Vertical sleeve gastrectomy (VSG) is a surgical weight loss procedure that involves removing approximately 60% of the stomach, leaving a narrow, banana-shaped tube or "sleeve." While it has been used in combination with other malabsorptive procedures in the past, it is now commonly performed as a standalone technique, and has gained favor with bariatric surgeons.
Studies have shown that VSG can be performed with less perioperative mortality than a gastric bypass procedure. However, the weight loss from VSG is initially more significant than with an adjustable band but somewhat less dramatic than with a gastric bypass. The procedure is irreversible, and therefore not recommended for individuals with significant reflux symptoms, as it may worsen these symptoms postoperatively.
Patients who do not want an implantable device but are not good candidates for a gastric bypass may find VSG to be a suitable option. It is important for patients to understand the benefits and restrictions of the procedure before making a decision. Nutritional deficiencies resulting from VSG are similar to those associated with adjustable gastric band devices.
VSG surgery is available through the INTEGRIS Health Weight Loss Center in Oklahoma City, and patients are advised to consult with their surgeon to determine the best weight loss option for their individual needs. While most surgeons can provide guidance and support, the ultimate decision is up to the patient.