Gastric sleeve in Tunisia

One of the worst things that anyone can feel is being unsatisfied with their body; it just makes you uncomfortable in your own skin.

This is the case with many people that suffer from obesity, it is one of the worst problems that our modern society is facing.

Obesity can be the cause of many other and more serious health problems such as a high blood pressure or heart problems and it’s not only medical but also an aesthetic problem.

Being over weight causes you to have a saggy and unsymmetrical figure, and it can make movement harder not to mention that it does not look good and can make you appear much older than you really are.

So what’s the solution you might as? Well MedEspoir is here to always give you the best treatments for all of your aesthetic problems, and for the issue of obesity we offer you the gastric sleeve operation in Tunisia.

Regular methods like exercising and dieting do not always work for everyone, and many people are not able to even do them due to physical problems, so the best solution to get rid of excess weight is gastric procedures.

The gastric sleeve in Tunisia is one of the best and safest medical procedures to lose weight fast and in an organic way, with MedEspoir you will have the best doctors and the lowest prices to have your gastric sleeve operation in Tunisia.

How much does gastric sleeve in Tunisia cost ?

Saving money while having a cosmetic surgery is a high necessarily, and with MedEspoir you will save 70% on the price of having your gastric sleeve operation in Tunisia.

The absolute relaxation and satisfaction of our patients is our top priority, and to offer that we needed to create the cheapest and most affordable price for all cosmetic and aesthetic procedures.

MedEspoir offers the most budget friendly prices for having the gastric sleeve operation in Tunisia, this is thanks to our unique all-inclusive package.

With our all-inclusive package you will be able to have the operation and also save so much money so that you can enjoy your time in Tunisia and experience the whole country.

Our all-inclusive package covers:

• All costs for the medical tools that will be used during and after the operation.
• A room at a luxurious hotel.
• The doctor’s payment.
• All the operation related transportation.
• The post-operative care and medication.

What is a gastric sleeve operation ?

Gastric sleeve is a bariatric surgery (obesity surgery) which consists of acting on the stomach by drastically reducing its capacity and volume in order to reduce the quantity of food ingested and consequently reduce the feeling of hunger and the urge to eat.

What are the types of gastric sleeve operation?

Standard Gastric Sleeve:

The standard gastric sleeve procedure, also known as laparoscopic sleeve gastrectomy, is the most commonly performed variation of this weight loss surgery.

During this procedure, the surgeon creates a small, sleeve-shaped stomach by removing a large portion of the stomach along the greater curvature. The resulting stomach pouch restricts the amount of food that can be consumed, leading to decreased calorie intake and weight loss. The procedure is typically performed laparoscopically, utilizing small incisions and a camera for visualization, which generally results in less pain, scarring, and shorter recovery times compared to traditional open surgery.

This approach is suitable for individuals with a body mass index (BMI) of 40 or above, or those with a BMI of 35 or above with obesity-related health conditions, such as type 2 diabetes or hypertension. Patients undergoing the standard gastric sleeve can expect to lose a significant amount of weight within the first year following surgery, with ongoing weight loss over the subsequent months. Additionally, many patients experience improvements or remission of obesity-related health conditions, such as diabetes, sleep apnea, and high blood pressure, as a result of the weight loss achieved through this procedure.

Mini Gastric Sleeve:

The mini gastric sleeve, also known as the one-anastomosis gastric bypass (OAGB), is a modification of the traditional gastric sleeve procedure that involves creating a longer, narrower stomach pouch. In this variation, the surgeon removes a smaller portion of the stomach, leaving a sleeve-shaped pouch that is approximately one-quarter of its original size.

This smaller stomach pouch restricts food intake and promotes weight loss by reducing the amount of food that can be consumed at one time. Additionally, the mini gastric sleeve alters the anatomy of the digestive tract by rerouting the small intestine to bypass a portion of the stomach and upper intestine, resulting in changes to the absorption of nutrients and hormones involved in appetite regulation.

