Everyone seems to talk about the sleeve being successful because it stops people from being able to eat a lot. This is true… but not the whole truth. Its actually a bit more complex than that:
- Portion control; You will feel satisfied after a much smaller meal.
- Less hunger: The removed part of stomach was making a lot of hormones that drive hunger. The main one is Ghrelin, and so there is much less of this “hunger hormone” produced after a sleeve. There are also some gut hormones that are made more after a sleeve that suppress appetite. People feel less hungry after a sleeve.
- Better gut health: We find that many other factors of the gut are more balanced after a sleeve. These include the bacteria in the gut, the hormones and the concentration of bile acids
There are many neurohormonal and microbial aspects of the stomach and gut that are not completely understood. In the same way as food choices and portion size are but one aspect of cause for obesity, Restriction is an important part of the success from this operation but there are other factors as well.
Most patients are in hospital for two nights (counting the night after surgery). We get you sipping water on the first day and very often this can be a challenge because there is spasm through the stomach. Because of this we support you with a drip that can usually stop after 24 hours.
On the second day you usually feel much better and so can be offered more nourishing fluids to drink. We will check your bloods and double check everything is ok before getting your paperwork done and getting you home. Occasionally people need to stay an extra night, and that’s ok too.
When you get home, you need to stick to a liquid diet for two weeks. Some people are asked to continue a blood thinner injection for two weeks (we will explain more about this if it is necessary). Your surgeon will contact you after you’ve been home for a couple of days to make sure everything is ok and will arrange to see you in clinic at about two weeks following surgery.
- You must sip fluids constantly to avoid dehydration
- You can’t eat and drink at the same time
- Now you will take 4 6 small meals each day
Our expert staff will guide you through all of this, so it will be very clear by the time you need to know.