Vertical Sleeve Gastrectomy Procedure

Get the Flash Player to see the wordTube Media Player.

Dr. Provost addresses the pros and cons of the gastric sleeve

The vertical sleeve gastrectomy (VSG), also known as the sleeve gastrectomy or gastric sleeve, is gaining popularity as a surgical weight loss option for those seeking rapid results. Originally developed as a two-part procedure for patients considered too high-risk for gastric bypass surgery, the gastric sleeve has been modified to a single surgical procedure that can be performed through a laparoscope.

With the gastric sleeve, the stomach is restricted to a very small size through stapling. It is divided vertically and approximately 70%-80% of the stomach is then removed permanently. The remaining portion of the stomach is connected from the esophagus through to the pylorus. This means that, unlike a gastric bypass operation, no part of the intestine is bypassed by the surgery. Instead, the stomach is reduced in size, allowing for weight loss while still keeping the functions of the intestines intact.

The gastric sleeve offers several advantages to patients who are seeking a less drastic option than Roux-en-Y gastric bypass, including:

  • fewer drastic changes to your digestion than gastric bypass
  • shorter recovery time than most weight loss surgery options
  • more rapid weight loss than the Lap-Band procedure
  • less expensive procedure than gastric bypass

As with any type of weight loss surgery, the vertical sleeve gastrectomy does have its disadvantages, which patients should consider before choosing it as an option. Possible complications include staple line leaks and strictures. In addition, gastric sleeve surgery is irreversible. The portion of the stomach that is removed is discarded and cannot be reintroduced at a later date.

Data on the long-term durability of the procedure is unclear, as it has only been in practice for about five years. However, for patients seeking a less drastic solution to morbid obesity than gastric bypass and more rapid weight loss than an adjustable gastric band procedure, the vertical sleeve gastrectomy may be a reasonable option. The procedure works well because the placement of the sleeve and the restriction of the patient’s stomach create a feeling of fullness. In addition, because there is no intestinal bypass, the patient’s hormones can still communicate feelings of satiety to the brain. In other words, the gastric sleeve still allows the intestine to do its job, while restricting the volume of the stomach so that weight loss is assured.

If you are uncertain whether the vertical sleeve gastrectomy is the best option for your weight loss needs, consider consulting with Dr. David Provost at Provost Bariatrics. Dr. Provost can make the best recommendation about bariatric surgical procedures after meeting with you and assessing your medical history. Call our office at 254-724-2397 to schedule a consultation.

Click here to learn more about what you should expect after gastric sleeve surgery.

Be Sociable, Share!

Tags: , , , , , ,

Comments are closed.