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Gastrectomy: Frequently Asked Questions

What is Sleeve Gastrectomy?

LGSR is a surgical weight-loss procedure in which the stomach is reduced to about 20-30% of its original size, by surgical removal of a large portion of the stomach along the major curve of stomach.The remaining stomach looks like a tube often called as stomach tube The procedure permanently reduces the s ize of the stomach. The patient feels full after a small intake of food. Also very important is the fact that it preserves the pylorus, the valve that regulates emptying of the stomach. ...

What are the disadvantages of the Sleeve Gastrectomy?

This procedure is still considered experimental in the United States. Because 85% of the stomach is permanently removed it would not be advisable for women who may wish to become pregnant in the future, teenagers.

What is the main advantage of the sleeve gastrectomy?

There are two advantages to the sleeve over a gastric bypass: 1. ) There is no malabsorption of nutrients or vitamins, unlike with gastric bypass. The risk of developing malnutrition or a vitamin deficiency is therefore very low. 2.) The risk of a sleeve gastrectomy is slightly lower than a gastric bypass in most studies, yet the rate of weight loss is about the same.

What are the advantages of the Laparoscopic Sleeve Gastrectomy?

It does not require the implantation of a foreign body as used in the LAP-BAND® System procedure. Safer procedure for the severely obese patient, shorter time under anesthesia, offers the benefit of initially decreasing the body weight in the severely obese patient to prepare patient for a staged procedure or other surgery at a later time.

What are the difference between Lap band, Bypass, Sleeve Gastrectomy?

A Gastric Band Sleeve gastric resection Gastric bypass Complexity Simple Simple Moderate eversibility Easy Not reversible Possible but difficult Laparoscopy Yes Yes Yes/open Early Risk Lower Lower Moderate Hospital Stay 2 days 2-3 days 3-5 days >Average Wt. Loss 50-70% of Excess weight 50-70% of Excess weight 80 -90% of Excess weight Late risks Band slippage/band erosion/band leakage/oesophageal dilatation Strictures/ wt. ...

What is the main disadvantage of the sleeve gastrectomy compared to gastric banding?

The short-term risk of a sleeve gastrectomy is higher than that of gastric banding.

What is the main advantage of the sleeve gastrectomy over gastric banding?

There are two advantages to the sleeve over gastric banding: 1. ) The rate of weight loss is about 2-3x faster with a sleeve than a band. 2.) There is no implantable device, so slips and erosions are not an issue.

Can my Gastric Band/Lap Band be converted to DS or Tube Gastrectomy?

Yes. Many of my most satisfied patients started with a Gastric Band or lap- band and converted to DS.

How much weight can I expect to lose with gastric banding or sleeve gastrectomy?

Patients are expected to lose 50-60% of excess weight in gastric banding and 60-70% with sleeve gastrectomy within 2 years of the operation.

Why do you separate your iron supplement for duodenal switch, sleeve gastrectomy, and gastric bypass patients?

The way that our protocol works, patients will usually take calcium in the morning and late afternoon / early evening along with their multivitamin. Since calcium and iron need to be taken at least 2-4 hours apart because they will compete for absorption, it is necessary to separate the iron from the multivitamin. top of page Why do you add vitamin C to your iron ? In order for iron to properly break down and absorb, it needs to be in an acidic environment. ...
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