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Vertical Gastrectomy Sleeve Type
Vertical gastrectomy Sleeve type is a relatively new procedure that consists of removing 66% of the stomach decreasing considerably its capacity.
Obese patients need to fill their stomach in order to create a stimulus or message indicating that enough food had been ingested. When two thirds of the stomach are cut out, the patient will have the same feeling of satiety with a small amount of food.
This procedure is being recommended to patients that are extremely obese (BMI greater than 60 kg/mt²) and that perhaps might not resist a prolonged surgery. Weight reduction is seen during 12 to 18 months.
If after this time, the patient has lost weight notably but not sufficiently, the patient may be taken back to the operation room and complete a gastric banding procedure with an improved health condition and with the capacity to resist a longer surgical procedure.
On the other hand, if the patient has lost enough weight and is close to the ideal weight, no other procedures are added and in these cases this procedure would compete with gastric banding in the sense that it is a pure restrictive procedure but without foreign bodies, without calibrations and without the control and follow-up by the physician that is required for other surgeries.
It is usually performed using instruments with linear cutters that shoot three lines of staples on each side to guarantee an impermeable seal. The patient remains in the hospital for two days before being discharged.
Sleeve gastrectomy Laparoscopic
OBESITY SURGERY CENTER
Bariatric Surgery (Obesity), Morbid Obesity, Metabolic Surgery (Type II Diabetes), General Surgery, Gastrointestinal Surgery, Laparoscopic Surgery, Proctology, Endoscopic.
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Dr. Alberto Daccach Plaza