Vertical Sleeve Gastrectomy-Open
(Sleeve Gastrectomy—Open; VSG—Open)
|This surgery involves re-shaping the stomach to reduce the amount of food it can hold.|
|Copyright © Nucleus Medical Media, Inc.|
Reasons for Procedure
- BMI greater than 40
- BMI 35-39.9 and a life-threatening condition or severe physical limitations that affect employment, movement, and family life
- Weight reduction
- Improvement in obesity-related conditions
- Improved movement and stamina
- Enhanced mood and self-esteem
- Stitches or staples may loosen
- Pouch stretches or leaks
- Reaction to anesthesia
- Heart attack
- Blood clots
- Nausea, vomiting
What to Expect
Prior to Procedure
- Physical exam and review of medical history
- Blood test and other tests to check your health
- Meetings with a registered dietitian
- Mental health test and counseling
Talk to your doctor about your medications, herbs, and dietary supplements. You may be asked to stop taking some medications up to one week before the procedure, like:
- Anti-inflammatory drugs
- Blood thinners
- You may be given antibiotics.
- You may be given laxatives or an enema.
- Arrange for a ride to and from the hospital.
- The night before, eat a light meal. Do not eat or drink anything after midnight.
Description of the Procedure
Immediately After Procedure
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- A small thin tube with a camera will be used to look down your throat and into your stomach to check for problems.
- You will receive nutrition through an IV at first, but slowly start eating again.
- Use a device called an incentive spirometer to prevent breathing problems
- Wear elastic surgical stockings or boots to promote blood flow in your legs
- Get up and walk daily
- Washing their hands
- Wearing gloves or masks
- Keeping your incisions covered
- Washing your hands often and reminding visitors and healthcare providers to do the same
- Reminding your healthcare providers to wear gloves or masks
- Not allowing others to touch your incision
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- Do not drive or lift anything heavy for at least two weeks or until advised by your doctor.
- Walk every day.
- Your doctor may recommend that you meet with a therapist to discuss emotional changes after surgery.
- Follow your doctor’s instructions.
- Eat a clear liquid diet for about one week or as advised by your doctor.
- You will begin with 4-6 small meals per day. A meal is two ounces of food.
- Progress from soft, pureed foods to regular foods.
- Solid food must be well-chewed.
- Get enough protein.
- Do not eat too much or too quickly.
- Avoid high-calorie foods.
- Avoid dehydration by drinking fluids before or after meals.
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or discharge from the incision site
- Persistent cough , shortness of breath, or chest pain
- Worsening abdominal pain
- Blood in the stool
- Pain, burning, urgency or frequency of urination, or persistent bleeding in the urine
- Persistent nausea and/or vomiting
- Pain and/or swelling in your feet, calves, or legs; sudden shortness of breath or chest pain
- New or worsening symptoms
American Society for Metabolic and Bariatric Surgery http://asmbs.org
Weight Control Information Network http://www.win.niddk.nih.gov
Canadian Obesity Network http://www.obesitynetwork.ca
Weight Loss Surgery http://www.weightlosssurgery.ca
Bariatric surgery. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated December 2, 2013. Accessed December 8, 2013.
Gastric sleeve. University of California, San Diego Health System website. Available at: http://health.ucsd.edu/specialties/surgery/bariatric/weight-loss-surgery/gastric-sleeve/Pages/default.aspx. Accessed December 8, 2013.
Laparoscopic sleeve gastrectomy. Cleveland Clinic website. Available at: http://weightloss.clevelandclinic.org/Sleevegastrectomy.aspx. Accessed December 8, 2013.
Sleeve gastrectomy. Virginia Mason Medical Center. Bariatric Surgery Center of Excellence website. Available at: https://www.virginiamason.org/SleeveGastrectomy. Updated October 2010. Accessed December 8, 2013.
Sleeve gastrectomy. Yale New Haven Health website. Available at: https://www.greenhosp.org/upload/docs/FactSheets/English/bariatrics%5Fsleeve.pdf. Updated May 2011. Accessed December 8, 2013.
Weight loss surgery. North Shore Medical Center website. Available at: http://nsmcweightloss.org/web/surgical%5Fprocedures.aspx. Accessed December 8, 2013.
- Reviewer: Daus Mahnke, MD; Michael Woods, MD
- Review Date: 12/2013 -
- Update Date: 00/12/2014 -