Vertical sleeve gastrectomy (VSG) is surgery to decrease the structure and size of your stomach. This restricts the amount of calories your body absorbs.
This surgery involves re-shaping the stomach to reduce the amount of food it can hold.
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If lifestyle changes are made, the benefits of VSG include:
Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:
Long-term complications include vomiting and developing gallstones.
Before your procedure, talk to your doctor about ways to manage factors that may increase your risk of complications, such as:
You may have the following:
Leading up to your procedure:
General anesthesia will be given through an IV. It will block pain and keep you asleep through surgery.
Several small cuts will be made in your abdomen. Gas will be pumped in to inflate your abdomen, making it easier for the doctor to see. A laparoscope and surgical tools will be inserted through the incisions. A laparoscope is a thin, lighted tool with a tiny camera. It sends images of your abdominal cavity to a monitor. Your doctor will operate while viewing the monitor.
Surgical staples will be used to divide the stomach vertically. The new stomach will be the shape of a slim banana. The rest of the stomach will be removed. Your new stomach can hold 50-150 mL (milliliters) of food—about 10% of what a normal adult stomach can hold. Incisions will be closed with staples or stitches.
In some cases, the doctor may need to switch to open surgery.
The breathing tube and catheter will be removed.
About 2 hours
Anesthesia will prevent pain during surgery. Pain and discomfort after the procedure can be managed with medications.
The usual length of stay is 2-3 days.
You can expect the following:
In the hospital, you may be asked to:
Your bowels will work more slowly than usual. Chewing gum may help speed the process of your bowel function returning to normal.
During your stay, the hospital staff will take steps to reduce your chance of infection, such as:
There are also steps you can take to reduce your chance of infection, such as:
Be sure to follow your doctor’s instructions. You will need to practice lifelong healthy eating and exercising habits. After your surgery:
For good nutrition:
Contact your doctor if your recovery is not progressing as expected or you develop complications such as:
If you think you have an emergency, call for emergency medical services right away.
American Society for Metabolic and Bariatric Surgery
Weight Control Information Network
Canadian Obesity Network
Weight Loss Surgery
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Laparoscopic sleeve gastrectomy. Cleveland Clinic website. Available at: http://weightloss.clevelandclinic.org/Sleevegastrectomy.aspx. Accessed December 18, 2015.
Sleeve gastrectomy. Virginia Mason Medical Center. Bariatric Surgery Center of Excellence website. Available at: https://www.virginiamason.org/SleeveGastrectomy. Accessed December 18, 2015.
Weight loss surgery. North Shore Medical Center website. Available at: http://nsmcweightloss.org/web/surgical_procedures.aspx. Accessed December 18, 2015.
3/23/2015 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Short V, Herbert G, et al. Chewing gum for postoperative recovery of gastrointestinal function. Cochrane Database Syst Rev. 2015 Feb 20;2.
Last reviewed December 2015 by Marcin Chwistek, MD Last Updated: 3/23/2015