Gastric cuff resection - what does it consist of?

Gastric cuff resection involves a significant reduction in the volume of the stomach. During the partial gastrectomy procedure, a part of the stomach with a volume of several hundred to over a thousand milliliters is removed, depending on the original size of the organ.

The remaining stomach has a volume of about 100-150 ml. Thanks to that after the operation the patient will feel satiety after eating 100-150 ml of food. Not less important is the fact that in the removed part of the stomach physiological hunger hormone - ghrelin - is produced.

Cuff surgery of the stomach causes that due to the reduced production of ghrelin, the feeling of hunger is much smaller and the desire to reach for the next portion of food is much weaker than before.

Mankietowa resekcja żołądka - przed operacją i po operacji

Procedure path

1 / 1

Bariatric consultation with the surgeon

If you are considering surgical treatment of obesity, make an appointment with our surgeon. During the first appointment the physician will assess the degree of obesity, take medical history of co-morbidities and obesity complications.

 

You will receive information on possible treatment options and be pre-qualified for the selected surgery. You will also receive a diagnostics plan preparing you for the surgery.

 

We want to gather as much information as possible about your health condition so that further treatment is as safe and personalized as possible. We schedule a diagnostic appointment and a planned surgery date.

Diagnostics and preparation

We offer our patients a full diagnostic package which includes all necessary tests and specialist consultations required to perform the surgery. Typical diagnostic scheme:

  • nutritionist consultation,
  • psychologist consultation
  • cardiologist consultation (with echocardiography examination)
  • pulmonologist consultation (with spirometry examination)
  • endocrinologist consultation
  • gastroenterologist consultation with gastroscopic examination performed under general anaesthesia
  • abdominal ultrasound
  • chest x-ray
  • comprehensive blood chemistry panel

 

The diagnostics is coordinated by an experienced specialist and your attending surgeon.

 

We begin treatment prior to the surgery, in the diagnostic phase. The nutritionist prepares a nutrition plan, which will help you prepare for the post-surgery changes, achieve initial weight loss and reduce liver steatosis. This specialist also provides you with nutrition education including the principles of proper nutrition to be followed before and after surgery. Simultaneously, the psychologist will equip you with the psychological means of coping with the transformation that awaits you.

Preoperative period (approx. 30 days)

You follow a nutrition plan. The attending physician, nutritionist and psychologist stay in permanent touch with you, providing you with support and advice.

Hospitalization and surgery

You will be admitted to the Surgical Ward after a period of a few weeks following the completion of diagnostics. The patients usually stay in our hospital for 4 days:

  • Day 1. Hospital admission, preparation of necessary documentation. Performing the most-recent blood chemistry tests. Discussing and signing the consent for surgery with the surgeon.  Anaesthesiologist consultation.
  • Day 2. The surgery is performed between 8:30 and 15:00, depending on the surgery plan. After surgery, the patient spends the rest of the day and night in the recovery room under the care of skilled medical and nursing staff. You will start drinking small amounts of water on your surgery day.
  • Day 3. The beginning of convalescence. We will assess your health condition and convalescence progress based on surgeon’s assessment and blood chemistry tests. Another nutritionist consultation during which you will receive recommendations for the recovery period (4-6 weeks).
  • Day 4. We will assess your health condition and convalescence progress once again based on surgeon’s assessment and blood chemistry tests. Oral diet inclusion. Discharge.

Follow-up

After the end of the surgical treatment we stay in permanent touch with our patients via phone or e-mail. In addition to this, we will also meet on the follow-up appointments.

 

  • The first appointment will be scheduled one month after the surgery: convalescence and initial weight loss assessment. Review of follow-up laboratory tests, i.a. vitamin level, blood morphology and other blood chemistry tests.
  • The follow-up nutritionist consultation is also scheduled approximately one month after the surgery (most often also with the surgeon consultation).
  • We will meet approximately every 3 months in the first year. During the follow-up appointments we will monitor your health condition and ensure you make a safe recovery.
YOUR STEPS

Sleeve gastrectomy Wrocław - Baria3

Sleeve gastrectomy - advantages

  • 1

    70-80% reduction in excess body weight

    Within the first 6 -12 months after sleeve gastrectomy surgery, your body weight will already be significantly reduced.
  • 2

    A quicker feeling of fullness.

    Feeling satiated after eating a portion several times smaller than before your gastrectomy surgery. With a small stomach, you will eat a meal the size of a small plate.
  • 3

    No binge-eating episodes.

    By reducing the level of the hunger hormone – ghrelin, the feeling of satiation will last for longer, and hunger won’t be as intense as before.

Sleeve gastrectomy - for whom?

REQUIREMENTS

Sleeve gastrectomy - indications for surgery

The surgery yields very good outcomes and is the most frequently performed bariatric procedure in the world. That is the reason why it is currently the basic weapon in the fight against obesity.

