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 What is the Gastric Sleeve/Vertical Sleeve/ Tube Gastrectomy/Gastroplasty/VSG???

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Tash
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PostSubject: Re: What is the Gastric Sleeve/Vertical Sleeve/ Tube Gastrectomy/Gastroplasty/VSG???   Mon 27 May 2013, 2:39 am

Just wanted to add in to the mix Gastric Plication. I am having this as a revision to my sleeve though it is now being used instead of sleeves and as a banded sleeve too.

http://www.circleofcare.com.au/gastric-plication-sydney.html
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Sweetbee703
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PostSubject: What is Partial Gastrectomy/Lap Sleeve Gastrectomy   Thu 04 Nov 2010, 12:38 am

Hi All,

I am posting this as a one-stop piece of resource for anyone considering sleeve surgery.

This is useful to go through if you are having the sleeve yourself or if you want to assure your loved ones and educate them a little bit about the sleeve.

First of all indications for sleeve surgery:

Yes lets admit its obesity.

Obesity is a genuine medical condition. Its not a habit. Nobody wants to become obese.We now understand obesity to be a genuine medical condition- it is not a lifestyle choice or a weakness. Several genes have now been discovered that predispose a person toward developing obesity, which explains why obesity often runs in families, and why some people really have to struggle with their weight whilst others seem to remain thin inspite of poor eating habits. Just like any other chronic medical condition such as epilepsy or asthma, obesity results from a complex interaction between a persons genetic makeup and their surrounding environment and lifestyle influences.

Many people with a weight problem feel guilty and blame themselves for their situation. These feelings are inappropriate and cruel, and are often fuelled from misunderstanding and prejudice in the community. Lets get over this ignorance, and recognise obesity for what it is- a medical problem that can and should be treated.

The following medical problems are also associated with obesity:

Type -2 diabetes
Heart disease
Infertility
liver failure
Osteoarthritis
Asthma
Abdominal hernias High Blood Pressure
Stroke
Abnormal blood lipids
Gallstones
bowel cancer
Blood clots
Depression Sleep Apnoea
Polycystic ovaries
Fatty liver disease
Heartburn and reflux
breast cancer
Recurrent leg cellulitis
incontinence

The risk of developing the above problems increases once the person's BMI crosses 30. So, you really don't have to be morbidly obese to consider surgery as an option.This is medically researched fact.

Obesity and life expectancy

As might be expected, obesity also reduces life expectancy.

Obesity and quality of life

Aside from the negative impact obesity has on medical health, obesity also significantly impairs quality of life. Reduced mobility, daily joint and back pain, constant fatigue, poor sleep, excessive perspiration, difficulty finding properly fitting clothes, and difficulty fitting into seats are just some of the constant struggles facing people suffering from this disease. Social isolation, prejudice and reduced employment opportunities also confront many obese people.


Treatment Options

Obesity can be treated. A wide range of diets, exercise plans, and even medications exist and many are effective in the short term. However only weightloss surgery has been shown to provide effective long term weight control for people suffering from morbid obesity.

We in the GSS community have all chosen Laparoscopic Partial Gastrectomy/Sleeve Gastrectomy
The Sleeve Gastrectomy (also known as the Gastric Sleeve, or Tube Gastrectomy) is a relatively new procedure for weight loss. It involves the permanent removal of approximately 80% of the stomach, which is performed using surgical staplers. It is also performed laparoscopically, which keeps post-operative pain to a minimum and allows for a quick return to work and daily life.

The key advantages of sleeve gastrectomy however is that adjustments are not required, and the long term problems associated with the gastric band such as slippage, erosion or port issues are avoided completely. Follow-up appointments after the sleeve gastrectomy do not need to be as frequent- 3 monthly check ups in the first year, then annually thereafter is sufficient. Another advantage is that there are fewer dietary restrictions, and almost all food types (including bread and steak) can still be consumed as normal because there is no narrowing at the entrance to the stomach.

