Super Sleeve (Gastric Plication)

[CavyGuy 0]

OK, so I'm reading all the super stories here and I'm 80% sold on a procedure that six months ago I would have told you "no way!" and while doing my research, as so many of you say to do, I ran across this LINK: http://www.promedica.com.gr/erevna_en.htm

What is super sleeve?

Laparoscopic sleeve gastrectomy is not so simple as any other gastrectomy. There are some important technical details, unknown to inexperienced surgeons. Gastric tube size influences both the degree of weight loss and weight stability. A large sleeve predisposes to gastric dilatation and weight regain. Inexperienced surgeons tend to create large tubes (:thumbup1: or to leave back large remnants of the gastric fundus. A standardised technique with a gastric capacity less than 100 mL (A) is mandatory in order to get the patient achieve a durable weight loss. The sleeve should be "super" which means a small gastric sleeve diameter and a higher degree of restriction. In our hands, with the gastric capacity been restricted to 60-80 gr and Ghrelin (the appetite hormone) totally suppressed, the resultant weight loss is predictable and comparable to this achieved with gastric by-pass (60-70% EWL), without any serious complication or side effects (e.g. Vitamin malabsorption). We introduced super sleeve in our bariatric program, as the most effective and safe bariatric solution even for the super-obese patients.

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Before you tell me I'm losing it, I would like to ask, are there any Super Sleevers on board here? Might there be? Thank you.:biggrin0:

Edited May 27, 2010 by CavyGuy

[Tiffykins 673]

There is one that has had the procedure, and she's posted her story.

I think she had a bad band, and didn't want to go as drastic with sleeve.

http://verticalsleevetalk.com/band-sleeve-revisions/3963-band-gastric-imbrecation-need-help.html

Personally, I'm not convinced. I'd like to see ghrelin level tests similar to what they've done with RNY and Band vs. Sleeve ghrelin levels. It states Ghrelin is "suppressed", but I'm curious if it's suppressed by satiety achieved quicker due to the restriction, and how long does it last. Since the fundus is left intact, the tissue is alive, and producing Ghrelin. A lot of band patients say they are never hungry like they were before surgery. So, I'm interested to see actual ghrelin plasma levels at 3, 6, 12, 24 and 36 months.

My comfort with the VSG was the fact it's stage 1 of the DS which has been done forever. Plus, gastrectomies in general for cancer and ulcer patients.

I don't see anything super about it. Just me personally, I think it's a great option if that is what someone wants, but I went into weight loss surgery for the long haul. Not with the mindset of having something reversed.

[CavyGuy 0]

I agree with what you've said. To me, the only benefit is a short-lived one: no leaks from staple lines. Of course that's also why I'm looking for the most experienced surgeon I can find, so that my surgery is simply routine. Thanks.

[Swiftflow 6]

According to this Super sleeve and Sleeve plication are two different things. This is saying "super sleeve" is more retrictive partial gastrectomy--It may just be a marketing spin on utilizing a smaller bougie (30-36) like most docs have done for over 3 years now...not sure but it is saying in the description there that more of the fundus is removed reducing ghrelin completely--With plication there is no ghrelin removal.

Edited May 27, 2010 by Swiftflow

[Swiftflow 6]

Just confirmed they are 2 different proceedures done by the same surgical group. The so-called "super sleeve" Is a more restrictive VSG under 100ml capacity, but it is also a Partial gastrectomy (partial stomach removal). The same surgery group does a vertical plication (stomach folding) as well but it is a different option.

To clarify: The plication is not the super sleeve. The super sleeve is a more restrictive VSG.

If you want to watch a super sleeve VSG [nomedia=http://www.youtube.com/watch?v=xguvtRDLqhU]YouTube- G. Skrekas - Super sleeve 2009[/nomedia]

[LAN2k 18]

Just confirmed they are 2 different proceedures done by the same surgical group. The so-called "super sleeve" Is a more restrictive VSG under 100ml capacity, but it is also a Partial gastrectomy (partial stomach removal). The same surgery group does a vertical plication (stomach folding) as well but it is a different option.

To clarify: The plication is not the super sleeve. The super sleeve is a more restrictive VSG.

If you want to watch a super sleeve VSG

Yep that's what I got out of reading the article. Thanks for further clarification.

[mellifrits 25]

I am talking to BeLiteWeight.com about having a Super Sleeve done in at Star Medica Hospital, 15 mins across the border from El Paso, Texas in Juarez, Mexico by Dr. Jose Rodriguez. The cost is $6200 for everything.

Has anyone gotten the super sleeve done or know of anyone that has. OR Has anyone worked with this company or Doctor or even hospital?

