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Monday, March 22, 2010

Day 32 post op

I have to go home for a few days because my Dad's sister is sick. My updates for a while will be at best spotty and at worst not at all. I'm not sure on which end of the spectrum I'll be. I'm busy packing up to go so I'll leave you with this little gem of information about the Vertical Sleeve Gastrectomy.

The sleeve gastrectomy, sometimes called the vertical sleeve gastrectomy (VSG) or laparoscopic sleeve gastrectomy (LSG), is an operation in which the left side of the stomach ("greater curvature") is surgically removed. This results in a new stomach that is roughly the size and shape of a banana. Since this operation does not involve any "rerouting" or reconnecting of the intestines, it is a simpler operation than the gastric bypass or the duodenal switch. Unlike the LAP-BAND® procedure, the sleeve gastrectomy does not require the implantation of an artificial device inside the abdomen.

In some cases, the sleeve gastrectomy is performed as a definitive therapy for obesity. For certain patients, in particular those with a body mass index greater than 60, the sleeve gastrectomy may be the first part of a 2-stage operation.
How Does the Sleeve Gastrectomy Work?
The sleeve gastrectomy works through 2 mechanisms:
  • It makes the stomach smaller, so you feel full after eating a smaller meal.
  • The fundus of the stomach is removed. This is the area that secretes ghrelin, a hormone that makes you feel hungry. So, the sleeve gastrectomy may help you to feel less hungry through a hormonal mechanism.
What Are the Advantages of the "Sleeve?"
The sleeve gastrectomy has a number of advantages over other bariatric procedures:
  • It does not require disconnecting or reconnecting the intestines
  • It is a technically simpler operation than the gastric bypass or the duodenal switch. Some data suggest that the operation may be safer than gastric bypass or duodenal switch
  • It may be used as the first stage of a 2-stage operation. (See below)

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