Chemical Encapsulation Sleeve Gastrectomy

Sleeve Gastrectomy

*Obesity is sadly the disease of the century, that’s why many doctors are seeking the best ways to help obese patients just get rid of it and of its complications as well, such as chronic diseases and difficulty of moving which makes it hard to enjoy the simplest daily activities.
Fortunately, a solution has been discovered, which is actually considered the best and the most effective one so far, which is Bariatric Surgeries with its various techniques. 
*Bariatric surgeries vary between gastric sleeve and gastric bypass surgeries with its different types -including classic and mini- and also Sasi operations and many more. 
Later on, many improvements have been added to each of them, which made it easier to reach the ultimate results and the highest levels of safety with the lowest incidence of any complications. 
*Therefore, many other names started to appear for the gastric sleeve operations, such as banded sleeve gastrectomy, encapsulated sleeve gastrectomy, mini sleeve gastrectomy… etc. 

So, What Is Chemical Encapsulation In Details?
-Steps of sleeve gastrectomy surgery with chemical encapsulation are just as the same as usual gastric sleeve operation; which takes place by removing almost 80% of the stomach using micro medical laparoscopes.
-Then, we start stapling the stomach wall using the latest American staplers, in which the appropriate sizes of the staples are automatically selected according to the thickness of each area, in order to ensure the stability of the staples and also to avoid them from loosening or moving.
-3 Lines of pins are made for extra safety and to reduce any possibilities of leakage. 
-Here shows the importance of sleeve gastrectomy with chemical encapsulation, which is overcoming the most common problem or complication of sleeve gastrectomy surgeries, which is leakage.
Although using American-made automatic staplers has proven huge success in reaching the lowest percentage of leakage possibilities, however, Dr. Wael Shaalan- Consualtant in Obesity and Endoscopic Surgeries, is always seeking the highest levels of safety.
Accordingly, he added a new step to gastric sleeve operations, which is chemical encapsulation, by adding cyanoacrylate to reinforce the staple line of the stomach wall. 

What Is Cyanocrylate?
*Cyanocrylate; It’s a substance that has the nature of glue materials, which makes it able to cover the staple line with an identical transparent layer that doesn’t interact with the stomach tissues, but works to support and reinforce the staple line. 
*Cyanocrylate is characterized by its rapid transformation from liquid to solid state, so, it dries within few seconds and helps stop bleeding immediately with no need for extra time, and it also supports the process with many advantages as we’ll see later. 
*Also, Just like encapsulated sleeve gastrectomy operations where gastric tissue is used to wrap the staple line, we can use cyanoacrylate to fix the stomach tissue without stitches and in a way faster time, so, we’ve obtained two types of encapsulation in one step. 
Encapsulation with stomach tissue and chemical encapsulation, which is useful in reducing the complications of stomach problems and stabilizing the stomach against torsion which in return causes vomiting.
*Cyanocrylate has been proven effective through medical research and has been tried in many practical studies on large groups of patients of different weights, ages and genders, and through the results of these studies it has proven its efficiency in controlling bleeding and reducing leakage possibilities.  

Advantages Of Chemical Encapsulation:
-Reducing time taken for the sleeve gastrectomy process.
-Effective and rapid cessation of bleeding inside the operating room.
-The presence of an insulating layer that protects and supports the staple line against any pressure inside the stomach.
- Reinforcement and fixation of the staple line.
-Minimize the chances of leakage by covering the staple line with a layer of cyanoacrylate.
-Reducing stomach complications and problems by strong fixation to gastric tissue.
Reducing the possibility of gastric torsion and the subsequent complications such as reflux esophagus and persistent vomiting.
-Performing gastric sleeve operation with the highest level of safety against complications of leakage and bleeding.
-Reaching the results of sleeve operations by getting rid of the ghrelin hormone, which is responsible for hunger, and consequently the desire to eat more food decreases.
-Getting rid of more than two-thirds of the size of the expanded stomach and reaching a small stomach size that helps you eat smaller meals.
-Gradually losing excess weight and reach the ideal weight in about a year, depending on the rate of burning in your body and your basic weight.
-Getting rid of multiple obesity problems and diseases such as diabetes, high pressure and blood cholesterol.
-Getting rid of bone pain and arthritis as a result of excessive weight pressure, and enjoying ease of movement like walking or using the ladder.
-Getting rid of sleep apnea and breathing problems in general.
-Improving the health status and reducing the severity of heart and liver diseases.

Who Is The Suitable Patient For The Sleeve Gastrectomy?
Chemical encapsulation process is not so much different from other gastric sleeve operations, but on the contrary, it achieved a higher level of safety and succeeded in reducing complications.
So, it is suitable for everyone as the devices and materials used have been proven effective without any harm to any patient, but as Dr. Wael Shaalan always reminds us, choosing the appropriate surgery is a joint decision between you and your doctor. 
Please listen to your doctor, as he will choose the best for you according to your health condition, weight and the results you are aspiring.

Important Tips After The Sleeve Gastrectomy Process:
* Following instructions carefully is one of the most important factors of success of the operation, with regard to:
-Committing to the diet and being gradual in it to avoid pressure on the stomach and to accept different types of food without any problems or complications, so Dr. Wael Shaalan provides you, through his medical team, a nutritionist and periodic follow-up visits so you find someone to help and encourage you during every step on your way to reach the ideal weight.
-Eating and drinking should not be at the same time, it is better to wait for at least 30 minutes between them to prevent the stomach from expanding again.
-Drinking fluids regularly, most importantly water, eating sufficiently to maintain the health of your hair, the freshness of your skin, speed up the burning rates in the body and to avoid the appearance of flabbiness.
-Exercising regularly, also to constantly tighten the body, control burning rates, improve the general health status, maintain the results you have achieved, and maintain your ideal weight.
-Trying to not view food as the main source of happiness, and always remembering that it was the cause of many diseases, this will help you make healthy choices for your eating and enjoy a new healthy lifestyle.
-Focus on proteins and avoid high-calorie foods such as sugars and starches, as well as avoiding soft drinks.
-Avoid feeling frustrated with the stages of weight stability, as they are natural stages through which the body reorganizes itself to return to complete the weight loss.
-Always cheer yourself up by comparing your new photos to your old ones or by constantly changing your sizes to smaller sizes.
-Always remember that you have made the right decision and that you are on the right path, do not look back and continue on your way until you reach your goal at the beginning of a new life without obesity or diseases.

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