2 part surgery

[viiki30 4]

I was reading something in my dr office that Said vertical sleeve is a 2 part surgery where the 2 nd part turns into bypass surgery I guess if u don't lose enough weight

Ihas anyone had the gastric sleeve surgery that needed to turn into bypass surgery?

If that is the case why Do people even have vertical sleeve and not just bypass surgery from the start?

When I asked my surgeon hd said that it does happen not very encouraging

Has anyone heard this before?

[Mrs Havelock 154]

The sleeve used to be the first step of a two part procedure for severely obese people to enable them to get down to a weight where full bypass surgery would be less risky. However, doctors found that sufficient patients lost enough weight with the sleeve that the second stage was unnecessary and began offering it as a procedure in its own right. The bypass option is still there, though.

Addendum. Due the higher complications associated with the bypass, eg. malabsorbtion, it's preferable to start with the sleeve and hope that it is sufficient to help you make the changes and lose the weight you need before considering embarking on the more radical surgery.

I'm three months and around 100lbs down with the sleeve, it's working phenomenonally well for me so far.

[RJ'S/beginning 5,358]

Actually it is the other way around..By-pass first then turned into the sleeve......Me on the other hand I have both due to severe complications with the sleeve surgery...So I deal with issues with both procedures...The sleeve....you still have your stomach and so you can still get good out of your food....The by-pass has no connection to the stomach and your only way you get any nutrients out of your food is in the bowels..

This is the reason I wanted the sleeve.....But...turns out that I got both after several surgeries trying to repair the sleeve...5 months in the hospital and now 10 months I am well on my way....

[Fixerupper 335]

It used to be that the sleeve was done commonly as the first part of the duodenal switch, a different type of bypass from rny.

[TES 858]

I think originally the VSG was the first part of the duodenal switch in severely obese people because they wanted patients to lose some of the weight with the sleeve before moving on the the duodenal switch to make it less risky. Then "they" saw how well some patients were doing just with the VSG, which is how it came into vogue as a standalone procedure. The DS is malabsorptive like GBP, though they are different procedures that affect the anatomy differently. Personally I just went with VSG bc I didn't want a malabsorptive procedure.