VSG vs VBG

My only question is what is the difference between the SVG and the VBG?  Thanks for your help

The VSG (not SVG) is a weight loss surgery in which approximately 80% of the stomach is permanently removed from the body.  They close off the cut portion by stapling it closed, and over a periosd od weeks, the tissues grow together.  You will permanently have a much smaller, but fully functional stomach.

I can not give you all of the details of the VBG, because it is esseentially an outmodes and outdated form of surgery that is rarely done any longer.  I do know that it involves the placement of a band, which can slip, erode the stomach and that has all of the many.many problems that any other form of band has.

Very few patients with any form of a band reach goal weight, and the vast majority end up regaining most of the ir lost weight.  This is NOT tye case with the Vertical Sleeve Gastrectomy.

VBG (Vertical Banded Gastroplasty) was very popular like 20 years ago. I know several old people who had it done (all of them back to or higher than starting weight).

Visualize the stomach. Poke a hole in the middle of it and attach a band. Now your stomach looks like an hourglass on one side, and sort of normal on the other. Above the ring, the stomach is stapled in such a way that it resembles the pouch of the RnY. The only difference is that the whole stomach is still together. It just has some staples in it, and a ring in it. Food goes in the stomach pouch thing and slowly empties into the regular bottom part of the stomach, the slowness is of course caused by the band.

VSG (Vertical Sleeve Gastrectomy) is very popular right now! LOL (sorry, just comparing the two). It became a stand alone procedure a few years ago, and people, doctors, and insurance companies are starting to catch on to it - even though the procedure itself has been around for 40 years - it was just the first part of the Duodenal Switch operation.

Once again, imagine your stomach. Start where your esophagus meets the stomach, and cut, following the greater curvature of the stomach (the left side, seen in diagrams) all the way to the bottom. This will leave the stomach shaped like a bananna. The part ot the stomach that is cut away is responsible for producing hunger hormones and also the part that stretches as we eat. What this accomplishes is a much smaller stomach that won't stretch nearly as much as the old one.....less hunger.....and yet a fully functioning stomach (and pylorus).

Either way, if you just go to google and type in Vertical Sleeve Gastrectomy - you will see a diagram of the VSG, and then type in Vertical Banded Gastroplasty - and you will see a diagram of that one too.

One important aspect between the two, since they are both restrictive procedures, what makes the VSG a better procedure is that with 80% of the greater curvature of the stomach removed, the production of the hormone Gherlin produced is less. Gherlin is the hormone that induces hunger.

Scott

OK thanks for the info.  i am only asking because I see it (VBG) as one of the forums on here and haven't been able to find anything on it.  It doesn't sound like anything that I would try.  Thanks again for the info you all are so helpful I appreciate it.

The VSG has three rows of staples and is pretty safe from leaks after several months have passed.  There is plenty of diagrams and info on the Forum Home.

Here is a web page showing the VBG.
http://www.bariatric-surgeries.com/articles/types/vbg.php

it  was abandon by most surgeons due to high occurance of staple line failure and I am pretty sure it was taken off the ASBMS endorsed procedures list.  The row that divides the small stomach from the large stomach was prone to popping open.  The band erroding into the stomach like the lap-band sometimes does was also an issue.  There are still a few old surgeons that do this procedure against ASBMS recommendations.

O wow!!!   Thanks for the visual.  That looks a little crazy if not just plain scary tio me.