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Size of sleeve??



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In following multiple posts.. I see people talking about different sizes of sleeves. I didnt know there were different "sizes" to be had?? I thought that a % of your stomach was removed- I know with the band there were multiple sizes but I would think all surgeons remove the same amount.

My doctor said he would remove 80-85% of my stomach so what "size" would that sleeve be?

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In following multiple posts.. I see people talking about different sizes of sleeves. I didnt know there were different "sizes" to be had?? I thought that a % of your stomach was removed- I know with the band there were multiple sizes but I would think all surgeons remove the same amount.

My doctor said he would remove 80-85% of my stomach so what "size" would that sleeve be?

SIZE refers to what size bougie or other instrument your doctor uses to measure and cut your sleeve. My doc doesn't use a bougie but the tool he uses is equal to size 34 french bougie. Pretty small :) The size can go from like 32 up to around 60. There is not much difference in the sizes, millimeters I think. You can ask your doctor what size bougie he uses. Good Luck!

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There is not a standard procedure for the sleeve surgery. Each surgeon's technique is different, some cut/staple off closer to the pylorus than other, some leave more at the top, some don't use bougies as a measuring guide for their sleeve patients. The most common sizes of bougies is 32fr -40fr, and the difference is a couple of millimeters. Anything over a 40fr has shown and is documented to give patients a higher incidence of regain at 3-5 years out.

Also, each individual stomach, each person's anatomy is different so what you are left with can not be measured until your sleeve has matured and that takes between 6-12 months for most sleeve patients.

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Well during my pre- op today I found out he does a 40. He explained that less was just in millimeters and his experience is anything less than a 38 puts you at a greater risk of problem including mal-absorption and ultimately leading to a bypass. I have to trust that he knows this to be true and am content with his explanation- worst case scenario in 10-20 years I need a revision. to my revision.. lol...

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Well during my pre- op today I found out he does a 40. He explained that less was just in millimeters and his experience is anything less than a 38 puts you at a greater risk of problem including mal-absorption and ultimately leading to a bypass. I have to trust that he knows this to be true and am content with his explanation- worst case scenario in 10-20 years I need a revision. to my revision.. lol...

Mine is 28/32F and yes malabsorption is my problem. I'm almost 2 years out, but have had no major problems, thank goodness. there are days i really wish i hadn't done this, but then more then most am very happy with my sleeve and it's size. I can just imagine how "lovely" i'd look if i hadn't done this 21 months ago? Ugh. . .

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