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My 1st question is: Sibelius PLayback Devices Medifast menu problem? Thanks in advance for any comment. Another question I got... HI, I am considering the gastric sleeve versus the.

Lap band.

..

Does anyone have experience with the sleeve and what kind of results have you had? thanks..

Comments (13)

Good question... I dunno what is the answer to your question. I'll do some research and get back to you if I bump into an anything. You should email the people at Medifast as they probably could give you help..

Comment #1

I just informed a friend you are looking for this info, she should be around shortly!.

Consider this 'Bumped!'.

God Bless!.

Janelle..

Comment #2

I believe the gastric sleeve is a fairly new procedure. There hasn't been much talk about it on this board...

Comment #3

K, I am bumping this again..

Lys,.

Maybe if you wrote what information you are looking for or just give people a better idea of what you already know, they might have something better for you!! I have a piece in my files I am going to put here, I.

Hope.

It helps!.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~.

Http://www.bannerhe.

Alth.com/.

_Bariatric/ Surgical+ Options/Gastric+ Sleeve+.

Surgery.

Htm.

Sleeve gastrectomy is a restrictive.

Surgery.

That permanently reduces the.

Size of the stomach by about 85 percent. This procedure is helpful for.

Patients who wish to.

Lose weight.

But have health conditions that make.

Combined restrictive/ malabsorptive.

Surgery.

Less safe at this point in time..

These patients may want to consider a malabsorptive procedure like duodenal.

Switch (DS) later to lose more weight..

During sleeve gastrectomy, the surgeon will remove the larger, rounded part.

Of the stomach..

The remaining stomach looks like a sleeve (or hose or tube) and holds about.

15 percent as much Medifast food as the original stomach..

The surgeon will remove the larger, rounded part of the stomach from the.

Body. (This is the only gastric.

Surgery.

In which part of the stomach is.

Taken out of the body.).

Unlike gastric bypass, which changes stomach openings, sleeve gastrectomy.

Leaves the openings intact..

It may be a safer and more effective option than gastric bypass for patients.

With very high BMI, those with medical problems like anemia, Crohn's.

Disease, osteoporosis, extensive prior surgeries and other complex medical.

Conditions..

Advantages.

Sleeve gastrectomy may be safer than gastric bypass for patients who have a.

Number of health risks..

It lowers the risk of ulcers compared to gastric bypass..

The.

Surgery.

Cuts away the part of the stomach that produces grehlin, a.

Stomach hormone that stimulates hunger..

Though the stomach is smaller, the openings are left intact, so digestion.

Can go on as normal..

The body is free of foreign objects like the LAP-BAND..

Risks.

Sleeve gastrectomy is more common in Europe, but most American health.

Insurance carriers still consider it an investigational procedure and do not.

Cover the cost..

Anytime you have anesthesia or.

Surgery.

, there is a risk of blood clots,.

Other complications or death..

Do not smoke. Smoking would put you at high risk for infection, blood clots,.

Slow healing and other life-threatening complications..

Complications can occur with the stapling, such as leaks or bleeding..

You may need malabsorptive.

Surgery.

- intestinal bypass or duodenal switch -.

In addition to your sleeve gastrectomy in order to lose all the weight you.

Need and want to lose..

The smaller portion of the stomach may stretch..

Foods that you eat now may cause discomfort, nausea or vomiting after your.

Surgery.

..

Gastric.

Surgery.

Puts you at higher than normal risk of developing gallstones.

And gallbladder disease..

You will not.

Lose weight.

Or maintain your weight loss unless you eat a.

Healthy Medifast diet and.

Exercise.

Regularly. This is the reason we stress long-term.

Follow-up with our center and your doctor..

It is suggested that surgeons performing sleeve gastrectomy inform patients.

Regarding the lack of published evidence for sustained weight loss beyond 3.

Years and provide them with information regarding alternative procedures.

With published long-term (greater than or equal to 5 years) data confirming.

Sustained weight loss and co morbidity resolution based upon available.

Literature at this time..

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~.

That is what I have!!.

God Bless!.

Janelle..

