This is very interesting about whether the Sleeve will be a viable option for weight loss surgery in the future, and non bias view of Sleevers giving their opinions of living with the Sleeve.

I find all comments very interesting also read them at the link below...


http://www.weightlosssurgerychannel.com/breaking-wls-news/gastric-sleeve-procedure-under-scrutiny-at-bariatric-surgery-conference.html/

Gastric Sleeve Procedure Under Scrutiny at Bariatric Surgery Conference

Doctors share diverse views on whether gastric sleeve surgery is a viable option for the treatment of obesity during the annual meeting of the American Society for Metabolic and Bariatric Surgery.

The future of the gastric sleeve procedure was a topic of much debate during the third day of the American Society for Metabolic and Bariatric Surgery (ASMBS) annual meeting, currently underway in Grapevine, Texas. Although most of the presentations at the meeting focused on the gastric bypass and gastric banding procedures, which are the two most common weight loss surgery procedures in America, the gastric sleeve is quickly gaining traction among medical experts as a viable option in the surgical treatment of obesity. Still others are skeptical about long-term results, however, and question whether the sleeve is an improvement over the gastric bypass, which has a track record of success.

“New surgeries are always controversial because people are looking for things that will stand the test of timeÂÂ", said Dr. John Coon, MD, FACS, a bariatric surgeon in Riverside, California. Although Dr. Coon specializes in Roux-en-Y gastric bypass surgery and the LAP-BAND® procedure, he admits to being intrigued by discussions of the gastric sleeve, also called the vertical sleeve gastrectomy (VSG).

During the procedure, the surgeon removes approximately 70-80 percent of the patient’s stomach, so that the remaining portion takes the shape of a tube or sleeve. Because the operation can be performed laparoscopically using a miniscule camera and special surgical instruments inserted through a series of small incisions, recovery time is kept to a minimum. In addition, the procedure restricts the amount of calories a person can consume by reducing the size of the stomach — thereby promoting weight loss — but does not cause many of the adverse side effects of gastric bypass surgery, because the outlet valve (pylorus) remains intact.

“Doctors are constantly concerned with durability. The gastric sleeve gained instant popularity because it is quick and easy to master, and is a less difficult operation than a bypass,ÂÂ" said Dr. Coon. However, he stressed the need for surgeons to learn all of the facts, perform extensive prep work, and communicate effectively with each patient before deciding whether the sleeve gastrectomy is appropriate.

“With new surgeries, outcome is always hard to predict,ÂÂ" he said. “If five years from now it still seems to be a good operation, then it probably will continue — and then again it might fail. Regardless, people will continue to promote it or disagree with it.ÂÂ"

I hear some doctors grumbling in the physician's lounge about tissue break down and scar tissue issues along the cut portion of the sleeve. Something about the blood supply being removed along with the portion of the stomach.
Some stomachs apparently have a more redundant blood supply and other are left with poorly perfused tissue along the staple line.

Nothing published on this yet, just doc talk, but it scared me away from the procedure.

It may be nothing, but the jury is still out.

 You must be a nurse, aide? ....overheard...doctors?  BARIATRIC DOCTORS?  

Ive had several "DOCTORS" ..in my lifetime that are IDIOTS..pseudo intellectuals that ACT like they know what the hell  they're talking about...but are CLUELESS to NEW/DIFFERENT information! ...even in family/general medicine.....ONLY the BASICS!!!

 NOW...if these were BARIATRIC DOCTORS...grumbling about VSG...and tissue break down scar tissue...I KNOW YOU GOT TO BE LYING THRU YER TYPE because scar tissue and tissue breakdown IS A COMPLICATION of LAP-BAND ......NOT VSG!!


Nothing published on this yet, just doc talk, but it scared me away from the procedure

of course there ain't nothing PUBLISHED YET...lmao!!   ...cuz what  YOU say...IS ANECDOTAL...you will NEVER SEE THAT PUBLISHED....do a basic PUBMED search...lotsa PUBLISHED material there on the TRUTH about VSG!!

If you are a nurse/phd that had LapBand...great for you!  you went with the best information available to YOU,  without the FEAR FACTOR/  "reversible".....but you do KNOW that LapBand has an average shelf life of 5 years!  IF yer stomach isn't a mangled up mess by then, you have not developed GERD/LPR from all the puking.  that piece of plastic squeezing on NATURAL tissue...is NOT without its risks right!

What gets me is especially when YOUNG PEOPLE are convinced of lapband by the FEW advocates......by the time that 5 year shelf life is over....what do they do then? after that?  Ya know they are gonna be needin HELP....sooner or later .....The revision rate from LapBand to VSG is ASTRONOMICAL for the past 3 years!! Check out the VSG board!!.... sometimes peeps can't even get VSG...because of the mangled mess, erosion, scar tissue, adhesions (yes tissue forms around plastic!)...and MUST have RNY!   They woulda NEVER have chosen to have their intestines re-routed by then!   Also  THE LEAK RATE...in Revisions...jump from 2.2% in VIRGIN sleeves nationwide...to over 6.5% in revision lapband to sleeve! because of what...all together now....."scar tissue, and erosion!!") 

Since you are around doctors...have access to MEDICAL information....

PLEASE ADVOCATE  PTS...RESEARCH ALL WLS's!!  AND CHOSE WISELY....based on THEIR OWN PERSONAL RESEARCH!! ....not a billboard they happen to read day in and day out....and not one based on FEAR only!! .......but on LONG TERM STATS and PUBLISHED information! 

SOME insurance policies are written to ALLOW ONE WEIGHT LOSS SURGERY PER LIFETIME! 

                    THINK TWICE  (its painless) .,....BUT CUT INTO ME ONCE!! 

HELP YOUR LAPBAND FRIENDS!!...ya know the hippocratic oath...DO NO HARM!! 

 
Yes, my clinic does the sleeve as well as bypass and band, but they raised concerns about long term effects.

Kate

 I thought the sleeve has been done since 1988, as part of the DS. 

HELLO people partial and full gastrectomies have been going on for 50 years to treat stomach cancer and ulcers...give me a break!!

Ms Shell

 
Have any of us said that that was not the case! Why can't people post articles about the vsg in the same way people  post articles about the band! Naomi made no adverse comments, docd related a conversation she had heard between medical colleagues, i reported what my doctor said.

Kate

I never said stop spreading lies, merely just stated about how everyone is saying we'll see the long term effects of a surgery that has been done for DECADES are they looking for the century mark?

And more specificially I hadn't seen YOUR post, but was this line in the original post

" “With new surgeries, outcome is always hard to predict,Â" he said. “If five years from now it still seems to be a good operation, then it probably will continue — and then again it might fail. Regardless, people will continue to promote it or disagree with it.Â" "

These were not Naomi's comments but from a delegate at a conference of bariatric  professionals. 

I'm sorry Kate since there was no comment section to the article I commented...next time I will say HELLO people who wrote the article!!! =)