@CanadaIndieFilm More insurance companies are covering this as we get more data documenting its effectiveness. In Michigan most insurance companies cover it, except for Medicare and Medicaid.
I just had this done on March 10th and this video really helped me understand what was done. Very interested in knowing what size bougie my surgeon used.
Excellent demonstration, thank you Dr. Pleatman. We have a community for sleevers at our website gastricsleeve*com hope to see you there, please join our forum.
First thing that got my attention was the "healthy liver". I was under the assumption that those of us having this done would have a fatty liver, yet that one looked good.
@statelinebristol The vast majority of the patients to have a fatty liver. We like to put our patients on a liquid only diet in an attempt to shrink the liver. Nonetheless, if I were to choose a video to put online, it would have a relatively healthy liver so the steps can be easily and clearly seen.
I just had this done on 11/16/09 and have lost 18 lbs so far. There is some soreness, but otherwise I am fine. I watched this before my procedure and it was very informative.
thank you so much, i am having this surgery in may and no matter how many articles i read, i still needed to know visually how it will go. I have a better understanding now thank you!
Thanks for your comments. Most patients stay for 2 days, though some do go home after one. Pain is rarely the cause of delayed discharge; usually it is prolonged nausea. I don't know why you had so much pain.
Very nice procedure. The only comment is the use of electrocautery right upon the staple line at the end of the procedure. Some people believe that this is not a safe technique because the current can travel along the metal staples causing tissue necrosis in this area with a following leak. I think that it would be better to cover this place by a running seromuscular suture with EndoStitch.
I understand your concern. I use bipolar cautery to reduce this risk. The current goes between the jaws of the instrument instead of through the patient's body to the grounding pad. I size the VSG with a 32 Fr. bougie, which makes the sleeve very narrow. Oversewing it might make it too narrow. Endostitch is a clever but expensive unnecessary gadget that would jack up the price of the surgery.
I had mine 2 months ago! Is a hard process, but 42 pounds lighter and NO more DM medicine! It's awesome! Thank God for this.
TheLasalle17 7 months ago
I wonder if insurance will cover the cost of a procedure like this one.
CanadaIndieFilm 10 months ago
@CanadaIndieFilm More insurance companies are covering this as we get more data documenting its effectiveness. In Michigan most insurance companies cover it, except for Medicare and Medicaid.
drpleatman 7 months ago
I just had this done on March 10th and this video really helped me understand what was done. Very interested in knowing what size bougie my surgeon used.
DiRiK29 11 months ago
good job
lidaifu36 1 year ago
I couldn't watch this until I had it done to me. I'm almost a week post op and just sat through the whole thing. Interesting...
chachaleeroy 1 year ago
Excellent demonstration, thank you Dr. Pleatman. We have a community for sleevers at our website gastricsleeve*com hope to see you there, please join our forum.
GastricSleeveDotCom 1 year ago
First thing that got my attention was the "healthy liver". I was under the assumption that those of us having this done would have a fatty liver, yet that one looked good.
statelinebristol 1 year ago
@statelinebristol The vast majority of the patients to have a fatty liver. We like to put our patients on a liquid only diet in an attempt to shrink the liver. Nonetheless, if I were to choose a video to put online, it would have a relatively healthy liver so the steps can be easily and clearly seen.
KnightMD 1 year ago
absolutely amazing... I can't wait!!!
cnacarlene 2 years ago
Thank you for not only posting the video, but taking the time to effectively commentate.
rthavi 2 years ago
I just had this done on 11/16/09 and have lost 18 lbs so far. There is some soreness, but otherwise I am fine. I watched this before my procedure and it was very informative.
1truebloodlove 2 years ago
thank you so much, i am having this surgery in may and no matter how many articles i read, i still needed to know visually how it will go. I have a better understanding now thank you!
phoenix320 2 years ago
Thanks for your comments. Most patients stay for 2 days, though some do go home after one. Pain is rarely the cause of delayed discharge; usually it is prolonged nausea. I don't know why you had so much pain.
drpleatman 3 years ago
I just had this operation myself and don't know who goes home within 24 hours! I was in hospital for a week and on pain relief for 6 days of that.
It is a fantastic aid for obese people though and well worth the small amount of pain for the wonderful gains.
fatgirlslim2008 3 years ago
how much does the procedure cost?
TEISHASALON 3 years ago
Total cost is about $11,000.
drpleatman 3 years ago
Very nice procedure. The only comment is the use of electrocautery right upon the staple line at the end of the procedure. Some people believe that this is not a safe technique because the current can travel along the metal staples causing tissue necrosis in this area with a following leak. I think that it would be better to cover this place by a running seromuscular suture with EndoStitch.
medicalbroadcast 3 years ago
I understand your concern. I use bipolar cautery to reduce this risk. The current goes between the jaws of the instrument instead of through the patient's body to the grounding pad. I size the VSG with a 32 Fr. bougie, which makes the sleeve very narrow. Oversewing it might make it too narrow. Endostitch is a clever but expensive unnecessary gadget that would jack up the price of the surgery.
drpleatman 3 years ago
good job
ahmed200055 3 years ago 5