Comment #4

I just recently had the sleeve (January 2008) and have lost 52 pounds. I would be happy to let you know about my experiences if you want to contact me. For the most part I have had no negative affects and can eat anything without having nausea., dumping, or vomiting. All Medifast food restrictions were removed after only six weeks. Veggies and fruits are not a problem for me at all. My only problem is that some things (chicken breast and other meats that are more dry) tend to get stuck and don't want to go down.



Laurie..

Comment #5

I had the sleeve done on July 28, 2009. I liked everything I heard about it. Without malasbortion problems.

Ect.

I am very happy so far...

Comment #6

Surgeon recommended it, Insurance wont pay, considers it "experimental"...

Comment #7

Hi Iys - I am in same boat at you - what did you decide?..

Comment #8

Gastric sleeve is thought to be on course to replace GBS due to effectiveness and fewer complicationsduring and after.

Surgery.

..

United Healthcare (UHC), one of the largest health carriers in the United States, has changed it's bariatric medical policy to include coverage for gastric sleeve.

Surgery.

The new policy, which went into effect October 1, 2009, is a significant event for bariatric.

Surgery.

Patients and gastric sleeve advocates..

UHC€™s decision reflects a fundamental change in their position on the effectiveness of the gastric sleeve procedure. They no longer refer to the gastric sleeve as an €œexperimental€? procedure in their health plans, but as a €œproven€? treatment for clinically severe obesity. This recognition makes United Healthcare the first major insurer to cover the gastric sleeve as a complete bariatric surgical option..

Not only does this new policy have the potential to affect the more than 20 million individuals covered by United Healthcare, but their decision could influence other insurers to cover the gastric sleeve as well..

The language from the UHC Bariatric Medical Policy that was in effect before the change stated: The gastric sleeve procedure (also known as laparoscopic vertical gastrectomy or laparoscopic sleeve gastrectomy) when done alone and not a part of the full operation to complete a biliopancreatic diversion with duodenal switch is unproven due to inadequate clinical evidence of safety and/or efficacy in published, peer-reviewed medical literature..

The language from the new UHC Bariatric Medical Policy now states: The gastric sleeve procedure (also known as laparoscopic vertical gastrectomy or laparoscopic sleeve gastrectomy) when done alone and not a part of the full operation to complete a biliopancreatic diversion with duodenal switch (BPDDS or DS) is proven in adults for the treatment of clinically severe obesity as defined by the National Heart Lung and Blood Institute (NHLBI)..

UHC€™s coverage for the gastric sleeve will be the same as for the other bariatric procedures that they cover. Actual coverage will still vary between specific health plans, as some employers do not offer policies with coverage for bariatric.

Surgery.

..

Traditionally, the gastric sleeve was only performed as the first stage of the duodenal switch.

Surgery.

After several years of study, however, it is now gaining the attention and.

Acceptance.

Of many top bariatric surgeons as a standalone surgical weight loss option since it generally leads to significant weight loss with few complications..

Some bariatric surgeons are even suggesting that the gastric sleeve has the potential to surpass the popularity of.

Gastric bypass surgery.

And laparoscopic adjustable gastric banding. The current data indicates that the gastric sleeve results in quicker weight loss than gastric banding with fewer complications than.

Gastric bypass surgery.

Only time will tell whether the long term results are as impressive as the short term results..

Http://www.wlshelp.com/news/united-.....

Comment #9

HI, I am considering the gastric sleeve versus the.

Lap band.

..

Does anyone have experience with the sleeve and what kind of results have you had? thanks..

Comment #10

Gastric Sleeve.

Surgery.

By Denise Mann; reviewed by Christine Ren Fielding, MD, FACS.

Gastric sleeve.

Surgery.

Is a relatively new kid on the block when it comes to bariatric.

Surgery.

Technically called gastric sleeve resection, it is typically used to safely jump-start the surgical weight loss process in people who are too obese or sick to have more invasive weight loss surgeries or are not candidates for gastric banding procedures, such as.

Lap Band.

Surgery.

Or Realize Band.

Surgery.

..

Put another way, gastric sleeve.

Surgery.

Lets such people reach a safe weight so they can then undergo the more radical.

Gastric bypass surgery.

Or duodenal switch.

Surgery.

The American Society for Metabolic and Bariatric.

Surgery.

States that this is the most useful application of gastric sleeve.

Surgery.

