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Question for those in the know

EsmeAnna
on 4/17/11 1:29 am
Recently I was asked what the difference is between having your stomach stapled the way they did it years ago and the VSG.  I really have no inkling.  Could they possibly be the same?  (I thought the VSG is a new and different procedure.)  Do any of you know?  I have a distant sister-in-law that had her stomach stapled years ago and was moderately successful.  I would love to be able to answer this question in regard to the specific differences.  Thank you in advance.
5' 6"
 

            
    
ericaFG
on 4/17/11 1:40 am - Cambridge, Canada
My understanding is that the old stomach stapling was really much more like the Rny than the VSG.  The surgeon would staple through your stomach to create a pouch taht was divided from the rest of the stomach by the staple line.

Some people had regain when the stomach grew back around those staples and ended up re-opening the "route" to the blind stomach.  When that happened, the person lost both restriction and the malabsorption.

In the sleeve - the stomach is actually removed.  The staple line is (usually) oversewn.  The size of the stomach doesn't change (other than some initial stretching) over time.

Hope that helps.  Someone clarify if I'm incorrect here...
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Ms Shell
on 4/17/11 2:33 am - Hawthorne, CA
Ok here's my best "visual" example.  Take a pair of pants that are to big.  Plop them on the machine and sew as to make them smaller (don't cut any material away just sew).  Over time because say you'd gain weight the thread can break and soon most of the thread has broken and your smaller pants arew back to the original.  That's the stomach stapling, basically the staples come undone from overeating and your stomach is back.

NOW take those same pants and take them to a tailor.  The tailer is going to make marks on the pants and totally REMOVE all the excess material and tra****  Resew the pants and reinforce them to make them a new pair of pants.  Now overtime you CAN overeat and there will be some stretching BUT it'll never grow to be the same pair of pants.  Now the stomach is stretchy and with the VSG the stretcher part of the stomach was removed which is why there is minimal stretching.  I would venture to say that YEARS of abuse can stretch the stomach but that's daily overeating for days, weeks, months, years at a time.

Ms Shell

"WLS is only for people who are ready to move past the "diet" mentality" ~Alison Brown
"WLS is not a Do-Over (repeat same mistakes = get a similar outcome.)  It is a Do-BETTER (make lifestyle changes you can continue forever.)" ~ Michele Vicara aka Eggface

EsmeAnna
on 4/17/11 12:47 pm
Thanks everyone for responding.  Ms Shell has a gift with words and painting a description that you can visualize.
5' 6"
 

            
    
Ms Shell
on 4/18/11 12:35 am - Hawthorne, CA
Glad I could help... =)

"WLS is only for people who are ready to move past the "diet" mentality" ~Alison Brown
"WLS is not a Do-Over (repeat same mistakes = get a similar outcome.)  It is a Do-BETTER (make lifestyle changes you can continue forever.)" ~ Michele Vicara aka Eggface

sleeve genie
on 4/17/11 7:37 am - Alhambra, CA
Very interesting topic, thanks for posting it, i have wondered about this myself. I know that my father had a partial gastrectomy in 1950 and he did very well for another 41 yrs, he had health issues but i don't believe they were related to that
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brownblonde
on 4/18/11 4:52 am
 My aunt had stomach stapling procedure 30 years ago, and from what she described, it sounded exactly like the RnY now.  Don't they, with the RnY now still staple a pouch?  I guess they do actually divide it but leave the whole stomach in whereas maybe with the stapling they simply stapled, not actually took apart?  But as far as taking the intestine up to meet the new small stomach--sounded the same to me.

Oh, and my aunt's surgery failed after awhile btw.
        
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