Weight loss surgery depends mostly on restriction. Many patients rely on restriction without having a proper nutrition plan, or have a very a strict caloric controlled plan but end up sacrificing flavor or not enjoying their meals. Let's get into what the so-called Calories actually are. A calorie is a
If you have already had a high-efficiency bariatric surgery, such as the Gastric Sleeve (VSG), and had insufficient weight loss, there are options available that can help you. You have the options of a 2nd step Duodenal Switch (DS) or a Sleeve Reconstruction. To determine which option is best for
Vertical Sleeve - Does Bougie Size Matter? The Vertical Sleeve Surgery Calibration Tube The calibration tube is made out of soft and flexible silicone with the capacity for internal aspiration. This serves to aspirate the stomach during vertical sleeve surgery. It is inserted through the mouth once the patient has
Obesity surgery has as its main objective the loss of weight and resolution of co-morbidities. Currently, weight loss surgery is one of the best tools we have to achieve both. Obesity and Gastroesophageal Reflux Disease (GERD) There is a direct association between obesity and Gastroesophageal Reflux Disease (GERD). In the last
Nutritional Deficiencies in Restrictive Procedures: WLS is well known as a cause for nutritional deficiencies, especially with malabsorptive procedures like the RNY, GB, and DS. With the increase in restrictive procedures, like the Gastric Sleeve and Lap-Band, the short-term risks are probably diminished, but without proper follow-up and supplementation, the patient
