person feels full after eating a small amount of food. The surgery also makes people feel less hungry because the smaller stomach will produce lower levels of a hormone called ghrelin, which causes hunger.
Identical Sleeve Gastrectomy with Dr. Ahmed Abd El Salam:
The stomach has two layers, an anterior and a posterior layer, which meet at the stomach's curvatures. The smaller curvature is at the top, while the larger one is at the bottom. The sleeve gastrectomy procedure removes the part of the stomach with the larger curvature, leaving the stomach in the shape of a banana or sleeve.
Dr. Ahmed Abd El Salam performs sleeve gastrectomy with great accuracy, adhering to precise measurements to ensure complete symmetry between the anterior and posterior stomach layers, a procedure known as the Identical Sleeve.
This symmetry results in a naturally reduced stomach, offering several benefits to the patient. The most significant benefit is the ability to tolerate all foods without experiencing vomiting, a common side effect of an asymmetric sleeve gastrectomy that can lead to unhealthy weight loss. Therefore, the Identical Sleeve achieves ideal and healthy weight loss.
Benefits of the Identical Sleeve Gastrectomy:
The Identical Sleeve leads to safe, rapid, and effective weight loss. Patients can expect to lose 60% or more of their excess weight within the first year in a healthy and skin-tight manner.
The Identical Sleeve avoids the common complications of obesity surgeries, as the naturally reduced stomach can properly receive protein, allowing the patient to reach the ideal weight with optimal nutrition:
• Without vomiting.
• Without dull skin.
• Without hair loss.
• Without saggy skin.
• Without regaining the excess weight.
How does the Identical Sleeve lead to the ideal weight?
The main purpose of sleeve gastrectomy surgery is to restrict the stomach and thus limit the amount of food. The procedure involves removing about 80-85% of the stomach, resulting in the shape of a tube or "sleeve" that can hold less food. This will limit the amount that can be consumed in a single meal, and consequently reduce the calorie intake.
Additionally, the sleeve gastrectomy removes the part of the stomach that produces the hunger hormone, ghrelin. Therefore, people who have undergone sleeve gastrectomy experience less hunger and have lower ghrelin levels compared to those who have undergone other surgeries.
Results of the Identical Sleeve Procedure:
Weight loss with this procedure is around 60% of excess weight within the first year after the surgery. Good adherence to dietary and behavioral guidance leads to better results. Through smart food choices, regular exercise, and good eating habits, gastric sleeve patients enjoy and maintain good weight loss.
Weight loss after the Identical Sleeve surgery can help reduce problems like type 2 diabetes, asthma attacks, and hypertension, as well as improve heart health.
How to Prepare for the Identical Sleeve Procedure?
If you are considering surgery, you will likely need the expertise of Dr. Ahmed Abd El Salam to ensure that sleeve gastrectomy is suitable for you.
Dr. Ahmed Abd El Salam will advise you on any medication or dietary changes required in the weeks or days leading up to the surgery. Due to Dr. Ahmed Abd El Salam's application of the Fast Track Surgery protocol for the first time in the Middle East, you only need to stop eating for 6 hours before the surgery.
What Happens During the Identical Sleeve Procedure?
The surgery is performed laparoscopically. Dr. Ahmed Abd El Salam uses an advanced stapling device to create a small, identical sleeve-shaped stomach, then removes the rest of the stomach. After the surgery, the stomach will maintain its anterior and posterior identities. To prevent gastric leak, the medical team performs additional stitching and a leak test before leaving the operating room. The procedure typically takes less than an hour.
What can you expect after the Identical Sleeve procedure?
If you undergo gastric sleeve surgery, you will first start with liquid foods. Over the next few weeks, you will move to pureed food, then solid food. Your meals will be much smaller than before, and you will need to stop drinking during meals due to the smaller size of the stomach.
You will also need to make major lifestyle changes after bariatric surgery to reach and maintain your ideal weight. For example, change your eating and daily habits to maintain your health during weight loss.
Does vitamin deficiency occur with the Identical Sleeve?
There is no malabsorption or bypass. So the risk of vitamin and mineral deficiencies is reduced, as they are all absorbed through their natural pathways. However, patients who consume smaller amounts of food should take a daily multivitamin supplement.
