Is the VSG a sleeve or a pouch?

I decided to do some research into this, seeing as how serious a few people on this forum are that members (new people) reference the VSG stomach modification as a SLEEVE rather than a pouch. To me, they're both adjectives. They both reference the newly reshaped stomach compartment our bodies are left with after bariatric surgery.

Is there a possible source of confusion by calling a VSG stomach a pouch? I wouldnt say no, but I dont know how critical it is that it must be called a sleeve, either. The RNY stomach resembles more of a "traditional" pouch as its not elongated.

According to Merriam Webster:

pouch |pouCH| noun1 a small bag or other flexible receptacle, typically carried in a pocket or attached to a belt: a tobacco pouch |webbing with pouches for stun grenades.? a lockable bag for mail or dispatches.2 a pocketlike abdominal receptacle in which marsupials carry their young during lactation.? any of a number of animal receptacles similar to a pouch, such as those in the cheeks of rodents.

That being the case, I wanted to see what the professional bariatric community refers the VSG stomach as. Here are my findings. These are not all inclusive of the entire internet, as that would be a little bit too much work for me to do, but feel welcome to share any additional findings

http://bariatrictimes.com/the-history-of-sleeve-gastrectomy/

Author:

by Gregg H. Jossart, MD, FACS; Gary Anthone, MD, FACS

Dr. Jossart is Director, Minimally Invasive Surgery, California Pacific Medical Center, San Francisco, California. Dr. Anthone is Director Bariatric Surgery Program, Nebraska Methodist Hospital, Omaha, Nebraska.

References to stomach as pouch: 9 times

References to stomach as sleeve: 0

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https://en.wikipedia.org/wiki/Sleeve_gastrectomy

Author:

the internet

References to stomach as pouch: 0

References to stomach as sleeve: 1 time

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https://asmbs.org/patients/bariatric-surgery-procedures#slee ve

Author: 

None listed, however, is leading organization for Metabolic Surgeries in America

References to stomach as pouch: 2 times

References to stomach as sleeve: 0

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https://www.nlm.nih.gov/medlineplus/ency/article/007435.htm

Author: 

Updated by: Debra G. Wechter, MD, FACS, general surgery practice specializing in breast cancer, Virginia Mason Medical Center, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.

References to stomach as pouch: 2 times

References to stomach as sleeve: 0

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http://bariatrics.ucla.edu/body.cfm?id=95

Author:

None listed

References to stomach as pouch: 3 times

References to stomach as sleeve: 2 times

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http://www.webmd.com/diet/obesity/restrictive-operations-sto mach-stapling-or-gastric-banding

Author: 

Primary Medical ReviewerE. Gregory Thompson, MD - Internal Medicine
Specialist Medical ReviewerAli Tavakkoli, FACS, FRCS, MD - General Surgery, Bariatric Surgery

References to stomach as pouch: 0

References to stomach as sleeve: 1 time

 

In conclusion, my findings show that both the term "pouch" or "sleeve" can be used nearly interchangeably. From these 6 publications, the stomach is referred to as a pouch 16 times, and a sleeve 4 times. There can be some confusion to new individuals researching bariatric surgery, however, generally the stomach reference is involved in context of mentioning whether it is VSG or RNY, or another surgery; thus, eliminating any questions or reasons to be confused.

I feel we as a community should do less scorning of individuals referencing their new or future stomach cavity as a pouch or sleeve, and instead help educate and respond to questions that will actually be beneficial to them.

***Disclaimer: I am not a professional researcher or a "vet". I simply used one of the most powerful tools in the world and searched for "vertical sleeve gastrectomy procedure" and selected several sites that are credible and trusted sources for information. No information was pulled from a blog or individual(s) page, but instead research establishments, medical professionals, etc. With further research, my findings could be completely wrong. ***

Nice piece of research!  

You seem very intent on becoming the Defender of the Scorned. Yet every single time, you are the one who throws the first stone. You are focused on stirring up trouble and sowing discord. It makes me wonder what you are missing in your shallow life that makes you want to cause problems, while passive-aggressively pretending to abhor trouble.

The next time you want to wail about disharmony, look in the mirror first.

Sorry you feel that way, Grim.

