Laparoscopic Sleeve Gastrectomy with Narration - Dr. Dennis Smith

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Uploaded by on Mar 8, 2007

Laparoscopic Sleeve Gastrectomy, with narration by Dr. Dennis Smith. WellStar Comprehensive Bariatric Services, Marietta, GA
http://www.advancedobesitysurgery.com

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Uploader Comments (drdennissmith)

  • hello, Dr,Could you please tell me about the staple lin. Isn't it dangerous? What if the staple gets loose and end up in internal organs and cause internal bleeding? Has anything like that ever happened? Sleeve gastrectomy is much better than lap band,but staples worry me too much.

  • @naira43055 The staple lines can be a problem, but we take many steps to protect them. We use staple line reinforcement nowadays, and then extra clips on top of the staple line, and then glue along the length of the staple line. We also size the staple height to the thickness of the tissue which I think is very important. The staples become overgrown by the stomach tissue and don't migrate - the staple line ends up being one of the strongest parts of the stomach.

  • What is the difference between this and a VSG?

  • @statelinebristol It's the same operation, just by a different name. The "V" in VSG stands for "Vertical". When it first was being done there were several names that were used, including "Lateral" gastrectomy and "Longitudinal" gastrectomy, but "Sleeve Gastrectomy" eventually stuck, and most people don't use the "V" since it's implied. Beware of "VBG", though, which is a completely different (and outdated) operation.

Top Comments

  • how the fuck is this a waste of time? It's educational, and good to watch if you have had the surgery or just want to know more!! if you don't like it, don't watch it!!!!!

  • I did this surgery 1 year ago and have lost 30kg plus It has changed my life

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All Comments (52)

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  • Am interested if the sleeve is reattached to the fat tissue that keeps the stomach stable within the abdomen?? I noticed on a recent video uploaded by California surgeon, Greg Jossart that he speaks to this last aspect in his video and said that he reattaches the new sleeve stomach to its former housing so that u have less movement and less chance of kinking?? just curious. thanks.

  • This procedure is NOW Covered by BCBS of Alabama (as of June 2011) - so Most INsurances are now gettiing on board with covering this valuable Operation. This procedure is No longer considered Investigational.

  • doctor, are those big staples won't cause any pain?

  • I watch this vid every now and again to remind myself how small my stomach is. It will b a year soon and this precedure saved my life.

  • Excellent video - and this video and the Dr's excellent website has led me to develop a warm relationship with his associate Dee - who has been more than helpful and timely in sending me materials to allow me to move forward with getting this operation done - hopefully by the end of July. I look forward to meeting Dr Smith very soon - and leaving something behind in his care - 3/4 of my stomach and hopefully he will leave with me a path to adding years and improved lifestyle to my life ...

  • I had this surgery 8 weeks ago and I found this video really fascinating. The commentary was clear and helpful. Thanks so much for posting this video, it really helps me understand my sleeve better!

  • Hello, i'm unsure to do this, i'm italian, i can't understand how is possible to not become anorexian after this surgery, if a lose 30 kg in 1 year i'll still losing alost the same after 2 years, so my question is, there's risk to become anorexian after this?

    Sorry for bad english.

  • @drdennissmith have you ever had someone die or go into cardiac arrest from this surgery

  • My mom is having this done on the 23rd. I'm so worried something will go wrong.

    

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