The mini gastric sleeve is often favored for its simplicity and shorter operating time compared to other weight loss surgeries, such as gastric bypass or duodenal switch. However, it is important to note that the mini gastric sleeve is a relatively new procedure, and long-term data on its safety and efficacy are still limited compared to more established weight loss surgeries. Some potential risks and complications associated with the mini gastric sleeve include dumping syndrome, nutrient deficiencies, ulcers, and reflux.

Patients considering the mini gastric sleeve should discuss the potential benefits and risks with their healthcare provider to determine if this procedure is the most appropriate option for their individual needs and weight loss goals.

Revisional Gastric Sleeve:

The revisional gastric sleeve procedure is performed on individuals who have previously undergone gastric sleeve surgery but have experienced inadequate weight loss, weight regain, or complications requiring surgical intervention.

This variation of the gastric sleeve involves revising or modifying the original sleeve to address the specific issues or concerns of the patient. Revisional surgery may include techniques such as resizing the sleeve by removing additional stomach tissue, converting the sleeve to a different weight loss procedure, or addressing complications such as gastric leaks or strictures. The decision to undergo revisional gastric sleeve surgery is typically made after a thorough evaluation by a bariatric surgeon, who will assess the patient’s medical history, current weight status, dietary habits, and any underlying health conditions that may impact the success of the revisional procedure. It is essential for patients considering revisional gastric sleeve surgery to have realistic expectations about the potential outcomes and to understand that revisional procedures may carry higher risks and complications compared to primary weight loss surgeries.

Additionally, patients may need to make lifestyle modifications, such as adopting a healthier diet and increasing physical activity, to achieve and maintain successful weight loss following revisional surgery.

Overstitch Gastric Sleeve:

The overstitch gastric sleeve, also known as endoscopic sleeve gastroplasty (ESG), is a minimally invasive alternative to traditional surgical weight loss procedures for individuals who may not be candidates for surgery or who prefer a less invasive approach.

During the overstitch procedure, a specialized endoscope equipped with suturing devices is passed through the mouth and into the stomach, where sutures are placed to reduce the size and capacity of the stomach pouch. This creates a sleeve-like shape similar to that achieved through surgical gastric sleeve procedures, effectively restricting food intake and promoting weight loss.

The overstitch gastric sleeve is typically performed on an outpatient basis and does not require incisions or general anesthesia, resulting in less postoperative pain, shorter recovery times, and reduced risk of surgical complications compared to traditional weight loss surgeries.

However, it is important to note that the overstitch procedure may not be as effective as surgical options in achieving significant and sustained weight loss, and results may vary among individuals. Additionally, the procedure may need to be repeated or combined with other interventions to achieve optimal outcomes for some patients.

Like any medical procedure, the overstitch gastric sleeve carries potential risks and complications, including perforation of the stomach or esophagus, bleeding, infection, and adverse reactions to anesthesia or sedation. Patients considering the overstitch procedure should discuss their individual risk factors and treatment goals with a healthcare provider to determine if this minimally invasive option is the most appropriate choice for their weight loss journey.

Vertical Banded Gastroplasty (VBG):

Vertical banded gastroplasty (VBG), also known as stomach stapling, is a restrictive weight loss surgery that was once commonly performed but has largely been replaced by more effective and safer procedures such as the gastric sleeve and gastric bypass.

During a VBG procedure, the surgeon creates a small pouch at the top of the stomach using staples and places a band (usually made of synthetic material) around the opening to regulate the flow of food. This restricts the amount of food that can be consumed at one time and promotes weight loss by inducing early satiety.

However, VBG has fallen out of favor due to a high rate of long-term complications, including band erosion, pouch dilation, and inadequate weight loss or weight regain.

As a result, it is rarely performed today, and most bariatric surgeons recommend alternative procedures that have been shown to be more effective and safer for long-term weight loss and management. Patients who have undergone VBG and are experiencing complications or inadequate weight loss may require revisional surgery, such as conversion to a gastric sleeve or gastric bypass, to address their concerns and improve their outcomes.

