To super sleeve or not is the question help!

[lguidry 5]

There's a difference between the Super Sleeve, and the TGVP. They are 2 different procedures.

The TGVP is being called the "sleeve killer", but the super sleeve is being advertised as a "tighter/smaller" sleeve.

There is no long term ghrelin plasma level with the TGVP as there is with the VSG. Also, ghrelin is produced in other parts of the body, and some VSG patient do not experience complete hunger resolution.

With the big stretchy part of the stomach left behind, I can imagine that the ghrelin is still going to be produced. I experienced some hunger resolution when I had my band early out when I had restriction. Once the restriction started wearing off, my hunger returned even after meals. Several RNY, and band patients say they still have the same ravenous hunger they had pre-op. Luckily, I've lost all of my hunger.

Here's the studies with ghrelin plasma levels in VSG vs. Band and VSG vs. RNY patients.

LapSF Educational presentation to FACS - includes some 2 year results

LapSF Two Year Study LapSF Five Year Study - abstract only

LapSF Five Year Study - presentation (requires Windows to play)

Literature review on the sleeve - requires $$ to get the full text unfortunately

Sleeve best for over 50 crowd Video of a sleeve with lots of education discussion Video of a sleeve that is more about the operation Ghrelin levels after RnY and sleeve Ghrelin levels after band and sleeve Diabetes resolution in RnY vs. Sleeve Comparison of band to sleeve - literature review

Here's the explanation of the super sleeve and TGVP.

ProMedica Bariatric surgery consulting - Bariatric research

Excellent Information!!! Thanks for the post!!:thumbup: