Welcome to ObesityHelps Vertical Sleeve Gastrectomy Forum (VSG). This forum is dedicated to educating patients about advancements and opportunities pertaining to the Vertical Sleeve Gastrectomy, a surgical procedure under active development.
TY - JOUR. T1 - Management options for symptomatic stenosis after laparoscopic vertical sleeve gastrectomy in the morbidly obese. AU - Parikh, Amit. AU - Alley, Joshua B.. AU - Peterson, Richard M. AU - Harnisch, Michael C.. AU - Pfluke, Jason M.. AU - Tapper, Donovan M.. AU - Fenton, Stephen J.. PY - 2012/3. Y1 - 2012/3. N2 - Background: This study aimed to determine the incidence, etiology, and management options for symptomatic stenosis (SS) after laparoscopic sleeve gastrectomy (LSG). Methods: A retrospective study reviewed morbidly obese patients who underwent LSG between October 2008 and December 2010 to identify patients treated for SS. Results: In this study, 230 patients (83% female) with a mean age of 49.5 years and a mean body mass index (BMI) of 43 kg/m 2 underwent LSG. In 3.5% of these patients (100% female; mean age, 42 years; mean BMI, 42.6 kg/m 2), SS developed. The LSG procedure was performed using a 36-Fr. bougie and tissue-reinforced staplers. Four patients had segmental ...
Abstract of Paper: Impact of Laparoscopic Sleeve Gastrectomy on Obesity-associated comorbidities: A two-year follow-up prospective study , Author: Nabeel Shdeed MD, Mohamed A. Mansour MD, Ahmed Zeidan MD, Hussein G. El-Gohary MD, Ashraf M. Abd elkader MD & Ayman M. Elbdawy MD* , Year: , Faculty of Medicine, Benha University
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Surgery is the only potentially curative method for patients with gastric cancer. The ideal surgical resection not only achieves the curative intent but also decreases postoperative morbidity and mortality. The long-term prognosis and postoperative quality of life should both be of great concern [12, 16, 17]. Considering that distal subtotal gastrectomy is associated with a better quality of life and lower morbidity and mortality, many surgeons recommend distal subtotal gastrectomy as the optimal procedure for lower-third gastric cancer based on previous reports [18-20]. However, at the moment, there is no consensus regarding the best extent of gastrectomy for middle-third gastric cancer. The only prospective randomized trial, performed in Italy, compared surgical morbidity and long-term prognosis between distal subtotal gastrectomy and total gastrectomy for patients with gastric cancer. However, only approximately 20% of patients in that study had middle-third gastric cancer [10, 21]. The ...
Sleeve gastrectoy constitutes an effective procedure for the treatment of morbid obesity. The aim of the present study was to establish in rats the effects of surgically induced weight loss on circulating concentrations in adipose tissue and liver of osteopontin. Effect of Sleeve Gastrectomy on Osteopontin Circulating Levels and Expression in Adipose Tissue and Liver in Rats
Pawanindra Lal, MSFRCSEdFRCSGlasgFRCSEngFACS, Anubhav Vindal, MSMRCSEd, FCLS, Lovenish Bains, MSFCLS. Division of Minimal Access Surgery, Maulana Azad Medical College & Lok Nayak Hospital, New Delhi.. Introduction. Surgical treatment of morbid obesity comprises of restrictive, malabsorptive and combined restrictive and malabsorptive procedures. Laparoscopic sleeve gastrectomy (LSG) has evolved as a stand-alone procedures for treatment of morbid obesity in obese & super-obese patients. We present our initial experience with laparoscopic sleeve gastrectomy from a tertiary care university teaching hospital in a developing country.. Methods and Procedures. Over a period of 3 years, LSG was performed in 50 patients attending the metabolic surgery clinic of a tertiary care university teaching hospital. The standard 5 port technique was used and the gastric sleeve was fashioned over a 36 F bougie. The patients were orally allowed on first post operative day after performing an oral contrast study to ...