It is essential for individuals considering weight loss surgery to work closely with a qualified bariatric surgeon who can provide comprehensive evaluation, education, and support to help them make informed decisions about their treatment options and achieve successful long-term weight loss and improved health outcomes.

Who are the best candidates for a gastric sleeve ?

Gastric sleeve, also called calibrated vertical gastroplasty with gastric resection, is intended for people with severe obesity and whose body mass index (BMI) exceeds 40.

It’s also intended for people whose BMI is between 30 and 40 but who have health problems such as diabetes or hypertension.

The sleeve is also prescribed for people with hyperphagia, an eating disorder that leads to the consumption of food in very large quantities.

Why do i need gastric sleeve operation ?

The sleeve gastrectomy, or longitudinal gastrectomy or partial gastrectomy by plication is a recent technique of restrictive bariatric surgery which consists of removing two-thirds of the stomach.

This removal of part of the stomach initially causes the patient to feel full.

Subsequently, the reduction in the volume of the stomach and its calibration causes the reduction of a large quantity of gastric cells which secrete a digestive hormone responsible for stimulating appetite called ghrelin.

How to prepare for gastric sleeve ?

Any and all cosmetic or medical procedures require some preparations that will be done with your doctor.

The surgeon begins by establishing a complete preoperative assessment containing an abdominal ultrasound, an esophagogastric fibrescope and a blood test.

During the first preoperative meeting and because of the general anesthesia, your surgeon in Tunisia or the anesthesiologist may have to request a cardiac assessment or a consultation with a cardiologist.

The doctor will also take a look at your medical history to see if you need to stop any of the medication that you are currently taking.

You will also need to meet with a dietitian so that they can help you establish the most suitable meal plan for you and also to inform you on how much food that needs to be consumed.

If you are a smoker or heavy drinker then you will need to quit for a month before the day of the operation.

What happens during the gastric sleeve operation ?

Lasting an average of two hours, the sleeve gastrectomy is performed by laparoscopy.

After placing a calibration probe orally, the surgeon inserts a video camera through tiny incisions to perform a vertical resection of more than two-thirds of the stomach.

Once the outer part of the stomach has been removed, the surgeon proceeds to staple the stomach tissues to alleviate bleeding problems.

What is the post-operative follow-up of a gastric sleeve operation ?

After the operation, it’s highly possible that you will need to spend at least one night at the clinic so that you can rest, the medical team will also keep an eye on your condition and make sure that you are well rested.

During the first period of your recovery, you may feel slight gastric refluxes and mild stomach pain; the doctor will be providing all the necessary medication for you.

An appointment with a nutritionist doctor will be essential to assimilate the right reflexes, the right eating methods and to establish a nutritional follow-up.

You will need to start with a liquid diet during the first period of your healing; this type of diet consist of:

• Soups.
• Vitamin water.
• Liquid protein.

After a period of time, you will be able to work your way up to pureed food and then soon enough you will be back to eating regular food.

Make sure that you always keep your meals small and healthy; take small bites and chew the food very well.

It is also highly recommended that you start working out so that you can lose weight faster and keep the results of the operation for a much longer time.

Main hygiene and dietary rules to follow after your gastric sleeve operation :

• Take three meals a day and avoid snacking between meals.
• Split meals and adapt them to the new size of the stomach.
• Eat slowly and chew food well.
• Avoid sugar.
• Limit foods high in fat.
• Drink to avoid dehydration.
• Drink while avoiding eating at the same time.
• Play sports.

The long-term healing period.

Transition to Solid Foods (2-6 weeks):

As the weeks progress, patients gradually advance to a soft or pureed diet, followed by the introduction of solid foods.

It’s crucial to chew food thoroughly and eat slowly to prevent discomfort or digestive issues. Patients may experience fluctuations in appetite, energy levels, and bowel habits as their body adjusts to the changes in food intake and digestion.

