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How old is the sleeve surgery?



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From Google :

'The history of the sleeve gastrectomy is more an evolution of prior procedures than a discrete timeline of development of a single procedure. The procedure has its roots in the earliest gastroplasty procedures and as an observation from prior anti-reflux procedures. It was Doug Hess, in Bowling Green, Ohio, who performed the first open sleeve gastrectomy in March of 1988 as part of what is now known as the duodenal switch procedure Lawrence L. Tretbar described weight loss associated with a fundoplication for reflux surgery. He described an extension of the fundoplication that created a tubular structure that achieves weight loss'

Thanks Google!!

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Monica, the article cites 1988. It was first used in conjunction with other weight loss surgeries. About 12-15 years ago it was first used as a stand alone procedure as doctors realized that patients lost almost the same amount of weight with the gastric sleeve as with gastric bypass and duodenal switch.

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The DS is sometimes done as a two-step procedure for patients not healthy enough to undergo the longer combined procedure (time under anesthesia is particularly critical for those in marginal health,) with the sleeve part done first and then the intestinal rerouting (the "switch" part) after they have lost enough weight to withstand the second surgery. It was noted that some lost enough weight on just the sleeve part to not need the second switch procedure, so it started being offered, and optimized, as a stand alone procedure.

The VSG's relation to the DS is one reason why I have a preference for using DS surgeons for VSG's when possible, as they have longer experience in crafting them than the surgeons who have more recently added the VSG to their RNY and band practices.

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I think it has grown exponentially in frequency in the last five years, before which it was performed but at a fairly stagnant rate and at a much lower rate than bypass or lap-band (excluding the sleeves that were performed as part of DS). I would think it has began to skyrocket in popularity at the beginning of the decade because we were just arriving at the point at which there exists enough workable data to know that it is an effective procedure.

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I think it has grown exponentially in frequency in the last five years, before which it was performed but at a fairly stagnant rate and at a much lower rate than bypass or lap-band (excluding the sleeves that were performed as part of DS). I would think it has began to skyrocket in popularity at the beginning of the decade because we were just arriving at the point at which there exists enough workable data to know that it is an effective procedure.

It seemed to reach a critical mass around 5-6 years ago when several insurance companies started covering it along with the other approved procedures. I had been in the background considering for several years - lost about a third of my excess weight by cleaning up the diet/lifestyle as part of my wife getting a DS ten years ago, wasn't heavy enough to be comfortable with the DS, had maintained the loss for several years and was spurred on to get the VSG when I saw that Aetna had started covering it. So there was a convergence of events - ASBS/ASMBS position changes accepting it, more surgeons offering it as it is much simpler for them than the DS, along with a growing disenchantment with the bands - and the start of insurance coverage that really accelerated the sleeve's acceptance,

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When The sleeve Surgery Was invented? how many years are Doctors doing this surgery already?

@@monica36

the sleeve was first "invented" to help with stomach cancer patients

many years ago, don't know when exactly

i "think" the sleeve started to be used for WLS "about" 10+ years ago

not positive but i think most docs now perform the sleeve

unfortunately many insurance don't cover WLS at all :angry:

sleeve was not covered by many insurances for quite a while

sleeve is now more common - frecognized more often

the sleeve is covered more and more by insurance companies (not all insurance co.)

kathy

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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