VBG has fallen into disfavor among surgeons because of complications and needs strict patients adherence to dietary measures and increasing use of either adjustable or more effective alternative procedures namely laparoscopic adjustable gastric banding, sleeve gastrectomy and Roux-en-Y gastric bypass. CT is not usually indicated for early postoperative evaluation Complications Initial postoperative imaging is performed with fluoroscopy by using water soluble contrast media to assess for contrast extravasation, staple line competence and to evaluate postoperative fluoroscopic anatomy. Background Sleeve gastrectomy has been considered a primary bariatric surgery however, surgeons concerned with staple line leakage often query whether staples. Gastric Sleeve Steps, Gastric Sleeve Pictures Small incisions are made in the abdominal wall for the insertion of small trocars The stomach is inspected. Lastly, a polypropylene mesh band is wrapped around the stomach and placed through the window to create a small proximal gastric pouch and a small stoma into the remainder of the stomach. ![]() The smaller stomach helps restrict the amount of food you. ![]() It involves creating a small gastric pouch, based on the lesser curvature of the stomach (which is thicker and less resistant to stretching than the greater curvature), by using a staples and band, stapler to vertically partition the stomach by using a circular stapler, the anterior and posterior walls of the stomach are then stapled together and an incision is made through the excluded gastric walls to create a circular window. In a Roux-en-Y bypass, part of the stomach is closed off with staples to create a smaller pouch.
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