Panel Issues statement on Sleeve Gastrectomy to Guide Surgeons

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I have to agree. The sleeve is a tool. At the end of the day it all comes down to the food choices we each make.

I know a woman with a "tight 32f" who has gone back to eating crap and grazes constantly. Guess who's up about 25 pounds?

 
Between surgical differences and behavioral differences.......the out comes can be varied.....

A proper Sleeve with behavioral/aftercare coaching/education would be the best case scenario.

Weak surgery, Weak education= Lower percentage of success.....

People often get confused about what this is all about......

WL means absolutely NOTHING if you can't keep it off....what's the point?????

A proper 32f built sleeve starts out at about 2oz. capacity and matures to about twice the capacity to about 4oz. capacity. 

A sleeve that is 10 numbers higher (42) "can" have an eventual capacity 4X larger because more stretchy tissue is retained..... It is not un-common to hear of capacity in the 12-16oz. range with an above 40f sleeve. Now keep in mind....this is self inflicted.....the only way to stretch your sleeve is constant over eating. Many 36-40f sleevers have posted capacities in the 8-12oz. range.

Don't get fooled by the "Pen Photo"' that goes around or people that say "I'm 3 months out with a 42f and have lost 35lbs. It is working just fine"

**Note....A few here with larger sleeves have done quite well....reached goal and maintained. Some even claim restriction similar to smaller sleeves.

Since the VSG is not standardized.....picking your surgeon based on results is sooo important. Since there are so many variables both in surgery in behavior...... get the surgery right from the start. If your surgery is not optimum......you must rely on behavior/education ........

frisco