Benefits of the Identical Sleeve procedure:
• The Identical Sleeve leads to safe, rapid, and effective weight loss compared to gastric bypass surgery. Patients can expect to lose 60% or more of their excess weight in the first year in a healthy manner with healthy skin.
• The Identical Sleeve avoids common complications of bariatric surgeries, such as vomiting or weight regain.
• This procedure does not require the implantation of a foreign body, as with gastric banding.
• It does not reroute the food passage, as there is no intestinal bypass, as with gastric bypass.
• The hormonal changes after the surgery help patients feel fuller and eat less, in addition to improving or resolving diabetes.
• Most patients who undergo the Identical Sleeve procedure can return home within 24 hours.
• The majority of people return to work within 1–2 weeks.
• After recovery, patients can comfortably eat a wide range of foods, including meats.
What are the potential complications that may occur with the Identical Sleeve procedure?
There are no complications with the Identical Sleeve surgery because this procedure is safe. On the contrary, the Identical Sleeve procedure protects the person from common complications, such as a tendency to vomit.
Sometimes, some people may experience bleeding or fluid leak from the stomach when undergoing surgery with inexperienced doctors. The stomach may also expand over time, leading to regaining some of the lost weight if the doctor's instructions are not followed. The sleeve gastrectomy, unlike other bariatric surgeries, is an irreversible procedure.
Dr. Ahmed Abd El Salam, Assistant Professor of General and Laparoscopic Surgery and Consultant in Bariatric Surgery at Kasr El-Ainy Faculty of Medicine, offers complication-free sleeving using the Identical Sleeve technique, for which he is renowned in Egypt and the Middle East.
One of the latest procedures for treating obesity is laparoscopic sleeve gastrectomy, or the "Identical Sleeve". Studies indicate that this procedure can lead to a 60–70% reduction in excess weight in the first year.
Dr. Ahmed Abd El Salam is applying the Identical Sleeve for the first time in the Middle East to achieve an ideal sleeve gastrectomy while avoiding vomiting complications. Let's first clarify the definition of sleeve gastrectomy, the process of achieving an identical sleeve, and its importance.
What is a sleeve gastrectomy, and when should you consider undergoing it?
Sleeve gastrectomy is one of the weight loss surgeries. Dr. Ahmed Abd El Salam sometimes recommends it for people suffering from morbid obesity or those suffering from obesity-related health problems who have not been able to lose weight through conservative methods such as following a specific diet, trying to make changes to the quantity and nature of food, exercising appropriately, or taking certain medications that may help people lose weight.
Gastric sleeve surgery involves removing a large part of the stomach. After the surgery, the person feels full after eating a small amount of food. The surgery also makes people feel less hungry because the smaller stomach will produce lower levels of a hormone called ghrelin, which causes hunger.
Identical Sleeve Gastrectomy with Dr. Ahmed Abd El Salam:
The stomach has two layers, an anterior and a posterior layer, which meet at the stomach's curvatures. The smaller curvature is at the top, while the larger one is at the bottom. The sleeve gastrectomy procedure removes the part of the stomach with the larger curvature, leaving the stomach in the shape of a banana or sleeve.
Dr. Ahmed Abd El Salam performs sleeve gastrectomy with great accuracy, adhering to precise measurements to ensure complete symmetry between the anterior and posterior stomach layers, a procedure known as the Identical Sleeve.
This symmetry results in a naturally reduced stomach, offering several benefits to the patient. The most significant benefit is the ability to tolerate all foods without experiencing vomiting, a common side effect of an asymmetric sleeve gastrectomy that can lead to unhealthy weight loss. Therefore, the Identical Sleeve achieves ideal and healthy weight loss.
Benefits of the Identical Sleeve Gastrectomy:
The Identical Sleeve leads to safe, rapid, and effective weight loss. Patients can expect to lose 60% or more of their excess weight within the first year in a healthy and skin-tight manner.
The Identical Sleeve avoids the common complications of obesity surgeries, as the naturally reduced stomach can properly receive protein, allowing the patient to reach the ideal weight with optimal nutrition:
• Without vomiting.
• Without dull skin.
• Without hair loss.
• Without saggy skin.
• Without regaining the excess weight.
How does the Identical Sleeve lead to the ideal weight?