Nelida Diaz, Juan Francisco Ruiz Rabelo, PhD, Elena Navarro Rodriguez, MD, Luisa Mena, Juan Antonio Vallejo, Antonio Membrives Obrero, Francisco Javier Briceno Delgado. Hospital Universitario Reina Sofia. Introduction: Gastroesophageal reflux after sleeve gastrectomy is a controversial issue. Sleeve gastrectomy has demonstrated great effectiveness. Nevetheless the posibility to develop "the novo" gastroesophageal reflux disease (GERD) due to the impact on esophagogastric union and its functionality is one of the major criticism of this technique. The aim of this study is to analyze the correlation between GERD symptoms and the study of gastroesophageal and bile reflux after sleeve gastrectomy.. Patients and methods: 34 consecutive patients were included in this study. Inclusion criteria were: age between 18 and 65 years old, BMI , 40 kg/m2. It was discarded preoperative GERD or hiatal hernia by conducted interview, pHmetry, manometry and endoscopy. Patients were submitted sleeve gastrectomy by ...
Introduction Obesity is epidemic in the United States and worldwide. The adverse effects of obesity on health and longevity were formally recognized and established by the National Institutes of Health in 1985.[1] Metabolic and bariatric surgery have been shown to be safe, and remain the most effective and durable treatments for clinically severe obesity with a documented reduction in all-cause mortality and long-term survival benefit.[2] Laparoscopic Roux-en-Y gastric bypass (RYGB) was the most common bariatric procedure performed in the United States from 2004 to 2012, after which sleeve gastrectomy (SG) became the most common procedure.[3] Laparoscopic sleeve gastrectomy was originally designed as the first step procedure in a duodenal switch or a Roux-en-Y gastric bypass procedure, but has gained popularity as a stand-alone procedure given its similar results in weight loss and resolution in comorbid conditions.[4] As worldwide obesity rates and, in turn bariatric procedures increase, ...
TY - JOUR. T1 - Spleen-preserving lymphadenectomy versus splenectomy in laparoscopic total gastrectomy for advanced gastric cancer. AU - Son, Sang Yong. AU - Shin, Dong Joon. AU - Park, Young Suk. AU - Oo, Aung Myint. AU - Jung, Do Hyun. AU - Lee, Chang Min. AU - Ahn, Sang Hoon. AU - Park, Do Joong. AU - Kim, Hyung Ho. PY - 2017/6/1. Y1 - 2017/6/1. N2 - Background To investigate the optimal approach for laparoscopic splenic hilum lymph node dissection in proximal advanced gastric cancer, we compared the operative outcomes between laparoscopic spleen-preserving total gastrectomy (sp-LTG) and laparoscopic total gastrectomy with splenectomy (sr-LTG). Methods A retrospective case-cohort study was conducted between February 2006 and December 2012. The operative outcomes, the number of retrieved splenic hilum lymph node, complication, and patients survivals were analyzed. Results 112 patients who underwent laparoscopic total gastrectomy with or without splenectomy for advanced gastric cancer were ...
Obesity is a growing epidemic around the world, and obese patients are generally regarded as high risk for surgery compared with normal weight patients. The purpose of this study was to evaluate the influence of obesity on the surgical outcomes of laparoscopic gastrectomy (LG) for gastric cancer. We reviewed data for all patients undergoing LG for gastric cancer at our institute between October 2004 and December 2016. Patients were divided into non-obese and obese groups and the perioperative outcomes were compared. Furthermore, a subgroup analysis was conducted to evaluate which of the two commonly used methods of LG, laparoscopic-assisted gastrectomy (LAG) and totally laparoscopic gastrectomy (TLG), is more suitable for obese patients. A total of 1691 patients, 1255 non-obese and 436 obese or overweight patients, underwent LG during the study period. The mean operation time was significantly longer in the obese group than in the non-obese group (209.9 ± 29.7 vs. 227.2 ± 25.7 min, P | 0.01), and
Read more about Laparoscopic Sleeve Gastrectomy OR Gastric Sleeve Surgery - How does it work? by Dr. Aparna Govil Bhasker - Bestbariatricsurgeon.org.
Laparoscopic sleeve gastrectomy (LSG) is a popular surgical weight-loss procedure in the treatment of morbid obesity. There are some complications regarding this procedure in the literature. This report presents a pancreatic fistula (PF) case, which has not been previously seen.
Laparoscopic sleeve gastrectomy is a bariatric surgery procedure. As its name implies, it is performed laparoscopically - rather than opening a large i...
