Staple Line Reinforcement

If there is any concern from complications of the sleeve surgery, I worry about leaks the most. I have seen several methods used in performing the VSG. Some surgeons suture the entire staple line, only suture junctions, others use metal clips at junctions, epoxy, and no reinforcement at all.

I was wondering which method is best, or what method may have or will be used on members of this board.

Personally, I think I prefer the epoxy combined with suturing the entire staple line. And totally against the metal clips.

Are surgeons open to answering this question, or willing to do a method I would prefer?

If anyone has used Dr. T Ryan Heider in Mooresville, NC let me know how he reinforced your staple line.

Thanks

PS. Surgeons are welcome to respond with their methods and why they prefer said method over others.

the best method is a great surgeon , a crappy surgeon needs to glue staple clip what ever to stop leaks a great surgeon just staples and maybe over sews , if it is done right it should not leak

my surgeon has had 2 leaks and one was with a lap band revision that the tissue was in real bad shape , the other he was not shore if it was a leak but treated it with antibiotics till it healed

This sounds like a great thing to talk with your surgeon about.  I can't imagine a surgeon altering his method based on a patient's desires, but I'm sure he'd be happy to explain to you why he uses the method he uses!

I can't see a surgeon altering his routine  when he knows all about surgery and what works for him and what doesn't, for a patient who at best is ignorant about the procedures and available practices,and at worst can cause untold problems for themselves by trying to change the surgeons routine when the patient knows NOTHING about. It.