Laparoscopic Associates of San Francisco

Vertical Sleeve Gastrectomy Update

March 27th, 2009 Posted in Diabetes, Duodenal switch, LapBand, Roux-en-Y gastric bypass, San Francisco weight loss center, Vertical gastrectomy, Vertical sleeve gastrectomy, weight loss surgery

Last week was the Second Annual International Consensus Summit for Vertical Sleeve Gastrectomy (Vertical Gastrectomy) in Miami, Florida.  Over 400 surgeons from around the world attended.  There were three days of presentations and discussions.  Summarized below are some interesting points from the meeting.


o      More than 10,000 procedures have been done worldwide.

o      The Vertical Gastrectomy does cure most cases of diabetes.

o      Most surgeons report starting to make the stomach pouch smaller and smaller as they have gained experience.  This was due to the fact that they were seeing weight regain within 2 years after surgery.

o      The most experienced location with over 1200 patients was in our San Francisco weight loss center (by us) and we have always been making the pouch small enough!

o      There was general agreement that the higher BMI patients (BMI>60) will probably need either a Duodenal Switch or a second weight loss operation later.

o      Complications rates were higher and weight loss was less adequate in locations where the experience was less than 300 patients.  The programs with the best results were also performing the Duodenal Switch.


For the last 10 years, we have been performing the Vertical Sleeve Gastrectomy and the Duodenal Switch as alternatives to the LapBand and the Roux-en-Y gastric bypass on patients from all over the United States and Canada.  We take pride knowing that our surgical weight loss patients get to choose their procedure based on accurate information from us.  Our patients know that these operations are safe in our hands and that they will get the operation that will provide them with the best quality of life and resolution of their medical problems! 


Dr. Cirangle

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