Because of the restrictive nature of the surgery (reduction of food intake), it is especially recommended for young women who plan to become pregnant in the future. There is a smaller risk of foetal and maternal exposure to deficiencies in macronutrients and micronutrients during pregnancy than after malabsorptive procedures like, for example, gastric bypass surgery.

It is a relatively simple technical procedure. An efficient surgical team is able to perform the operation in less than an hour, which makes it a particularly good option for patients, who benefit from shorter surgery time – the elderly, patients with many co-morbidities.

Given that the surgeon operates mainly in the epigastrium (the upper part of the abdomen), this medical procedure is also recommended for very obese patients with BMI over 50, because it does not expose the delicate small intestine to intraoperative injury.

Also, patients with a large number of postoperative adhesions in the lower abdomen benefit from having the operation performed only in the upper abdomen.

In patients with inflammatory bowel disease, the preferred surgery method is the one which is limited to the stomach.

Sleeve gastrectomy - contraindications to surgery

The most important medical contraindication to sleeve gastrectomy surgery is gastrointestinal reflux diagnosed before surgery, commonly experienced by patients as heartburn. A “stomach reduction” surgery may, unfortunately, exacerbate this problem.

Temporary contraindications to any bariatric surgery include active alcoholism, drug addiction, and mental illness outside remission period.

Pregnancy is also a period when we should be more concerned about the proper development of the foetus rather than weight gain.

Our approach to obesity treatment is as follows: the patients who ignore the nutritionist’s and psychologist’s recommendations or consider them irrelevant are not ready for the surgery.

Start your journey

WE WILL BE HERE FOR YOU FROM THE BEGINNING TILL THE VERY END, SO DON’T HESITATE TO TAKE THE FIRST STEP.

PATIENT STORY

Patient feedback

I underwent gastric sleeve surgery

Have you ever wondered where femininity begins and where it ends? When I started to consider the possibility of surgical treatment for my obesity, the pointer on the scale had reached almost 130kg. I started to feel that despite accepting my imperfections, my weight was becoming an obstacle to living an active life, to having a family and to my self-image. No, I didn't sit in front of the TV all day with a packet of crisps – I made hundreds of attempts; on my own, with dieticians, diabetologists and personal trainers. I yoyoed between losing weight and gaining it. A lot of work and poor results led me to look for alternative solutions because I really wanted to regain my fitness and health. A team of fantastic specialists came to my aid.

I underwent gastric sleeve surgery at the end of June 2019. Never believe that bariatric surgeries are a shortcut – they aren't. In fact, they require iron discipline from the patient and cooperation with doctors, nutritionists and psychologists. The process of losing weight is not magic with a scalpel (as usually written on internet forums), it is learning to live from scratch – eating, movement, taking care of your body and working on yourself. It is a constant training against one's own weaknesses but is also a great joy of the progress one achieves. 

 

Today, I weigh 43kg less. I have the homestretch ahead of me and am aware that my goal is even more within reach than before.  

 

After 9 months, I no longer suffer from any of the comorbidities that were an additional indication for the resection procedure. My blood pressure, sugar, cholesterol and insulin levels are perfect. I no longer suffer from back or knee pain, and my hormonal disorders and PCOS have disappeared. 

 

If someone asked me today whether I would make the decision to have the operation again, I would say yes without any hesitation!

 


In the whole process of obesity treatment, it is the path that counts – not the destination. With the support of the Baria3 Team, my destination gives me a sense of support and security...

Sleeve gastrectomy - price and offer

Price List

Price list of sleeve gastrectomy - please refer to it. If you have any questions, our consultant will contact you within 24 hours and arrange the details and date of consultation.

We take responsibility for our patients: in case our patient needs to be readmitted to the hospital and undergo an additional surgical procedure during the recovery period, the services will be provided at no additional charge to the patient.

  • CONSULTATION

    PLN 250
    qualification
  • DIAGNOSTICS

    PLN 3 700
    with nutritionist, psychologist and surgeon’s care
  • SLEEVE GASTRECTOMY SURGERY

    PLN 22 900
    with hospital stay
  • Package: diagnostics + sleeve gastrectomy surgery

    PLN 25 900
    comprehensive examinations, care of a dietitian, psychologist and surgeon, operation with hospital stay

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Bmi calculator

WHAT IS BMI?

The BMI (Body Mass Index) calculator is a quick and convenient method to calculate your own body mass index. This index is used to determine the severity of obesity as well as to assess the risk of developing diseases associated with excessive body weight. The higher the degree of obesity, the higher the risk of obesity complications is, unfortunately.

Your BMI

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Your BMI: 420
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BMI VALUE RANGES:

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    underweight
  • 18,5 - 24,9
    correct body weight
  • 25 - 29,9
    overweight
  • 30 - 34,9
    1st degree obesity
  • 35 - 39,9
    2nd degree obesity
  • 40 above
    3rd degree obesity
Michał Krefft - ZnanyLekarz.pl
Rafał Mulek - ZnanyLekarz.pl

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Collegium Medicum UMK w Bydgoszczy Uniwersytet SWPS w Warszawie

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