Learn about the Laparoscopic Sleeve Gastrectomy at Tri-State Bariatrics in Middletown Fishkill Suffern Port Jervis NY Scranton PA
You know youll absorb those calories, too, right? If you couldnt absorb the protein, you couldnt absorb the calories, either.. Drinking carbonated beverages will make your pouch explode (or at least stretch it).. It wont. I promise. It might give you painful gas but it cannot stretch your pouch (or your sleeve, if you had a vertical sleeve gastrectomy or duodenal switch).. Regardless of which weight loss surgery you had, you have a small opening at the top of your pouch or sleeve where food and liquids enter. If you had the lap band or Rouz-en-Y gastric bypass, you also have a small opening at the bottom of your pouch. Because of that, liquids dont stay in the pouch long at all, which is why they recommend not drinking with meals; drinking with meals washes food right out of your pouch. If you had a vertical sleeve gastrectomy or duodenal switch, you have a pyloric valve between your sleeve and small intestine, so liquids stay in there longer. As long as you are able to burp and pass gas, ...
Dr. Shillingford suggests that walking is a great choice of exercise for his gastric sleeve, gastric bypass and adjustable lap band patients. Click to learn more.
During VSG, the surgeon removes a majority of the stomach, creating a new banana-shaped stomach from the remaining component. This procedure decreases the production of ghrelin, the hunger hormone, so patients are less hungry. Additionally, the new stomach processes food faster, creating early feelings of fullness.. At Mass General, VSG is usually performed laparoscopically with a few small incisions. Surgeons use narrow cylindrical tubes called trocars to access the abdominal cavity through small incisions in the upper abdominal wall.. The duration of this procedure ranges from 30 to 60 minutes. After the procedure, you will stay at the hospital for one or two nights. We recommend taking off three to four weeks from work.. ...
Our data indicate that the beneficial effects of VSG on body weight and glucose metabolism in the rat are independent of MC4R function. VSG also affects macronutrient preference in the rat (the present study and Ref. 26), and these effects are independent of MC4R function as well. Finally, in this small-scale human study, the improvements in body weight and Hb A1c levels after VSG in human subjects with the common variants rs34114122 or I251L are not different from those observed in noncarriers.. In this study, we replicated as well as expanded on key elements of the obesity phenotype observed in MC4R-deficient rats (18). In particular, we found that MC4R deficiency in the rat increases lean mass in addition to fat mass and induces glucose intolerance. Together with previous observations (18), our data confirm that the MC4R-deficient rat is a useful animal model to study the components of MC4R signaling that regulate feeding, body weight, and glucose regulation. We also confirmed our previous ...
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The incidence of gallstones and gallbladder sludge is known to be higher in patients after gastrectomy than in general population. This higher incidence is probably related to surgical dissection of the vagus nerve branches and the anatomical gastrointestinal reconstruction. Therefore, some surgeons perform routine concomitant cholecystectomy during standard surgery for gastric malignancies. However, not all the patients who are diagnosed to have cholelithiasis after gastric cancer surgery will develop symptoms or require additional surgical treatments and a standard laparoscopic cholecystectomy is feasible even in those patients who underwent previous gastric surgery ...
Define gastrectomy. gastrectomy synonyms, gastrectomy pronunciation, gastrectomy translation, English dictionary definition of gastrectomy. n. pl. gas·trec·to·mies Surgical excision of part or all of the stomach. n , pl -mies surgical removal of all or part of the stomach n., pl. -mies.
This richly illustrated volume describes the performance of total and subtotal gastrectomy with extended D2 lymphadenectomy by providing a detailed step-by-step guide to both manual and mechanical procedures. Gastric cancer is the fourth most commonly occurring cancer, and the second most common cancer-related cause of death worldwide, and surgery remains the only potentially curative treatment. Although several aspects of surgical management are still controversial, all guidelines for the treatment of curable gastric cancer recommend subtotal gastrectomy (for tumors located in the antrum and corpus) or total gastrectomy (for tumors located in the fundus) with extended D2 lymphadenectomy. Various technical tips and secrets are revealed that serve to simplify the procedure and simultaneously make it more effective: by rendering esophagojejunal and gastrojejunal anastomosis more secure, the risk of leakage is minimized. High-quality intraoperative color photographs and drawings covering all steps ...