I did the research because I personally (by mistake) have wrote "pouch" several times and immediately get corrected. I've seen several scenarios lately where other people have also erroneously wrote pouch, to get corrected. 

Was curious about the information, so did my research.

I'm sorry if thats passive aggressive.

Have a good day man!

You can search the internet and find evidence to support any argument you care to make. Which is correct, soda, tonic, or pop? How about hoagie, grinder, or sub? It all depends on the community you are in. Say the wrong thing, in the wrong place, and people either won't know what you are talking about, or will be certain that you don't know what you are talking about. In THIS community, there is a difference between sleeves and pouches. 

You can argue the point all you want. But I've seen many others with the same approach you've taken so far, and none of them stick around very long. 

I definitely agree with your last statement. It's sad to see that a few years ago there are 3000+ views on most posts. Now, some may get close to 500. I wonder why that is? 

I did my research in a pretty general manor. I didn't try to skew anything.. I even posted how I did it :) 

I just responded to Kate's comment down below, hopefully you'll get a chance to read it.

I'm really not here to start crap amongst people. Unfortunately, it seems its nearly all what would be considered the vets that have issues with me. Even more unfortunate, the stuff that everyone gets pissed off at me about, is pretty minor and petty... 

I have just as much right to post stuff on this forum as the vets, and I am MORE than happy to amend anything I do post that is incorrect. Just as I have done countless times, and will continue to do so if I have bad information or a mistake.

No shame in my game, man. I'm only here to learn and help others with questions when I can.

This is ridiculously passive-aggressive. Have a problem with someone? Address that person directly, preferably by name.

Example: Jim, I completely disagree with you. A Chevy 350 is a clearly superior motor to a Dodge slant six. Have you ever tried to change the starter out of a Dodge? You need five hands.

Example of what not to do: Well the Haynes manual for Dodge doesn't clearly specify the starter's a ***** to remove. Wikipedia doesn't either, so even though you just replaced the starter in your '72 Dart, the internet says different.

If you post misinformation, such as your every-bariatric-patient-gives-themselves-blood-thinner-injections, you will be challenged.

I'll try one more time: your know-it-all attitude and passive-aggressive posts are chapping asses. I and a bunch of others have tried to be nice, but you are convinced you know more than us and don't want to hear it. Some of your advice is suspect. We don't want some noob following it then having a bad time. 

Hey Kate thanks for the response

I truly struggle to understand why I am being passive aggressive? I try to respond to all comments (whether they are someone upset with me or a question, etc). I also try do so respectfully.

Any time someone has stated that a pouch is wrong, I've posted some research showing that its not wrong, maybe not preferred, but not incorrect. 

I also have been quick to thank people for helping me with correct information if I post something incorrect -- such as your example of the blood thinners. I immediately updated my post. I was posting based on my experience alone, and once informed not everyone gets the pleasure of injections at home for blood thinner, I changed it. I didnt make any snide comment about it. I thanked the person (I forget who, maybe you?) and amended my information. Thats not passive aggressive. Thats not a know it all attitude. 

I am not convinced I know more than the vets. That would be insane of me to think that. Clearly they have more time in this surgery, WAYYYY more time in this than I do. 

If some of my advice (or opinions) are suspect, just let me know! I have no issue taking constructive criticism and updating my posts, at all. I believe I have shown that :)

I'm sorry that I'm chapping asses -- that is not my intention, at all. I promise you and everyone else on this forum.

However, if someone posts something to me, and I have the information showing whats been posted is incorrect, I will also state that. 

I do not go around trolling peoples posts spewing out insane information. Everything I ever post on someone asking a question I preface, or sometimes post, that its based on what my surgeon group or hospital, or even what others on the forum, state. 

Again, just to recap... I PROMISE I am not being passive aggressive or trying to stir the pot. I'm simply posting information I found and that I thought is interesting.

Hope that helps clear the air :)

Yesterday you posted in response to someone that some people are snotty. Since that was a reference to something on another post, it was passive aggressive to chuck  it in there.

I recommend lurking a bit, getting to know people by reading their posts (tone is hard on the internet, but after awhile you'll learn to hear people's 'voices': some are droll, some are deadly serious, etc), and not be so quick to refute what longtimers are saying.

 

I could literally not agree with you any more about tone and what not and how its difficult to interpret someones post as they way they probably intended!