[sue4491]

Originally Posted by DocSanae

For accuracy's sake, partial gastrectomy doesn't mean only sleeve, it includes any kind of gastrectomy that removes some part of the stomach, including BI and BII. For the matter, VSG for weight loss that uses a bougie to set the size of the sleeve is a relatively new method. Past sleeve-like procedures didn't utilize bougies from what I know, and it's the use of the bougies that has been insstrumental to the present day success of VSG.
BTW, total gastrectomy means removing all of the stomal.

Very well stated! And the sleeve is also new because more of the stomach has been removed (most surgeons dissect and "send to pathology", 90 percent of the stomach). That's more of the stomach than is removed in the Duodenal switch which includes a sleeve gastrectomy but only 80 percent of the stomach is removed there - my understanding was that with removing less of the stomach, the weight loss results were less than desired (at least that's what I've read).

[WASaBubbleButt]

Originally Posted by sue4491

Very well stated! And the sleeve is also new because more of the stomach has been removed (most surgeons dissect and "send to pathology", 90 percent of the stomach). That's more of the stomach than is removed in the Duodenal switch which includes a sleeve gastrectomy but only 80 percent of the stomach is removed there - my understanding was that with removing less of the stomach, the weight loss results were less than desired (at least that's what I've read).

Different doctors have different techniques. Way back in the day doctors would leave a larger sleeve and a 50cm CC. That produced a lot of problems and issues. Today many docs, including my own, do a standard sleeve as in a stand alone procedure and leave a 100cm CC.

Kind of off topic but sort of interesting is that the country of Chile (pre earthquake) virtually stopped doing bands due to ineffectiveness and started doing sleeves but they are using a 60F bougie. Can't help but to wonder what their regain is going to be. (

[sue4491]

Originally Posted by WASaBubbleButt

Kind of off topic but sort of interesting is that the country of Chile (pre earthquake) virtually stopped doing bands due to ineffectiveness and started doing sleeves but they are using a 60F bougie. Can't help but to wonder what their regain is going to be. (

I just had the opportunity to chat with a weight loss surgery surgeon about the VSG. He said that he did the sleeve gastrectomy for a few years as associated with the duodenal switch so he was familiar with it. He also told me that he has placed lap bands in several VSG patients who have regained all or most of their weight.

The bottom line with all of these procedures seems to be "success in weight loss retention is 10% the surgery and 90% the patient".

[lost]

The first part of my surgery was the sleeve, it worked great, I lost about 110 from it alone.but my goal was to have ds so had the second part. It's a wonderful tool...

[WASaBubbleButt]

Originally Posted by sue4491

I just had the opportunity to chat with a weight loss surgery surgeon about the VSG. He said that he did the sleeve gastrectomy for a few years as associated with the duodenal switch so he was familiar with it. He also told me that he has placed lap bands in several VSG patients who have regained all or most of their weight.

The bottom line with all of these procedures seems to be "success in weight loss retention is 10% the surgery and 90% the patient".

I am quite sure this is true.

Years ago VSG was done as a 2 part procedure. If someone weighed 600 or 800# they were too high risk to do DS or bypass. So they would sleeve them so they could lose 200-300# and then they were a safer surgical risk for the full procedure.

They were finding that some people were losing amazingly well and didn't need the 2nd half, or the DS/Bypass.

Well, at that time they were making a huge sleeve, never designed to be a stand alone procedure and those people were meant to have a 2nd procedure. Some did very well, others did not as far as reaching goal.

I do wish you ran across a more ethical surgeon that resleeved with the proper sleeve size vs. banding which assures them another surgery in their future. But you seem to keep running across the Terry Simpson types that just take advantage of the cash cow in WLS.

Funny how that works.

I gotta tell you something. I 'feel' like you are just itch'en for people like me to fail. Well, I'm here to tell you. I must burst your bubble here and now. I will not fail. More than that, I will encourage people to have WLS because obesity is a disease and there is no known cure. But, the best treatment is surgery for the vast majority of us and this is something you are just going to have to deal with.

Cheers.

[WASaBubbleButt]

Originally Posted by lost

The first part of my surgery was the sleeve, it worked great, I lost about 110 from it alone.but my goal was to have ds so had the second part. It's a wonderful tool...

Good for you! Keep on doing what you are doing!

[DocSanae]

Originally Posted by WASaBubbleButt

I gotta tell you something. I 'feel' like you are just itch'en for people like me to fail.

This is a totally unwarranted personal attack that is against forum posting rules. You may not accuse someone just because you 'feel'.
sue4491 has in no way stated such a thing, and if you have gone through all her threads and posts, and given the changes she has made about herself since the time when she first joined this board, she is totally sincere in learning all the aspects, all the pros and cons of all types of surgery, even though she herself is a non op. She may have had and still have her own opinions on surgery, but never once has she slighted anyone for having surgery. Rather, she has always gracefully applauded everyone's success, and gently encouraged those who have hit some snags, and provided what she believes are valid veiw points.
Please be aware that if you decline to offer the courtesy everyone deserves, your posting previledges may be revoked.

[WASaBubbleButt]

Originally Posted by DocSanae

This is a totally unwarranted personal attack that is against forum posting rules. You may not accuse someone just because you 'feel'.
sue4491 has in no way stated such a thing, and if you have gone through all her threads and posts, and given the changes she has made about herself since the time when she first joined this board, she is totally sincere in learning all the aspects, all the pros and cons of all types of surgery, even though she herself is a non op. She may have had and still have her own opinions on surgery, but never once has she slighted anyone for having surgery. Rather, she has always gracefully applauded everyone's success, and gently encouraged those who have hit some snags, and provided what she believes are valid veiw points.
Please be aware that if you decline to offer the courtesy everyone deserves, your posting previledges may be revoked.

Clearly you have issues with me, no matter what I write you challenge it.

If we are not able to state how we honestly and sincerely feel, so be it. I'll leave.

Please deactivate my account. If honesty is not permitted here, I'm not interested in posting.