Gastric Slevee targets an important change in the digestive system, namely the reduction in the size of the stomach. Although the main effects of this change are seen in the digestive tract, it also has an impact on the entire body. This also includes changes in the hormonal balance. With sleeve gastrectomy, around 80 % of the stomach can be removed and reduced in size. As a result, patients achieve a feeling of fullness with much less food and lose weight quickly. In addition, various changes occur in the body depending on the weight loss and the changes in the digestive system.

HORMONAL CHANGES AFTER GASTRIC SLEEVE SURGERY


One of the changes after gastric sleeve surgery is related to hormone levels. While the level of some hormones drops immediately after the operation, the level of some hormones changes more slowly. The hormonal changes are not equally pronounced in all patients. However, these changes can be observed to a certain extent in all patients after the operation. Details of the hormonal changes can be found below:

HORMON INSULIN


Typ-2-Diabetes ist eine Krankheit, bei der der Zuckerspiegel im Blut höher ist, als er sein sollte. Die Hauptursache für diese Krankheit ist eine Insulinresistenz des Körpers aufgrund von Übergewicht. Insulin ist ein Hormon, das den Zucker im Blut in die Zellen eindringen lässt und so den Zuckerspiegel im Blut reduziert und ausgleicht. Aufgrund von Übergewicht kommt es jedoch zu einer Insulinresistenz in den Zellen. Daher bleibt der Zuckerspiegel im Blut und das Hormon Insulin kann seine Funktion nicht erfüllen. Nach einer Magenverkleinerung verlieren die Patienten schnell an Gewicht. Dadurch kann die Insulinresistenz beseitigt werden und es kommt zu einer deutlichen Verbesserung des Insulinspiegels und der Insulinwirkung. Außerdem wirken sich die Verkleinerung des Magens und die langsamere Aufnahme und Verdauung der Mahlzeiten entsprechend positiv auf den Blutzucker aus. Auch wenn sich der Insulinspiegel nicht direkt verändert, so ist doch eine deutliche Veränderung seiner Wirkung festzustellen. Es wird angenommen, dass dieser Effekt einer der positivsten Effekte der Magenverkleinerung ist. Dank dieses Effekts kann der Typ-2-Diabetes beseitigt werden.

GHRELIN HORMONE


G cells in the inner lining of the stomach secrete a hormone called ghrelin. Ghrelin, also known as the hunger hormone, when released, tells the stomach that it is hungry. The person therefore feels hungry and thinks that they should eat something.

Ghrelin is very important for maintaining human life. In obese people, however, this hormone is released more and faster than normal. This leads to an unnecessary feeling of hunger and the intake of calories. These are converted into fat and thus into weight.

During a Gastric Slevee, most of the stomach is removed. This removes most of the inner lining of the stomach. This results in a sharp drop in the secretion of the hormone ghrelin. Patients feel less hungry and with less intensity.

The reduction of the ghrelin hormone is one of the most important weight loss mechanisms in this procedure. It would not be wrong to say that this is one of the main goals of the procedure.

GUT-SPECIFIC HORMONES


There are various hormones that are secreted by the gut. Although these are not commonly known, they are directly or indirectly involved in various problems such as glucose metabolism, appetite control and insulin regulation. Since gastric sleeve surgery causes some changes in the digestive system, its level may also change. These changes contribute to better appetite control and the prevention of type 2 diabetes. In short, the change in intestinal hormones has a positive effect. Gastric Slevee surgery not only leads to a reduction in the size of the stomach, but also helps to normalize the hormonal balance disturbed by obesity. In this respect, it would not be wrong to claim that the operation in question has positive effects on human health.

WHO CAN UNDERGO GASTRIC SLEEVE SURGERY?

Gastric sleeve surgery is also known to the public as Gastric Slevee surgery or slimming surgery. However, it is not possible to refer to this procedure as weight loss surgery. This is because the reason for its use is to treat obesity. It is performed on obese patients whose eating habits and excess weight make weight loss through diet and exercise impossible. This operation is not possible for people who are not obese. It is also not recommended. Those who want to undergo the operation should have a body mass index of 35 and above and have no health problems that prevent surgery. Those who meet these conditions can undergo Gastric Slevee surgery and get rid of their obesity quickly and permanently.

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