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»: Laparoscopic Sleeve Gastrectomy (LSG)
"Laparoscopic Sleeve Gastrectomy“ (LSG) – is one of the newer procedures for tubulising the stomach and has been carried out in relatively few centres since 2003.
LSG was originally used as a first step prior to planned malabsorption surgery for high-risk patients who had body mass index readings (BMI) of more than 60.
The second planned stage of this operation (creating of malabsorption by isolating part of the small intestine from food digestion) is normally carried out after initial weight reduction and improvement in general health. However, satisfactory weight loss having been achieved in many cases a second operation proved no longer necessary. From 2003 some centres started to use this method on its own for morbidly obese patients, as an alternative to other restrictive methods. In these cases the operation was carried out in such a way that the volume of tubulised stomach was much smaller than if there another operation was planned.
LSG is a restrictive bariatric method that limits the volume of consumed food. This operation can be seen as a sort of “crutch“ that helps a patient to keep to a diet without overwhelming feelings of hunger. Patients can eat normally after this operation, but only very slowly and very small amounts of food. The surgical removal of large gastric curvature with LSG, removes of the zone of production of gastrointestinal hormones, so called “hungry hormones“ (e.g. ghrelin). The remaining stomach looks like a tube with a volume of 80-120ml (depending on the type of calibration probe and size of gastric antro retained) (see picture 1). The volume of food that can be eaten at once is markedly less than prior to operation. (It corresponds to the volume of the small upper part of stomach above the band or to the volume of the gastric tube). Craving for sweets or any other type of food, however, cannot be influenced by this method!
The procedure of sleeve gastrectomy can be described as follows: Firstly, the stomach cavity is filled with carbon dioxide under a pressure of 14-15mm Hg under general anaesthesia (creation of kapno-peritoneum). Five trocars are inserted through the abdominal cavity wall, through which the surgery is carried out. Dissection of the whole large curvature up to the Hiss angle is carried out with the use of an harmonic scalpel, at a distance of 6cm from the pylor. A calibration probe of 12-14mm in diameter (36-42 F) is inserted into the stomach along the small curvature. The whole large curvature (i.e. about 75-80% of stomach) is ressected with the help of a special laparoscopic tool (endostapler ECHELON60). The calibrating probe is removed following resection and the resected stomach is put into a polyethylene bag, (an endobag) and taken out of the stomach through the dilated trocar opening.
LSG is a good alternative for patients where compliance with gastric band cannot be assured (sweet-eaters, binge-eaters). Morbidly obese patients with BMI ≥ 60 with accompanying serious co-morbidities are also suitable for LSG.
LSG is also indicated for patients with (BMI > 40), where conservative treatment has failed and for patients with (BMI > 35), who have serious circulatory, metabolic or motion complications.
It is important to stress to patients who are considering LSG that this does not lead to weight reduction on its own and that it will be necessary to adhere to a strict diet after the operation.
What Next?
So, considering bariatric surgery? Then why not consider weight loss surgery abroad with BBC Direct (Bodies Beautiful Clinics Direct). BBC Direct can offer a full range of weight loss procedures, such as gastric balloon prague, and lap band abroad, gastric bypass, but please remember, try the natural way first, good diet and exercise.
Need free advice, not sure of your options, then please give BBC Direct a call,
Lines are open 7 days, from early until late.
Help is only a call away.
UK 0845 686 5005
Laparoscopic Sleeve Gastrectomy (LSG)
"Laparoscopic Sleeve Gastrectomy“ (LSG) – is one of the newer procedures for tubulising the stomach and has been carried out in relatively few centres since 2003.
LSG was originally used as a first step prior to planned malabsorption surgery for high-risk patients who had body mass index readings (BMI) of more than 60.
The second planned stage of this operation (creating of malabsorption by isolating part of the small intestine from food digestion) is normally carried out after initial weight reduction and improvement in general health. However, satisfactory weight loss having been achieved in many cases a second operation proved no longer necessary. From 2003 some centres started to use this method on its own for morbidly obese patients, as an alternative to other restrictive methods. In these cases the operation was carried out in such a way that the volume of tubulised stomach was much smaller than if there another operation was planned.
LSG is a restrictive bariatric method that limits the volume of consumed food. This operation can be seen as a sort of “crutch“ that helps a patient to keep to a diet without overwhelming feelings of hunger. Patients can eat normally after this operation, but only very slowly and very small amounts of food. The surgical removal of large gastric curvature with LSG, removes of the zone of production of gastrointestinal hormones, so called “hungry hormones“ (e.g. ghrelin). The remaining stomach looks like a tube with a volume of 80-120ml (depending on the type of calibration probe and size of gastric antro retained) (see picture 1). The volume of food that can be eaten at once is markedly less than prior to operation. (It corresponds to the volume of the small upper part of stomach above the band or to the volume of the gastric tube). Craving for sweets or any other type of food, however, cannot be influenced by this method!
The procedure of sleeve gastrectomy can be described as follows: Firstly, the stomach cavity is filled with carbon dioxide under a pressure of 14-15mm Hg under general anaesthesia (creation of kapno-peritoneum). Five trocars are inserted through the abdominal cavity wall, through which the surgery is carried out. Dissection of the whole large curvature up to the Hiss angle is carried out with the use of an harmonic scalpel, at a distance of 6cm from the pylor. A calibration probe of 12-14mm in diameter (36-42 F) is inserted into the stomach along the small curvature. The whole large curvature (i.e. about 75-80% of stomach) is ressected with the help of a special laparoscopic tool (endostapler ECHELON60). The calibrating probe is removed following resection and the resected stomach is put into a polyethylene bag, (an endobag) and taken out of the stomach through the dilated trocar opening.
LSG is a good alternative for patients where compliance with gastric band cannot be assured (sweet-eaters, binge-eaters). Morbidly obese patients with BMI ≥ 60 with accompanying serious co-morbidities are also suitable for LSG.
LSG is also indicated for patients with (BMI > 40), where conservative treatment has failed and for patients with (BMI > 35), who have serious circulatory, metabolic or motion complications.
It is important to stress to patients who are considering LSG that this does not lead to weight reduction on its own and that it will be necessary to adhere to a strict diet after the operation.
What Next?
So, considering bariatric surgery? Then why not consider weight loss surgery abroad with BBC Direct (Bodies Beautiful Clinics Direct). BBC Direct can offer a full range of weight loss procedures, such as gastric balloon prague, and lap band abroad, gastric bypass, but please remember, try the natural way first, good diet and exercise.
Need free advice, not sure of your options, then please give BBC Direct a call,
Lines are open 7 days, from early until late.
Help is only a call away.
UK 0845 686 5005
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