Introduction
Sleeve gastrectomy, or gastric sleeve surgery, is one of the most popular bariatric procedures for weight loss. While the surgery itself is highly effective, proper post-operative care is essential for recovery and long-term success. In this article, we’ll explore the most important aspects of post-operative care after sleeve gastrectomy, including diet, activity levels, managing complications, and follow-up routines.
- Immediate Post-Surgery Care (First Few Days)
After surgery, patients usually stay in the hospital for one to two days. During this period, medical staff monitor vital signs, manage pain, and ensure there are no immediate complications such as bleeding or infection.
Patients begin with a clear liquid diet and are encouraged to take small sips every 15 minutes. Staying hydrated is crucial, and dehydration is a common issue during this phase.
- Nutrition and Dietary Guidelines
The diet following sleeve gastrectomy - After about two months, most patients can resume a regular, healthy diet in small portions. High-protein, low-carb, and low-fat meals are encouraged. Avoiding carbonated drinks and alcohol is also essential during the early stages.
- Vitamin and Mineral Supplementation
Because sleeve gastrectomy reduces the stomach’s size but not nutrient absorption as significantly as other procedures, vitamin deficiencies are less common — but still possible. Patients should take daily supplements including:
Multivitamins for sleeve:
Vitamin B12
Calcium with Vitamin D
Iron (especially for menstruating women)
Routine blood tests help ensure levels stay within normal ranges.
- Physical Activity and Mobility
Early movement is encouraged to prevent blood clots and improve healing. Patients should start walking as soon as possible — even short walks around the house make a big difference.
After 4–6 weeks, more structured physical activity like light aerobics or swimming can begin, depending on individual progress and medical advice.
Exercise is a key part of maintaining weight loss, so developing a routine early helps build long-term habits.
- Managing Side Effects and Preventing Complications
Common short-term side effects include:
Nausea and vomiting (usually due to eating too fast or too much)
Acid reflux
Fatigue
To prevent complications:
Eat slowly and chew thoroughly.
Avoid drinking fluids during meals.
Stick to the dietary schedule advised by the nutritionist.
More serious complications such as leaks from the staple line, infection, or blood clots are rare but require immediate medical attention.
- Psychological Support and Follow-Up
Weight loss after surgery isn’t just physical — it’s also emotional. Many patients benefit from therapy or support groups to help navigate changes in self-image and eating behaviors.
Regular follow-ups with your surgeon and dietitian are necessary to track progress, adjust medications, and ensure long-term success.
- Long-Term Lifestyle Changes
Sustained weight loss after sleeve gastrectomy depends on permanent lifestyle changes. Patients must commit to:
A balanced, portion-controlled diet
Regular physical activity
Annual medical check-ups
Mental health care
With the right support, patients can lose up to 60–70% of their excess body weight within the first year.
Conclusion
Post-operative care after sleeve gastrectomy is as important as the surgery itself. By following proper dietary stages, staying active, managing complications, and maintaining consistent follow-ups, patients can achieve lasting health improvements and a better quality of life. Remember, sleeve gastrectomy is a tool — how you use it determines your success.
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