At this time, because it appears to be faster and/or easier than other weight loss surgeries in these high-risk people..

Other names for gastric sleeve resection are sleeve gastrectomy, vertical sleeve gastrectromy, tube gastrectomy and laparoscopic sleeve gastrectomy..

How Gastric Sleeve.

Surgery.

Works.

During this procedure a bariatric surgeon removes about 60 percent of the stomach so that it takes the shape of a tube or sleeve..

Surgeons at the University of California San Diego Center for the Future of.

Surgery.

Recently performed the nation's first-ever bariatric.

Surgery.

A gastric sleeve or sleeve gastrectomy through the vagina..

Typically, gastric sleeve.

Surgery.

Is performed laparoscopically. This means that the surgeon makes small five small incisions in the abdomen and then inserts a viewing tube with a small camera (laparoscope) and tiny surgical instruments into these small incisions to remove part of the stomach. The tube-shaped stomach that's left is sealed and closed with staples..

In contrast, when the procedure is performed through the vagina, fewer incisions are needed because the vagina provides a natural opening. Specifically, one incision is placed in the belly button through which a laparoscope is placed to view the abdomen. The second incision is placed just below the sternum to insert an instrument used to retract the liver..

The gastric sleeve.

Surgery.

Is then performed by entering the vagina and making a small incision behind the uterus through which the abdomen and stomach could be accessed with surgical tools. The stomach is reduced in size using conventional surgical staplers. The excess stomach is then pulled down through the abdomen and out of the vagina..

The process of performing.

Surgery.

Through a natural opening such as the vagina is known as natural orifice translumenal endoscopic.

Surgery.

..

Advantages of Gastric Sleeve.

Surgery.

Through the Vagina.

"We are trying to tease out the benefits of doing the.

Surgery.

Transvaginally," says Garth Jacobsen, MD, an assistant professor of.

Surgery.

At the University of California at San Diego. "There are fewer incisions, so there will be a better cosmetic result, a lower rate of hernia and presumably less pain.".

Two kinds of hernias may develop after bariatric.

Surgery.

An incisional hernia is a weakness that sticks out from the abdominal wall's connective tissue and may cause a blockage in the bowel. An internal hernia, however, occurs when the small bowel is displaced into pockets in the lining of the abdomen. These pockets are created when the intestines are sewn together. Fewer incisions mean a lower risk of incisional hernias..

The Wave of the Future.

Other bariatric surgeries, such as gastric banding and gastric bypass, likely will not be performed through the vagina at this time, according to Dr. Jacobsen. "With gastric banding, we are placing an instrument through the vagina (the band), so there is some concern about an infection," he says. Still, he adds, "I definitely do believe natural orifice.

Surgery.

Is the wave of the future.".

This operation is performed laparoscopically, meaning that the surgeon makes small incisions as opposed to one large incision. He or she inserts a viewing tube with a small camera (laparoscope) and other tiny instruments into these small incisions to remove part of the stomach. The tube-shaped stomach that is left is sealed closed with staples..

It is often followed by a gastric bypass or duodenal switch after the patient has lost a significant amount of weight. Called a "staged" approach to weight loss.

Surgery.

, this makes the second procedure less risky than it would have been had it been the first and only procedure..

The timing of the second.

Surgery.

Varies according to the degree of weight loss. It usually occurs within six to 18 months..

Who Is a Good Candidate for Gastric Sleeve.

Surgery.

?.

No reliable statistics exist yet for how many of these procedures have been done, but gastric sleeve resection is typically reserved for people who are super-super obese, meaning they have a body mass index (BMI) of more than 60, or for those who are not in appropriate physical condition to undergo.

Gastric bypass surgery.

Or other more radical weight loss surgeries..

A BMI takes height and weight into account to measure body fatness, and a BMI of 30 or higher in adults is considered obese. [Read more about body mass index, and use our BMI calculator.].

Gastric sleeve.

Surgery.

May be appropriate also for people who can't return for the follow-up visits required by gastric banding..

What to Do Before Gastric Sleeve.

Surgery.

Before gastric sleeve resection or any bariatric.

Surgery.

, you must quit smoking, as smoking increases the risk for infections, pneumonia, blood clots, slow healing and other life-threatening complications after.

Surgery.