The disadvantages

The procedure is still relatively new, long term data beyond 5 years is not yet available. Whilst the majority of patients with a sleeve gastrectomy do very well in the short and medium term, some obesity surgeons are concerned that the stomach sleeve may eventually stretch up in size which could lead to some weight being regained in the long term. Also, some patients may experience heartburn or reflux after the sleeve gastrectomy. In most cases this is generally mild, and can be well controlled by medication if necessary, and usually only affects patients who already had some heartburn beforehand.

The following link is for a video that explains Sleeve Gastrectomy

http://www.youtube.com/watch?v=5UIWBwjqlAs&feature=player_embedded

The following link is a video of Sleeve Gastrectomy being performed

http://www.youtube.com/watch?v=X2jL3Ygp3bM&feature=related

The following is a link for Melanie's journey and Lib's Journey great inspiration

http://www.youtube.com/watch?v=hrDUV8mGq5Q

http://www.youtube.com/watch?v=F6FbR1Z5f_o

Hope the newbies will find this information useful.

Cheers

Sonia x


Last edited by Sweetbee703 on Thu 04 Nov 2010, 12:56 am; edited 1 time in total (Reason for editing : Hmm remembered that Lib's video would be great too!)
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KahunaLou
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PostSubject: Re: What is the Gastric Sleeve/Vertical Sleeve/ Tube Gastrectomy/Gastroplasty/VSG???   Wed 01 Jul 2009, 10:18 pm

This was recently released by UCLA Ronald Reagan Medical Center discussing the laproscopic vertical sleeve gastrectomy as an alternative to Roux-en-Y and the various success rates of the three most popular weight loss surgery alternatives.
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ssteph2342
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PostSubject: Re: What is the Gastric Sleeve/Vertical Sleeve/ Tube Gastrectomy/Gastroplasty/VSG???   Sat 26 Jul 2008, 11:02 pm

I wasn't sure where to add the following information, so I hope this is okay Hayley.

Vertical Gastrectomy: Risks and Complications. As with any surgery, there can be complications. This list can include:

Deep vein thrombophlebitis 0.5%

Non-fatal pulmonary embolus 0.5%

Pneumonia 0.2%

Acute respiratory distress syndrome 0.25%

Splenectomy 0.5%

Gastric leak and fistula 1.0%

Postoperative bleeding 0.5%

Small bowel obstruction 0.0%

Death 0.25%
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Admin
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PostSubject: What is the Gastric Sleeve/Vertical Sleeve/ Tube Gastrectomy/Gastroplasty/VSG???   Sun 25 May 2008, 1:04 pm

Tube Gastrectomy or Gastroplasty.
This is a relatively new approach. It is the first component of the duodenal switch operation and involves removing the lateral 2/3rds of the stomach with a stapling device. It can be done laparoscopically ( keyhole surgery) but is not reversible. It basically leaves a stomach tube instead of a stomach sack.

This is the first component of a BPD-DS where the stomach is reduced in size by removing the lateral 2/3rds leaving the stomach in the shape of a tube.
Sometimes it is offered to patients as part of a two stage Bypass operation particularly if they are super obese ( BMI>60) because it allows good weight loss until the patient gets down to a safe weight and the more radical bypass can then be offered laparoscopically when they are at a safer weight.

The residual stomach capacity is about 250-300ml so a generous entree should be possible.

Issues with Tube gastrectomy
1. Stomach tube may stretch up over time leading to late weight regain. The extent of this is currently unknown

2. The amount of weight reduction is in the region of 40-60% of excess wt lost over the first 1-2 years.

3. It is a good option for people living in remote areas because it is a "set and forget" operation which requires little post op follow up or nutritional supplements

4. There is no malabsorption to nutrients

5. If weight is regained the second stage of the BPD the intestinal bypass can be added... often laparoscopically as well.









Last edited by Hayley on Sun 10 Aug 2008, 1:05 am; edited 1 time in total
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