Vertical Sleeve Gastrectomy-Open
(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, movement, and family life
- Weight reduction
- Improvement in obesity-related conditions
- Improved movement 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
What to Expect
Prior to Procedure
- Physical exam and review of medical history
- Blood test and other tests to check your health
- Meetings with a registered dietitian
- Mental health test and counseling
- Talk to your doctor about your medications, herbs, and dietary supplements. You may be asked to stop taking some medications up to 1 week before the procedure.
- 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
- A small thin tube with a camera will be used 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.
- Your bowels will work more slowly than usual. Chewing gum may help speed the process of your bowel function returning to normal.
- Use a device called an incentive spirometer to prevent breathing problems
- Wear elastic surgical stockings or boots to promote blood flow in your legs
- Get up and walk daily
- Washing their hands
- Wearing gloves or masks
- Keeping your incisions covered
- Washing your hands often and reminding visitors and healthcare providers to do the same
- Reminding your healthcare providers to wear gloves or masks
- Not allowing others to touch your incision
- Do not lift anything heavy for at least two weeks.
- You may have emotional changes after this surgery. Your doctor may refer you to a therapist.
- You will meet regularly with your healthcare team for monitoring and support.
- Eat a clear liquid diet for about 1 week or as advised by your doctor.
- You will begin with 4-6 small meals per day. A meal is 2 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
- Persistent cough , shortness of breath, or chest pain
- Worsening abdominal pain
- Blood in the stool
- Pain, burning, urgency or frequency of urination, or persistent bleeding in the urine
- Persistent nausea and/or vomiting
- Pain and/or swelling in your feet, calves, or legs; sudden shortness of breath or chest pain
- New or worsening symptoms
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: http://www.ebscohost.com/dynamed. Updated December 2, 2013. Accessed December 8, 2013.
Bariatric surgery for severe obesity. National Institute of Diabetes and Digestive and Kidney Diseases website. Available at: http://win.niddk.nih.gov/publications/gastric.htm. Updated June 2011. Accessed December 4, 2014.
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 December 8, 2013.
Laparoscopic sleeve gastrectomy. Cleveland Clinic website. Available at: http://weightloss.clevelandclinic.org/Sleevegastrectomy.aspx. Accessed December 8, 2013.
Sleeve gastrectomy. Virginia Mason Medical Center. Bariatric Surgery Center of Excellence website. Available at: https://www.virginiamason.org/SleeveGastrectomy. Updated October 2010. Accessed December 8, 2013.
Sleeve gastrectomy. Yale New Haven Health website. Available at: https://www.greenhosp.org/upload/docs/FactSheets/English/bariatrics%5Fsleeve.pdf. Updated May 2011. Accessed December 8, 2013.
Weight loss surgery. North Shore Medical Center website. Available at: http://nsmcweightloss.org/web/surgical%5Fprocedures.aspx. Accessed December 8, 2013.
3/23/2015 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Short V, Herbert G, et al. Chewing gum for postoperative recovery of gastrointestinal function. Cochrane Database Syst Rev. 2015 Feb 20;2.
- Reviewer: Michael Woods, MD
- Review Date: 12/2014 -
- Update Date: 03/23/2015 -
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
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