RE: Gastric Sleeve?

[Guest guest]

Cindy, yes, I think some surgeons are now doing this as a sort of 2-

step DS or distal. Just guessing here, but it may be they do the

less drastic surgery to allow the patient to lose some weight, then

the rest of it when they're thinner and healthier. I believe Gagner

in NYC does this now.

in NJ

**********************

> Anyone ever heard of a gastric sleeve? Someone in my area had a

> gastric sleeve where she was not bypassed, yet was surgically given

a

> much smaller stomach. She has lost 90 pounds in 7 months and will

> never experience malabsorbtion or dumping and her surgeon said they

> can go back and bypass later if needed. She is very happy with her

> surgery..I've never heard of this one...

>

> Cindy in Va

> lap RNY 2/8/02

[Guest guest]

> Anyone ever heard of a gastric sleeve? Someone in my area had a

> gastric sleeve where she was not bypassed, yet was surgically given a

> much smaller stomach.

From what I've learned on a list for those over 400 pounds, it's a fairly

common practice (or becoming so) for the super-morbidly obese. Instead of

doing the RNY right off the bat, they do the sleeve first, and after the

first big weight loss is accomplished, they go back in and do the RNY, or

sometimes the DS. I'm not sure what the justification for two surgeries is,

unless it's to minimize the complications so many SMO's suffer that 'merely'

MO's don't -- at any rate, quite a few people on the list I'm on have either

had it or are going to.

~~ Lyn

[Guest guest]

In a message dated 1/15/04 7:35:02 PM Central Standard Time,

cindyjrubin@... writes:

> Anyone ever heard of a gastric sleeve?

------------------

Yep... we have several folks with this procedure on the VBG list that

I'm on. Frequently, when they make the gastric sleeve they put a ring around

it, near the top -- so it functions very similarly to the VBG. When they do

the procedure that way, they refer to it as a VBG with sleeve, but in this

case, the " G " stands for gastrectomy, not gastroplasty.

This is frequently offered by surgeons who do the BPD/DS procedure --

for their patients who are not sure they want the " switch " part of the

surgery. For some, it is a two step surgery ... getting the VBG with sleeve

first,

then later, going in for the DS part.

The " sleeve " is, like you said, a reduction in the stomach size. It

makes the stomach about the size and shape of a small banana. Not everyone

chooses to have the banding, or ring, placed around it, however.

One advantage this surgery has over a traditional VBG is that with the

ingestion of " slider " foods is limited as there is not as much " stomach "

after the pouch to hold the contents. One disadvantage is that fluid

consumption

(water, etc.) make take longer, as you must wait for the liquid to move

through the duodenum and you don't have the larger holding area of the old

stomach,

nor the clear sailing of the RNY's attached small intestine.

There is one surgeon in the Houston area (Dr. Spivak) who was

performing his VBG similarly to this -- however, when the AGB received FDA

approval,

he went to that procedure exclusively -- he was part of the trials, but would

do VBG when someone needed insurance to pay for the procedure (which they

wouldn't for AGB then).

I think that the sleeve approach would possibly make the VBG " concept "

a lot more successful for many people. If I were to have a staple line

disruption in the future, I would look into whether they could do the sleeve for

me.

Beth

Houston, TX

VBG - Dr. Srungaram

05/31/00 - 314 lbs.

11/01/02 - Abdominoplasty

11/29/02 - 160 lbs.

5'10 "

[Guest guest]

wow glad to see that more innovations are coming out everyday!

janice

Re: Gastric Sleeve?

> Anyone ever heard of a gastric sleeve? Someone in my area had a

> gastric sleeve where she was not bypassed, yet was surgically given a

> much smaller stomach.

From what I've learned on a list for those over 400 pounds, it's a fairly

common practice (or becoming so) for the super-morbidly obese. Instead of

doing the RNY right off the bat, they do the sleeve first, and after the

first big weight loss is accomplished, they go back in and do the RNY, or

sometimes the DS. I'm not sure what the justification for two surgeries is,

unless it's to minimize the complications so many SMO's suffer that 'merely'

MO's don't -- at any rate, quite a few people on the list I'm on have either

had it or are going to.

~~ Lyn

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