(Sleeve Gastrectomy—Open; VSG—Open)
|This surgery involves re-shaping the stomach to reduce the amount of food it can hold.|
|Copyright © Nucleus Medical Media, Inc.|
Reasons for Procedure
- BMI greater than 40
- BMI 35-39.9 and a life-threatening condition or severe physical limitations that affect employment, mobility, and family life
- Weight reduction
- Improvement in obesity-related conditions
- Improved mobility and stamina
- Enhanced mood and self-esteem
- Stitches or staples may loosen
- Pouch stretches or leaks
- Reaction to anesthesia
- Heart attack
- Blood clots
- Nausea, vomiting
- Recent or chronic illness (eg, kidney, heart, or lung disease)
- Old age
- Bleeding or clotting disorders
What to Expect
Prior to Procedure
- Physical exam and review of medical history
- Blood test and other tests to check your health
- Attempts to lose weight (about 10%) through medically-approved diets
- Meetings with a registered dietitian
- Mental health test and counseling
Talk to your doctor about your medicines, herbs, and dietary supplements. You may be asked to stop taking some medicines up to one week before the procedure, like:
- Aspirin or other anti-inflammatory drugs
- Blood thinners
- You may be given antibiotics.
- You may be given laxatives or an enema.
- Arrange for a ride to and from the hospital.
- The night before, eat a light meal. Do not eat or drink anything after midnight.
Description of the Procedure
Immediately After Procedure
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- The doctor may use a small tube with a camera to look down your throat and into your stomach to check for problems.
- You will receive nutrition through an IV at first, but slowly start eating again.
- Use a device called an incentive spirometer to prevent breathing problems
- Wear elastic surgical stockings or boots to promote blood flow in your legs
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- Do not drive or lift anything heavy for at least two weeks or until advised by your doctor.
- Walk every day.
- Your doctor may recommend that you meet with a therapist if you have emotional ups and downs.
- Follow your doctor’s instructions.
- Eat a clear liquid diet for about one week or as advised by your doctor.
- You will begin with 4-6 small meals per day. A meal is two ounces of food.
- Progress from soft, pureed foods to regular foods.
- Solid food must be well-chewed.
- Get enough protein.
- Do not eat too much or too quickly.
- Avoid high-calorie foods.
- Avoid dehydration by drinking fluids before or after meals.
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or discharge from the incision site
- Pain that you cannot control with the medicines you have been given
- Blood in the stool
- Pain, burning, urgency, or frequency of urination, or persistent bleeding in the urine
- Persistent nausea and/or vomiting
- Severe abdominal pain
- Pain and/or swelling in your feet, calves, or legs
- Cough, shortness of breath, or chest pain
American Society for Metabolic and Bariatric Surgery http://asmbs.org
Weight Control Information Network http://www.win.niddk.nih.gov
Canadian Obesity Network http://www.obesitynetwork.ca
Weight Loss Surgery http://www.weightlosssurgery.ca
Bariatric surgery. EBSCO DynaMed website. Available at: https://dynamed.ebscohost.com/about/about-us. Updated November 2010. Accessed November 22, 2010.
Gastric sleeve. University of California, San Diego Health System website. Available at: http://health.ucsd.edu/specialties/surgery/bariatric/weight-loss-surgery/gastric-sleeve/Pages/default.aspx. Accessed November 22, 2010.
Laparoscopic sleeve gastrectomy. Baylor College of Medicine website. Available at: http://debakeydepartmentofsurgery.org/home/content.cfm?proc%5Fname=Laparoscopic+Sleeve+Gastrectomy&content%5Fid=272. Updated November 2010. Accessed November 22, 2010.
Sleeve gastrectomy. Cleveland Clinic website. Available at: http://weightloss.clevelandclinic.org/Sleevegastrectomy.aspx. Accessed November 22, 2010.
Sleeve gastrectomy. Virginia Mason Medical Center. Bariatric Surgery Center of Excellence website. Available at: https://www.virginiamason.org/SleeveGastrectomy. Updated October 2010. Accessed November 22, 2010.
Sleeve gastrectomy. Yale New Haven Health website. Available at: https://www.greenhosp.org/upload/docs/FactSheets/English/bariatrics%5Fsleeve.pdf. Updated January 2010. Accessed November 22, 2010.
Walsh J. Sleeve gastrectomy as a stand alone bariatric procedure for obesity. California Technology Assessment Forum website. Available at: http://www.ctaf.org/UserFiles/File/2010%20Oct/Vertical%20Sleeve%20Gast%20final%20draft.pdf. Updated October 2010. Accessed November 22, 2010.
Weight loss surgery. North Shore Medical Center website. Available at: http://nsmcweightloss.org/web/surgical%5Fprocedures.aspx. Accessed November 22, 2010.
- Reviewer: Daus Mahnke, MD
- Review Date: 11/2012 -
- Update Date: 11/26/2012 -