Sleeve gastrectomy

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La gastrectomia a manica, nota anche come sleeve gastric surgery, è una procedura dimagrante (bariatrica) volta a ridurre le dimensioni dello stomaco. Rimuovendo una porzione dello stomaco, si limita l'assunzione di cibo e si ottiene una significativa perdita di peso. Questa procedura è rivolta a coloro che non sono riusciti a perdere peso solo con dieta ed esercizio fisico.

Generale

La chirurgia della manica gastrica comporta la rimozione di circa l'80% dello stomaco, lasciando uno stomaco a forma di tubo delle dimensioni di una banana. Questa drastica riduzione del volume dello stomaco fa sì che l'individuo si senta pieno dopo aver mangiato quantità molto minori di cibo, riducendo così l'apporto calorico complessivo con conseguente perdita di peso. Inoltre, l'intervento agisce sugli ormoni intestinali che influiscono su una serie di fattori tra cui fame, sazietà e controllo della glicemia, che possono contribuire alla perdita di peso e aiutare a migliorare le condizioni legate all'obesità, come il diabete. La procedura viene eseguita per via laparoscopica, il che significa che è minimamente invasiva, richiede incisioni più piccole e generalmente comporta un tempo di recupero più rapido rispetto alla tradizionale chirurgia a cielo aperto.

Dettagli speciali

Who is it for?

Individui con un indice di massa corporea (BMI) di 40 o superiore (obesità estrema).

Persone con un BMI di 35-39,9 (obesità) che hanno anche un grave problema di salute legato al peso come diabete di tipo 2, ipertensione o grave apnea notturna.

Persone che hanno cercato di perdere peso con la dieta e l'esercizio fisico ma senza successo.

Recovery Period

La degenza ospedaliera media per un intervento chirurgico alla manica gastrica è di 2-3 giorni.

Il recupero completo dall'intervento richiede in genere circa 4-6 settimane.

Di solito si consiglia ai pazienti di seguire una dieta liquida per le prime due settimane, passando gradualmente ai cibi frullati e poi ai cibi solidi nelle settimane successive.

Potential Risks and Side Effects

Come per qualsiasi intervento chirurgico, i rischi includono infezioni, emorragie e reazioni avverse all'anestesia.

I possibili rischi a lungo termine includono reflusso gastroesofageo, carenze vitaminiche/minerali e cicatrici che potrebbero portare a blocchi.

Raramente, potrebbe verificarsi una perdita dalla linea di base utilizzata per chiudere lo stomaco.

Alternative Treatments

Cambiamenti nella dieta e aumento dell'attività fisica.

Farmaci per la perdita di peso.

Altre opzioni chirurgiche includono la chirurgia di bypass gastrico, la fascia gastrica regolabile e la deviazione biliopancreatica con interruttore duodenale.

Success Rate

Gli studi hanno dimostrato che i pazienti in genere perdono il 50-70% del loro peso in eccesso entro i primi due anni dall'intervento, con miglioramenti nelle condizioni legate all'obesità. La percentuale di successo può variare in base all'impegno del paziente a modificare lo stile di vita.

Procedure step-by-step overivew

Valutazione preoperatoria comprensiva di anamnesi, esame obiettivo e test di laboratorio necessari.

Somministrazione di anestesia generale per garantire che il paziente dorma e non abbia dolore durante la procedura.

Eseguendo l'intervento per via laparoscopica, il chirurgo esegue piccole incisioni nell'addome e inserisce strumenti chirurgici e una telecamera.

Utilizzando graffette chirurgiche, il chirurgo rimuove circa l'80% dello stomaco, creando una forma a tubo o «manica».

Le incisioni vengono quindi chiuse con punti di sutura e la procedura è completa.

Prezzi

Turchia

$4000

Repubblica Ceca

$5500

Croazia

$5000

Lituania

$5000

Polonia

$4500

Germania

$11000

Svizzera

$20000

Francia

$12000

Regno Unito

$9000

Stati Uniti

$15000

Canada

$20000

Australia

$17000

Perché i prezzi variano?

Spese del chirurgo, che possono variare in base all'esperienza e alla reputazione.

Spese ospedaliere o mediche.

Posizione geografica, che incide sul costo complessivo della vita e sulle spese mediche.

Se la procedura è coperta da assicurazione e l'entità di tale copertura.

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