Background This study aimed to determine early postoperative changes of plasma polyunsaturated essential fatty acids (PUFAs) following laparoscopic sleeve gastrectomy (LSG). postoperation oral feeding compared to preoperation. Plasma AA levels and AA/EPA ratio were significantly increased in sleeve gastrectomy patients after postoperation oral feeding compared to postoperation day 1. Serum PGE2 amounts and AA/DHA proportion was higher in sleeve gastrectomy sufferers at preoperation considerably, postoperation time 1 and after postoperation dental feeding in comparison with control group sufferers. Conclusion Elevated peripheral insulin awareness Rabbit Polyclonal to mGluR7 connected with LSG may are likely involved in the significant boost of plasma AA amounts in sleeve gastrectomy sufferers following postoperation dental nourishing. The significant upsurge in PGE2 amounts and AA/DHA proportion in sleeve gastrectomy group sufferers also confirms the current presence of a 9041-93-4 ...
One of the other terms for Vertical Sleeve surgery is the gastric sleeve surgery. Gastric Sleeve is not really the proper term for vertical sleeve surgery( vsg) but many people still refer to VSG as gastric sleeve. Perhaps this is because almost everyone refers to weight loss surgery of any type as gastric surgery. Gastric […]. ...
Type 2 diabetes may cause severe complications such as nephropathy and retinopathy. Additionally, it is associated with increased risk for cardiovascular events and diseases. Surgical intervention with gastric bypass has been shown to attenuate glycemic levels in obese patient comorbid with type 2 diabetes. However, since gastric bypass is not a standard procedure, surgical protocol including stomach and small intestine reconstruction may be varied. The investigators and others have found that stomach and small intestine reconstruction may affect the efficacy of diabetic treatment. In this study, the investigators will compare the efficacy of Billroth II and Roux en Y reconstruction on glycemic control in stomach cancer patients with type 2 diabetes. Both Billroth II and Roux en Y are used in stomach-small intestine reconstruction after subtotal gastrectomy. No differences in postoperative outcomes and quality of life have been reported in Billroth II and Roux en Y reconstruction ...
BACKGROUND: The data are scarce on the outcome for elderly patients presenting with resectable gastric cancer in the West who have been treated with minimally invasive surgery. This report presents the authors early experience with totally laparoscopic gastric resections for cancer in elderly patients. METHODS: A total of 20 patients underwent laparoscopic gastrectomy procedures: 14 distal, 5 subtotal, and 1 total gastrectomy. The male-to-female ratio was 15 to 5. The ages ranged from 75 to 88 years (mean, 80 years). RESULTS: All cases were managed laparoscopically with R0 resection. Four patients needed high-dependency unit care postoperatively. There were no perioperative deaths. The median time required for the procedure was 212 min, and time to diet was 4 days. The hospital stay was 8 days. Four patients experienced significant complications, with two patients requiring reoperation. The pathology was adenocarcinoma for 17 patients and high-grade dysplasia for 3 patients. CONCLUSION: Among elderly
The stomach naturally inflates during eating and deflates during digestion, and its the size of the stomach that determines when were hungry and when were full.. A Sleeve Gastrectomy is a relatively new approach that involves removing the lateral 2/3rds of the stomach with a stapling device. This can be done laparoscopically (key hole surgery) but is not reversible.. Rather than a round pouch, the stomach becomes narrow with a residual capacity of about 200mls, making it smaller and easier to fill up. The sleeve fills and empties like a normal stomach and feels quite normal to eat with.. Sometimes it is offered to patients as part of a two stage Bypass operation particularly for people with a BMI,60 because it allows good weight loss until the patient gets down to a safe weight and the more radical bypass can be offered laparoscopically.. ...