Regular follow-up appointments with the surgical team allow for monitoring of weight loss progress, nutritional status, and resolution of any post-operative symptoms.

Weight Loss and Lifestyle Changes (6 weeks – 6 months):

During the first few months following surgery, patients typically experience rapid weight loss as they adapt to smaller portion sizes and healthier eating habits.

It’s essential to focus on consuming nutrient-dense foods, staying hydrated, and incorporating regular physical activity into daily routines to support weight loss and enhance overall well-being. Patients may also undergo counseling or participate in support groups to address emotional eating, body image concerns, and other factors that may impact long-term success.

Plateau and Stabilization (6 months – 1 year):

After the initial period of rapid weight loss, many patients reach a plateau where their weight stabilizes, and progress may slow down.

This phase requires patience and perseverance, as it’s common for the body to adjust to the changes in metabolism and energy expenditure.

Continued adherence to dietary guidelines, regular exercise, and ongoing support from healthcare providers are essential during this stage to maintain momentum and prevent weight regain.

Long-Term Maintenance (1 year and beyond):

Sustaining the benefits of gastric sleeve surgery requires lifelong commitment to healthy lifestyle habits and ongoing medical monitoring.

Patients should continue to attend follow-up appointments with their bariatric team to track progress, monitor for any nutritional deficiencies, and address any concerns or challenges that arise. Emphasis should be placed on building sustainable habits around diet, exercise, stress management, and sleep hygiene to support long-term weight maintenance and overall health optimization.

Psychological and Emotional Well-being:

Throughout the long-term healing period, it’s essential to prioritize mental health and emotional well-being. Many patients undergo significant psychological and emotional changes as they navigate the physical and social aspects of weight loss surgery.

Counseling, support groups, and other resources can provide valuable support in addressing issues such as body image, self-esteem, relationship dynamics, and coping strategies for managing stress or emotional triggers.

Nutritional Optimization and Supplementation:

Following gastric sleeve surgery, patients may require ongoing nutritional supplementation to prevent deficiencies and support overall health.

Bariatric-specific multivitamins, calcium, vitamin D, iron, and vitamin B12 are commonly recommended to address potential deficiencies and ensure adequate nutrient intake. It’s essential to work closely with a registered dietitian or nutritionist to develop a personalized supplementation regimen tailored to individual needs and goals.

Monitoring and Prevention of Complications:

While gastric sleeve surgery is generally safe and effective, it’s essential to remain vigilant for potential complications that may arise in the long term.

Regular medical follow-up allows for the early detection and management of issues such as nutrient deficiencies, gastrointestinal symptoms, reflux, or surgical complications. Adherence to post-operative guidelines, lifestyle modifications, and ongoing communication with the healthcare team are key in minimizing risks and optimizing outcomes over time.

What are the results of the gastric sleeve operation in Tunisia ?

Gastric sleeve is performed under laparoscopy, meaning that it leaves no visible scars.

Unlike the Bypass, there are no risks associated with digestive seams and does not generate any vitamin deficiency.

No changes to the digestive tract or digestion.

You will be able to lose 50 to 70% of your body weight after a period of one to two years from having the operation.

The duration of the weight loss relies heavily on your condition, ability to heal and how much you have followed the doctor’s instructions.

The healthier your lifestyle is the faster the results will manifest and stay.

What are the risks of gastric sleeve operation ?

The gastric sleeve is one of the best, safest and most efficient methods to reduce your weight fast, and with the help of the best doctor in Tunisia you will have guaranteed results.

However, you must always remember that all medical procedures come with a small risk percentage.

Gastric sleeve has some potential complications, but the doctor will be by your side through out the whole procedure.

They will discuss these potential risks with you in much more details so you will be able to have a better understanding about the operation, and the doctor will also instruct you on how to best avoid these risks.

Some of the potential complications of gastric sleeve are:

• Possible esophageal burns.
• Small internal bleeding.
• Stomach aches.
• Suppression of the anti-reflux mechanism of the stomach.
• Possible vomiting in case of too high volume of food.