Can I trust them?

[emerald 0]

I would ask Belite for some email addresses of patients that have had the super sleeve. They would be the best ones to answer your questions.

Good luck.

[MARI 0]

I actually had the super sleeve in Tuijana Mexico, by Dr Jose Rodriguez..I orginally was looking into getting the Lap Band and did my research for that and actually went to get the lap band, but it was changed at the last minute to the "Super Sleeve" I have had no complications. The Super Sleeve sounds alot scarier than it actually is. With the lap band I had to worry about slippage and what I ate. This super sleeve that I got, I can basically eat what ever I want. I just get full really fast I can't even eat a whole kids meal form Mcdonalds. (I eat like 2 chicken tenders and feel like I ate a thanksgiving dinner)The super sleeve from what I understand they did is, Fold my stomach inside of itself and Basically double stitch it. So they did'nt cut my stomach or anything like they do in a gastric bypass. I have 4 tiny incisions on my stomach that are fading. If you want to see the incisions I'd be willing to take a picture and forward it to you. If you have any questions let me know..

[mellifrits 25]

I actually had the super sleeve in Tuijana Mexico, by Dr Jose Rodriguez..I orginally was looking into getting the Lap Band and did my research for that and actually went to get the lap band, but it was changed at the last minute to the "Super Sleeve" I have had no complications. The Super Sleeve sounds alot scarier than it actually is. With the lap band I had to worry about slippage and what I ate. This super sleeve that I got, I can basically eat what ever I want. I just get full really fast I can't even eat a whole kids meal form Mcdonalds. (I eat like 2 chicken tenders and feel like I ate a thanksgiving dinner)The super sleeve from what I understand they did is, Fold my stomach inside of itself and Basically double stitch it. So they did'nt cut my stomach or anything like they do in a gastric bypass. I have 4 tiny incisions on my stomach that are fading. If you want to see the incisions I'd be willing to take a picture and forward it to you. If you have any questions let me know..

I 100% I got the super sleeve done 7-12-10 and I love it. My sister has a lot of issues with her lap band that I do not with my super sleeve. What sold me was the fact that they do not cut my stomach. The whole idea of WLS is scary and that just helped with my fears. And if you are worried you won?t lose as much weight think again! Check out my tracker and pictures.. They speak for them selves!

[MS LISA 1]

I AM GETTING THE SLEEVE PLICATION WITH DR Corvala IN TJ. HAD THERE SURGERY WITH HIM? I WOULD LIKE TO TALK TO SOMEONE WHO HAS HAD THAT SURGERY DONE, YOU CAN EMAIL ME AT sisterlisa@live.com

[MS LISA 1]

i actually had the super sleeve in tuijana Mexico, by dr jose rodriguez..i orginally was looking into getting the lap band and did my research for that and actually went to get the lap band, but it was changed at the last minute to the "super sleeve" i have had no complications. The super sleeve sounds alot scarier than it actually is. With the lap band i had to worry about slippage and what i ate. This super sleeve that i got, i can basically eat what ever i want. I just get full really fast i can't even eat a whole kids meal form mcdonalds. (i eat like 2 chicken tenders and feel like i ate a thanksgiving dinner)the super sleeve from what i understand they did is, fold my stomach inside of itself and basically double stitch it. So they did'nt cut my stomach or anything like they do in a gastric bypass. I have 4 tiny incisions on my stomach that are fading. If you want to see the incisions i'd be willing to take a picture and forward it to you. If you have any questions let me know..

hi i am going to get the super sleeve done in Tijuana with dr Corvala, can you tell me a little more about your experiance in Tijuana and do you like your sleeve, and do you have any cons about the sleeve that your not happy with? You can also email me at sisterlisa@live.com i am always checking my email and would love to here from you!

[fitB450 0]

Hi ,

I had surgery with Dr. C. in T.J. on July 12. If you haven't already had your surgery, give me a shout....I will be happy to answer any questions. K.B.

[4mygirls 66]

:thumbup:Congratulations on your brave decision to have GPS surgery. My surgery with Dr.Corvala in Tijiuana is August 30. Please email me at nadia99p@hotmail.com. I would love to hear of your experience with your GPS surgery. Anything to calm my nerves PLEASE. :crying:

[Cknorte 7]

Nadia, I'll shoot you an email in the morning. In the meantime you can go to my blog (the link on my signature) I had plication with Dr. Corvala on July 15th. I feel great....and would do it again in an instant.... I have some pictures on the blog of my room. Dr. Corvala and his team as well as the nursing staff is awesome..... Good luck....