I keep hearing that Dr. Aceves has special technique. Anybody know what is so different?

He over sews the staple line to give reinforcement to prevent leaks.

My surgeon does that as well. Thanks!

My docor uses some type of glue or mesh than staples over it.

I keep hearing that Dr. Aceves has special technique. Anybody know what is so different?

He use a 36 bougie and then oversews the staple line to a 32.

He use a 36 bougie and then oversews the staple line to a 32.

Now that's really interesting but confusing. Dr. Ramos Kelly uses a 32 and oversews as well. Does that mean the result would be less than 32 or am I oversimplifying things?

Wow..that creates a small pouch. My dr uses a size 40. (USA doctor)

hmmmm...why would he do that? My surgeon used a size 32 period. I can totally understand sewing over the staple line as a precaution, but making it smaller after the fact doesn't make sense...just sayin

I looked at this post because my friend is researching sleeve surgery in Mexico and I'm trying to get the 411 for her.

I believe because of the oversewing that it creates a smaller pouch. 97% of Dr Aceves patients lose all their excess weight within the first year so whatever he's doing it must be working.

As a patient of Dr. Aceves, I can confirm that what-ever he's doing, it works! I'm down almost 100lbs in 6 mos.

As a patient of Dr. Aceves, I can confirm that what-ever he's doing, it works! I'm down almost 100lbs in 6 mos.

that's amazing!

that's amazing!

through all my reading of this website I have never seen anyone mentiong this before. I just emailed my facilitor to ask about Dr. Rod. However, what is the 40,36, or 32 that you are talking about.

I believe because of the oversewing that it creates a smaller pouch. 97% of Dr Aceves patients lose all their excess weight within the first year so whatever he's doing it must be working.

I totally agree. I know he does the oversew, etc... but I can tell you that my stomach is something special. I can't eat chips/candy anymore - so that to me is a MIRACLE! My stomach just doesn't like it, I can't really explain why. Do I think this will happen with all Dr. A's patients? Absolutely not, but I know it did with me. I can't eat very much anyway, but to take those away I know I will make goal. Maybe not as fast as others here or in the sleeve world, but so what? I have absolutely no doubt at all I will get there.

through all my reading of this website I have never seen anyone mentiong this before. I just emailed my facilitor to ask about Dr. Rod. However, what is the 40,36, or 32 that you are talking about.

Hi wareagle,

What are you asking? About the oversewing or the bougie sizes?

As a patient of Dr. Aceves, I can confirm that what-ever he's doing, it works! I'm down almost 100lbs in 6 mos.

WHOOO HOOOO! CONGRATS!

Hi wareagle,

What are you asking? About the oversewing or the bougie sizes?

I guess I was asking both. But I spoke to my facilitator and she explained what the bouge was and said she didn't know for sure what size he used but she was pretty sure the stitching was 32. She forwarded to the dr to respond. I had just not heard anyone mention either one of those and I have been researching for months.