Type of Surgery


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Last updated: 11/24/2009


Since vertical sleeve gastrectomy is usually performed laparoscopically, the length of time required in the hospital reduced compared to open surgeries. Patients that undergo vertical sleeve gastrectomy stay in the hospital between two to seven...

days on average. The length of time that you stay in the hospital will depend largely on whether there were any complications during the surgery, if you have any co-existing medical conditions that would complicate recovery and how quickly your body recovers in the time immediately following the operation. This recovery time is used to monitor wound healing but also to ensure that a restricted diet is followed in the few critical days after surgery. Remember that nearly nine-tenths of the stomach is permanently removed in a vertical sleeve gastrectomy, so ingestion of food needs to be restricted. During this time patients should expect to consume a liquid only diet, such as broth, for the first two weeks following the procedure. After that, the diet will be advanced to soft, pureed foods for a time before a trial of solid foods can be explored. The size of these meals is considerably less than what the patient had consumed prior to the procedure. It is very important to maintain control of meal size, especially soon after the surgery.
Achieving and maintaining weight loss is dependent on adopting healthy lifestyle choices. With smaller meal size, patients usually enjoy fairly remarkable weight loss. Patients should capitalize on this weight loss implementing of an exercise program to improve cardiovascular health. It is important to work with physicians and other medical professionals to begin and maintain a comprehensive weight loss and maintenance plan.
Patients and physicians should remain vigilant for vitamin deficiencies, especially B12. It may take a good deal of time for vitamin B12 stores to deplete which is why routine testing for this and other vitamins is an important part of vertical sleeve gastrectomy aftercare.

7. Risks


The video provides a detailed look at the bariatric surgery known as sleeve gastrectomy. The narrator explains how sleeve gastrectomy leads to weight loss for the bariatric patient.

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Other Information

Sleeve gastrectomy is a surgical weight-loss procedure in which the stomach is reduced to about 15% of its original size, by surgical removal of a large portion of the stomach, following the major curve. The open edges are then attached together (often with surgical staples) to form a sleeve or tube with a banana shape. The procedure permanently reduces the size of the stomach. The procedure is performed laparoscopically and is not reversible.
Sleeve gastrectomy is usually performed on extremely obese patients, with a body mass index of 40 or more, where the risk of performing a gastric bypass or duodenal switch procedure may be too large. A two-stage procedure is performed: the first is a sleeve gastrectomy, and the second is a conversion into a gastric bypass or duodenal switch. Patients usually lose a large quantity of their excess weight after the first sleeve gastrectomy procedure alone, but if weight loss ceases the second step is performed.
For patients that are obese but not extremely obese, sleeve gastrectomy alone is a suitable operation with minimum risks. Some surgeons even prefer it over gastric banding, because it eliminates the need of having to insert a foreign body.The sleeve gastrectomy currently is acceptable weight loss surgery option for obese patients as a single procedure. Most surgeons prefer to use a bougie between 32 - 40 Fr with the procedure and the approximate remaining size of the stomach after the procedure is about 2 ounces.

From http://en.wikipedia.org/wiki/Sleeve_gastrectomy

Other Information

Weight loss usually reaches a maximum between 18 and 24 months after Bariatric Surgery - 2004.

From: Bariatric-Surgery.info

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