-First of all, Dr.Ahmed EL Masry takes all the necessary precautions to avoid the occurrence of leakage after bariatric surgeries.
-Leakage is one of the bariatric surgeries complications, which represents only about 1 to 2% of cases.
-The Leakage occurs as a result of a breakdown in the staple line which has been done in the bariatric surgery around the sleeved stomach and results in leaking food from the stomach and thus poisoning.
-What are the symptoms of leakage?
1-Increase in heart rate.
2-Fever.
3-Severe abdominal pain.
-A good and accurate follow-up with your doctor after getting rid of obesity is a must to observe any changes and must be reported to the doctor.
-Most leakage cases occur in the first days after the surgery, especially the first 3 days. The probability of a leak decreases occurs as the days pass.
When making sure there is a leak, quick surgical intervention is necessary.
-How does the surgeon avoid the leak?
1-By using high-quality surgical tools, especially surgical stapler.
2-By following the globally recognized techniques during the bariatric surgeries to ensure that there is no leak, most importantly to do the leakage test.
3-Avoid narrowing the stomach too much and using the skill and experience in cutting and stapling.
4-Preparing the patient well and making sure that he completes all the required investigations.
5-forcing the patient to stop smoking at least two weeks before the surgery.
6-Ensuring that the patient does not take any medications that may affect the passway of the surgery, such as medications that affect blood viscosity.
-What is the role of the patient in avoiding leakage?
The patient has a major role in avoiding the occurrence of the leakage after bariatric surgeries. The responsibility rests on both the surgeon and the patient.
The patient must fully commit to the healthy diet agreed with the doctor, especially in the first weeks after the surgery, such as eating soft foods and liquids to help heal the stomach quickly. together with continuous follow up with the doctor on the specified dates.
Coated sleeve completely prevents leakage:
Dr. Ahmed Al-Masry, a consultant obesity and laparoscopic surgeon, is specailized in the procedure of laparoscopic sleeve gastrectomy that completely prevents the occurrence of the leakage problem after gastric sleeve. Coated sleeve gastrectomy is doing the procedure of the usual gastric sleeve steps by cutting and separating about 75% of the stomach volume using a smart stapler, then adding to it the step of wrapping two-thirds of the staple line by burying it with surgical sutures.
Protect yourself from post-sleeve gastrectomy problems:
1- The problem of colic after eating can be avoided by chewing food well and avoid eating quickly or in large quantities.
2- The stomach noises problem can be avoided by chewing food well.
3- The problem of frequent salivation often occurs due to gastric juice, and it can be avoided by taking antacid medications and by eating food slowly and in smaller quantities.
4- The problem of not being able to drink water. It can be dealt with by drinking sips and avoiding using the straw.
5- The problem of numbness may appear due to a lack of vitamin (B), which can be replaced by vitamins.
6- The problem of gastrointestinal gases can be present in the few days after the operation, due to the use of gas as part of the operation procedures, and the condition can be improved by walking and drinking warm drinks.
7- The problem of vomiting that you may suffer from, can be avoided by not leaving the stomach empty for long periods and by focusing on eating small meals at frequent intervals.