The aim of this study is to compare technical feasibility and oncologic efficacy of totally laparoscopic versus open subtotal gastrectomy for gastric adenocarcinoma. Laparoscopic gastrectomy for adeno
Objective- Comparative endoscopic evaluation of two reconstructive methods (R&Y and jejunal loop interposition) after gastrectomy in dogs. Design- Experimental study. Animals- Ten healthy male dogs. Procedures- The animals were divided randomly in two groups. After a 12 hour food with hold and under general anesthesia laparotomy is performed in all dogs. In group A (R&Y), after dissection and resection of all gastric vessels and ligaments the stomach was resected cranially close to cardia and caudally close to pylorus. After gastrectomy duodenal end was closed in a two layer inverting suture pattern. Then a loop of jejunum 20 cm distal to Treitz ligament was identified and resected. End to side anastomosis was performed between the distal jejunal end and remained part of the stomach. The proximal jejunal end was end to side anastomosed to the rest of jejunum. In group B (JLI), gastrectomy was done in the same manner. The 20 cm length of jejunum was resected from a 20 cm distance to Treitz
A sleeve gastrectomy is a common operation used to help people who are dangerously obese lose weight. A number of operations exist to achieve weight loss. Some are termed restrictive procedure which a sleeve gastrectomy operation belongs to.
The purpose of this study was to compare clinical outcomes between laparoscopically assisted and open distal gastrectomy for early gastric cancer. The records of 21 patients who underwent laparoscopic
Objective: To evaluate the efficacy of reinforcement on duodenal stump using single purse-string suture during laparoscopic radical gastrectomy for gastric cancer in preventing duodenal stump leakage. Methods: A descriptive cohort study was conducted to retrospectively collect clinical data of 211 patients with gastric adenocarcinoma who underwent laparoscopic radical gastrectomy with Roux-en-Y or Billroth â ¡ reconstruction and reinforcement on duodenal stump using laparoscopic single purse-string suture in Zhongshan Hospital of Fudan University between January 2013 and December 2016. Of 211 patients, 136 were male and 75 were female with mean age of (57.5±11.1)(24 to 87) years. Tumors locating at gastric upper 1/3, middle 1/3 and low 1/3 were found in 62, 68 and 81 patients respectively. Eighty-three cases underwent total gastrectomy, 128 underwent distal subtotal gastrectomy, 107 underwent Roux-en-Y reconstruction and 104 underwent Billroth II reconstruction. The procedure of reinforcement ...
Gastric sleeve surgery, or sleeve gastrectomy, reduces the size & capacity of the stomach, discover this treatment and more by booking a free consultation today. ...
The American Society For Metabolic And Bariatric Surgery (ASMBS) recently issued an Updated Position Statement on Laparoscopic Sleeve Gastrectomy as a Bariatric
Adults with Type 2 diabetes achieve better blood glucose (sugar) control two years after undergoing laparoscopic sleeve gastrectomy than do patients who receive standard medical diabetes care without this weight loss surgery, ...
The incidence of gallstones is higher in patients after radical gastrectomy than in the general population. The current literature suggests that this higher incidence is related to gallbladder motility disorder after surgery. A research group in China investigated the association between the XbaI polymorphisms of APOB gene and gallstone formation after gastrectomy.
The surgery is done while you are under general anesthesia (asleep and pain-free). The surgeon makes a cut in the abdomen and removes all or part of the stomach, depending on the reason for the procedure.. Depending on what part of the stomach was removed, the intestine may need to be re-connected to the remaining stomach (partial gastrectomy) or to the esophagus (total gastrectomy).. Today, some surgeons perform gastrectomy using a camera. The surgery, which is called laparoscopy is done with a few small surgical cuts. The advantages of this surgery are a faster recovery, less pain, and only a few small cuts. ...
TB incidence after gastrectomy is higher than that in the general population. Previous TB infection, lower BMI, and total gastrectomy are risk factors for TB after gastrectomy in patients with gastric cancer.
Discussion. Duodenal stump fistula (DSF) is one of the most aggressive complications after gastrectomy. Despite its low incidence (around 3%), its importance lies in its association with a high morbidity and mortality (overall mortality ranges from 7-67%) and variable spontaneous cure rates (between 28-92% of cases) (2,3,7,8).. In our series, the incidence of DSF was 1.95%, which is close to the rates mentioned in the literature, such as the Italian multicenter study of Cozzaglio et al. (6), in which 3,785 neoplasic gastrectomies were reviewed and where DSF occurred with an incidence of 1.6%; the Orsenigo et al. study (4) analyzed 1,287 gastrectomies secondary to cancer, estimating an incidence of 2.5%.. Due to the low number of cases in each study, it is very difficult to establish possible risk factors related to DSF which can be avoided (4,5,9-11). In the study of Orsenigo et al. (4), the presence of heart disease, low preoperative lymphocyte number and the absence of reinforcing duodenal ...
