The Vsg (vertical Sleeve Gastrectomy) Is An Extremely Popular Option
The gastric sleeve, which is also frequently called the vertical sleeve gastrectomy
or simply the sleeve gastrectomy, has been around for a number of years and bariatric surgeons frequently carry out the procedure as the first procedure in a two part weight loss process.
For those patients who are severely obese with a BMI greater than 60 traditional gastric bypass surgery, such as the roux-en-y, holds unacceptably high risks and so the gastric sleeve is performed as this procedure can usually be performed laparoscopically with a minimum of risk. Then, as soon as you have lost sufficient weight, a second procedure in the form of classical gastric bypass surgery may be performed.
In recent years the view of the gastric sleeve has altered and today it is being used more and more as a stand-alone procedure that can by itself produce results that are similar to those experienced with lap band surgery.
For patients who are worried about lap band surgery because they are concerned about having a foreign body implanted into their abdomen, the gastric sleeve can be an appealing choice. Similarly, it also presents an option for patients who are concerned about potential long-term side effects of classical gastric bypass surgery like anemia, intestinal obstruction, ulcers and vitamin and protein deficiency to name just some.
Yet another group of individuals for whom the vertical sleeve gastrectomy can be a life-saver are those patients who have an existing medical condition which precludes classical obesity surgery. Individuals for example who have Lupus, Crohn's disease, anemia and a variety of other conditions.
The sleeve gastrectomy is a purely restrictive as opposed to a malabsorption operation and produces weight loss by restricting how much you are able to eat. As a purely restrictive form of surgery weight loss is slower than it would be in the case of bypass surgery however you avoid several of the side effects and complications connected to bypass surgery. In spite of the fact that there is no long-term data available yet for the vertical sleeve gastrectomy as a stand-alone operation current studies suggest that high BMI people (with a BMI of between 50 and 60) can expect to lose about half of their excess weight in the year after surgery. This figure rises to more than two-thirds of excess weight for lower BMI people (with a BMI of between 30 and 40).
In obesity surgery terms the gastric sleeve fits between gastric banding and the gastric bypass and is often a good option for individuals whose general health means that gastric bypass surgery is not recommended and for a lot of individuals it can produce sufficient weight loss to make a very significant difference to their state of health and lifestyle.
by: Don Saunders
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