As I mentioned in my last post, the surgery that I have decided on is the Vertical Sleeve Gastrectomy, also known as the sleeve. It is much more effective than the lap band and less risky than a gastric bypass but with virtually the same results. The difference between a sleeve and a gastric bypass is that there will not be the same anatomical changes - in other words, the intestines will not be cut and attached to a small pouch on the stomach. Instead, the surgeon will cut a large portion of the stomach and create a long banana shaped stomach. This "sleeve" will hold approximately 100ml, whereas the typical stomach will hold 1 to 1.5 liters. It is also believed that the portion removed is what creates appetite hormones.
From reading a lot of other experiences and doing my own research, I've learned that the following will likely occur. It may change after I have my first consultation. After the surgery, I will have about a 2 day hospital stay. I will drink clear liquids for the first 2 weeks, purees for the second 2 weeks and start back on regular soft foods by the fifth week. By then, the stomach should be healing well and there will be less risk for leakage. The part of the stomach which was removed will have tests done on it. Since it has the same staples as the portion that is left, it will also be tested for leakage. I will be required to drink 64oz of water each day and consume 60-80g of Protein. The meal plan will be 3 meals and 2 snacks. Before surgery, I will also need to do a liquid protein diet to lose weight and make the liver healthier and more pliable.
To read up on the sleeve, visit the following links:
Obesity Help
Medline Plus
Of course, if you're like me and want to see exactly what it looks like, see these Youtube videos. The second video is of an actual surgery, so fair warning!
Animation
Actual Surgery
I've never heard of this type of surgery. It sounds like it's the best & safest of the options.
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