The main purpose of sleeve gastrectomy surgery is to restrict the stomach and thus limit the amount of food. The procedure involves removing about 80-85% of the stomach, resulting in the shape of a tube or "sleeve" that can hold less food. This will limit the amount that can be consumed in a single meal, and consequently reduce the calorie intake.
Additionally, the sleeve gastrectomy removes the part of the stomach that produces the hunger hormone, ghrelin. Therefore, people who have undergone sleeve gastrectomy experience less hunger and have lower ghrelin levels compared to those who have undergone other surgeries.
Results of the Identical Sleeve Procedure:
Weight loss with this procedure is around 60% of excess weight within the first year after the surgery. Good adherence to dietary and behavioral guidance leads to better results. Through smart food choices, regular exercise, and good eating habits, gastric sleeve patients enjoy and maintain good weight loss.
Weight loss after the Identical Sleeve surgery can help reduce problems like type 2 diabetes, asthma attacks, and hypertension, as well as improve heart health.
How to Prepare for the Identical Sleeve Procedure?
If you are considering surgery, you will likely need the expertise of Dr. Ahmed Abd El Salam to ensure that sleeve gastrectomy is suitable for you.
Dr. Ahmed Abd El Salam will advise you on any medication or dietary changes required in the weeks or days leading up to the surgery. Due to Dr. Ahmed Abd El Salam's application of the Fast Track Surgery protocol for the first time in the Middle East, you only need to stop eating for 6 hours before the surgery.
What Happens During the Identical Sleeve Procedure?
The surgery is performed laparoscopically. Dr. Ahmed Abd El Salam uses an advanced stapling device to create a small, identical sleeve-shaped stomach, then removes the rest of the stomach. After the surgery, the stomach will maintain its anterior and posterior identities. To prevent gastric leak, the medical team performs additional stitching and a leak test before leaving the operating room. The procedure typically takes less than an hour.
What can you expect after the Identical Sleeve procedure?
If you undergo gastric sleeve surgery, you will first start with liquid foods. Over the next few weeks, you will move to pureed food, then solid food. Your meals will be much smaller than before, and you will need to stop drinking during meals due to the smaller size of the stomach.
You will also need to make major lifestyle changes after bariatric surgery to reach and maintain your ideal weight. For example, change your eating and daily habits to maintain your health during weight loss.
Does vitamin deficiency occur with the Identical Sleeve?
There is no malabsorption or bypass. So the risk of vitamin and mineral deficiencies is reduced, as they are all absorbed through their natural pathways. However, patients who consume smaller amounts of food should take a daily multivitamin supplement.
Benefits of the Identical Sleeve procedure:
• The Identical Sleeve leads to safe, rapid, and effective weight loss compared to gastric bypass surgery. Patients can expect to lose 60% or more of their excess weight in the first year in a healthy manner with healthy skin.
• The Identical Sleeve avoids common complications of bariatric surgeries, such as vomiting or weight regain.
• This procedure does not require the implantation of a foreign body, as with gastric banding.
• It does not reroute the food passage, as there is no intestinal bypass, as with gastric bypass.
• The hormonal changes after the surgery help patients feel fuller and eat less, in addition to improving or resolving diabetes.
• Most patients who undergo the Identical Sleeve procedure can return home within 24 hours.
• The majority of people return to work within 1–2 weeks.
• After recovery, patients can comfortably eat a wide range of foods, including meats.
What are the potential complications that may occur with the Identical Sleeve procedure?
There are no complications with the Identical Sleeve surgery because this procedure is safe. On the contrary, the Identical Sleeve procedure protects the person from common complications, such as a tendency to vomit.
Sometimes, some people may experience bleeding or fluid leak from the stomach when undergoing surgery with inexperienced doctors. The stomach may also expand over time, leading to regaining some of the lost weight if the doctor's instructions are not followed. The sleeve gastrectomy, unlike other bariatric surgeries, is an irreversible procedure.
Dr. Ahmed Abd El Salam, Assistant Professor of General and Laparoscopic Surgery and Consultant in Bariatric Surgery at Kasr El-Ainy Faculty of Medicine, offers complication-free sleeving using the Identical Sleeve technique, for which he is renowned in Egypt and the Middle East.