Our number one goal in treating patients with stomach cancer is to remove the cancer completely and safely, while preserving his or her quality of life", stated the studys lead author Vivian E. Strong, MD, a surgeon at MSKCC who specializes in laparoscopic surgery for the treatment of stomach cancer, also known as gastric cancer. "Laparoscopic gastrectomy is an excellent option for certain patients with the disease, and for those patients, this approach has the same success rate as standard open surgery, with significantly fewer complications.". Published on-line in the Annals of Surgical Oncology, the paper describes the largest United States study of laparoscopic gastrectomy to date and demonstrates both the safety and efficacy of the procedure. The study examined the surgical characteristics and oncologic outcomes of 30 patients who underwent laparoscopic gastrectomy and compared them to 30 patients who had open gastrectomies. The patients in each group were matched for cancer stage, age, ...
The completion rate of the clinical pathway was 45.6% (115/252). Mean length of stay was 11.7 ± 8.6 (8 - 59 days). Readmission rate was 4.4% (11/252). In multivariate analysis, laparoscopic gastrectomy (odds ratio = 0.511) and subtotal gastrectomy (odds ratio = 5.251) were important factors to fail clinical pathway. Causes of failure for clinical pathway were intra-abdominal complications (32.8%), patient factors (29.9%) and wound complications (21.9%). ...
Learn more about Vertical Sleeve Gastrectomy-Open at Grand Strand Medical Center DefinitionReasons for ProcedurePossible ComplicationsWhat to ExpectCall Your Doctorrevision ...
Learn more about Vertical Sleeve Gastrectomy-Laparoscopic at Medical City Plano DefinitionReasons for ProcedurePossible ComplicationsWhat to ExpectCall Your Doctorrevision ...
Gastric sleeve surgery (sleeve gastrectomy) - Reduces feelings of hunger and capacity to eat by shrinking your stomach.. Choose Spire Manchester Hospital.
Gastric sleeve surgery (sleeve gastrectomy) - Reduces feelings of hunger and capacity to eat by shrinking your stomach.. Choose Spire Cardiff Hospital.
Gastric sleeve surgery, or minimally invasive sleeve gastrectomy is a quick, convenient way to lose a large amount of excess weight safely and successfully.
Gastric Sleeve surgery also referred to as the vertical sleeve gastrectomy or vertical gastric sleeve is a type of weight loss surgery that is opted for individuals who cannot have other types of bariatric surgeries safely. The surgery is performed laparoscopically under general anesthesia. During the surgery the stomach is reduced to about 25% of its original size by removing a large portion of it. The remaining stomach is a much smaller long vertical tube about the size of a banana. This restricts the amount of food a person can eat. The procedure is irreversible and should not be considered a quick-fix for weight loss. After the surgery, drastic lifestyle changes have to be made such as eating healthy diet, controlling portion sizes and doing regular exercise. The procedure is usually recommended in individuals who have either a BMI of 40 or more or a BMI of 35 or more along with a serious medical condition that can improve by losing weight such as obstructive sleep apnea, heart disease and type 2
In the present study we find LSG to have acceptable morbidity-rates and to be an effective procedure for weight loss and resolution of comorbidities. LSG had high resolution rates for T2DM, hypertension, hyperlipidemia, sleep apnea, musculoskeletal pain, snoring, urinary leakage and amenorrhea. The BMI and the prevalence of obesity-related diseases were stable between 12 and 24 months postoperatively. Between 85 and 90% of patients were taking some kind of vitamin and/or mineral supplement at follow-up.. In general, the reported complication rates for LSG are low despite high surgical risks in this patient group [8]. Shi et. al. systematically reviewed major perioperative complications for LSG and found a mean ± SD of 1.17 ± 1.86% for leaks and 3.57 ± 5.15% for bleeding respectively [14]. In order to reduce our leak-rate we have become particularly careful not to use heat-creating instruments close to the stomach wall at the cardia where both leaks occurred. In an attempt to reduce bleeding, ...