Ideally, quitting smoking should be permanent, but you must quit for at least one month before and one month after bariatric.

Surgery.

..

Some surgeons require patients to go on special diets in the week(s) before the procedure..

What to Expect After Gastric Sleeve.

Surgery.

The non-reversible.

Surgery.

Is performed under general anesthesia and takes about one to two hours. Afterward you would probably stay in the hospital for one or two days, and recovery from gastric sleeve.

Surgery.

May last a few weeks..

The abdomen is often swollen and sore for several days. Your surgeon may prescribe pain medication for the discomfort. Some scarring may occur, but this can be covered with clothing..

You would need to become re-used to eating solid foods. Normally this starts with two weeks on a liquid-only diet, two weeks of semi-solid, pureed foods and then solids..

As far as weight loss goes, most people who have gastric sleeve.

Surgery.

Lose 30 to 50 percent of their excess body weight over six months to one year. Studies have shown that after the gastric sleeve resection procedure people show improvement in diabetes, high blood pressure, high cholesterol and.

Sleep.

Apnea within one to two years. These improvements are comparable with those seen after other weight loss surgeries..

As this is a relatively new procedure, no data is available yet on long-term weight loss or overall health improvements..

Certain lifestyle changes and follow-up care occur afterward; people who have gastric sleeve.

Surgery.

Must:.

Exercise.

Regularly..

Learn.

Behavior modification.

Techniques..

Follow very specific dietary instructions, including eating very slowly, consuming only small quantities of Medifast food at a time, chewing thoroughly and swallowing Medifast food only when it is mashed, and not eating and drinking at the same time..

Gastric Sleeve.

Surgery.

Risks and Complications.

Risks and complications include:.

Leaking of the sleeve. The operation requires staples to be inserted into the stomach, and there is always a chance that the staples will tear apart, resulting in a leak. The leaking stomach acids frequently become infected and can cause serious problems that may require another operation or a drainage tube..

Blood clots.

Weight may be regained over time, because the stomach can stretch..

Unlike gastric banding surgeries, no foreign objects are left in the body during the procedure. With gastric banding, the band may slip, erode or become infected..

Unlike gastric bypass or duodenal switch, there is no bypass of the small intestines with the gastric sleeve, so all nutrients are absorbed and very little chance exists of absorption issues..

Wound infection.

Since this procedure is relatively new, long-term risk and benefits are not known..

O Non-reversible.

O Usually the first in a series of weight loss surgeries.

O Reserved for the super-obese.

O Relatively new.

Surgery.

O Not likely to be covered by insurance.

Cost of Gastric Sleeve.

Surgery.

Because this procedure is new, it is still considered experimental. So it is rarely covered by weight loss.

Surgery.

Insurance. The average cost of gastric sleeve.

Surgery.

May be upward of $10,000..

Please visit our weight loss.

Surgery.

Cost page for an overview of cost information or you can review specific information about.

Lap band.

Cost, realize band cost or gastric bypass cost..

Plastic.

Surgery.

After Massive Weight Loss.

Although the full extent of weight loss may not occur until after a second procedure has been performed, such as gastric bypass, it is important to know that plastic.

Surgery.

After massive weight loss may be necessary to remove excess skin and fat and create a more shapely body profile. Arm lift.

Surgery.

And body lift are common post-bariatric procedures...

Comment #11

As far as current status, VSG is established by the ASMBS as a safe first step operation, and many are finding it unnecessary to do the second step. At 5 yrs there is an efficacy higher than that of the band and comparable to bypass. Many believe at the 10 year mark they will begin to replace many more invasive procedures. 10 year marks are not great for any method, see "Long Term Results?" thread..

For persons considering sleeve, the vaginal and oral methods are "experimental" and while interesting, don't get confused, it will be awhile...

Comment #12

Troolydee - Since your sleeve are you having any reflux?..

Comment #13

Hi lys-.

My procedure is going to be the gastric sleeve also. no experience with it, but firmly believe it is the best procedure for me. The thing that I like about is the fact that there isn't any or as much malabsorbtion compared to the bypass or lapband. Results may not be as fast as bypass, but you will still see results. I was told I will lose between 10-12 pounds per month. Good Luck...

Comment #14


This question was taken from a support group/message board and re-posted here so others can learn from it.