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Sleeve Gastrectomy Operation 

Columbia University Department of Surgery
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In this video, Dr. Marc Bessler, Professor of Surgery at Columbia, discusses an operation called sleeve gastrectomy. This operation is an effective and relatively safe option for patients.
To learn more about weight loss surgery at New York-Presbyterian/Columbia University Medical Center, visit our website at:
obesitymd.org/

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4 дек 2013

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Комментарии : 114   
@arrialahstock2430
@arrialahstock2430 2 года назад
This surgery saved my life. I’ve lost all my weight in 9 months and got some loose skin. I always suggest to people this surgery is not a MIRACLE from heaven cause you need to put yourself through it to get better results. Get ready for it mentally and physically. Eat small portion with small utensils, get your vitamins and proteins and last stay active. You can eat your favorite food with moderation. Best of luck to anyone looking forward having weight loss surgery !
@ElmoKnowsWhereYouLive5150
@ElmoKnowsWhereYouLive5150 2 года назад
Congratulations.
@arrialahstock2430
@arrialahstock2430 2 года назад
@@ElmoKnowsWhereYouLive5150 I appreciate you.
@joanncoopertroupe3506
@joanncoopertroupe3506 2 года назад
This surgery to saved my own life!! i am in North Florida i am nearly 7 years post op.i lost a 166 pounds kept it all off. I am today nearly age 64 i am 5"2 tall. I was 285.3 today i stay between 115-120. i try never to gain oved 120. i am off three blood pressure meds, antidepressants off 2 insulins off a sleep or cpap machine.. I walk for excercise.. i am today a petite 6-8.. i used to be a 3x.. i never want to be that size rever again!! I had my vsg done At Shands Uc May 21,2015 with Dr. Geurgio Rossiddis. Hes today in Ocala Florida,, UF Shands in Gainesville Fla has wonderful Bariatric. Of Excellence.. they truly care about you there, az i am sure most all places do. God Bless You all!!
@arrialahstock2430
@arrialahstock2430 2 года назад
@@joanncoopertroupe3506 Good job! I’m happy for you❤️❤️
@mahrukhbatool101
@mahrukhbatool101 2 года назад
@@arrialahstock2430 I'm 5"2 tall and size 14 can i lose 15kg with gastric sleeve??
@amandaathanas4027
@amandaathanas4027 4 года назад
Not only do different surgeons use different bougie sizes, which only controls the diameter of the sleeve, but one aspect that most bariatric patients know nothing about is how far away from the pyloric valve a surgeon starts resecting the sleeve. In the beginning about 16 years ago when sleeves first started being done as a standalone, one-time surgery, most surgeons started resecting sleeves about 6-7 cm away from the pyloric valve/pylorus. This created a baggie area at the bottom of the sleeve near the antrum, which created a more voluminous sleeve, less restriction, a shorter Honeymoon and more regain. Over time, the surgeons started resecting the sleeve closer and closer to the pyloric valve/pylorus. Now most surgeons start resecting sleeves at 2-3 cm away from the pyloric valve/pylorus. This may create more nausea and more reflux and other difficulties with getting water in in the beginning, but overall they have better success with weight loss and maintaining that weight loss. However about 25% to 30% of surgeons are still stuck in a RUT and are too afraid to cut that close to the pyloric valve, so they still do it the old-fashioned way from 16 years ago and start cutting at a full 6-7 cm away from the pyloric valve. Most patients have no idea about this and don’t EVEN KNOW TO ASK their surgeons how far away from the pylorus they start resecting the sleeve. Also, surgeons almost never OFFER this information in advance of doing a sleeve. No matter how many pre-op classes or seminars or literature is offered to a patient, they just never disclose this information in the beginning or even AFTER surgery - unless the patient specifically ASKS. Even then, the surgeons will CLAIM that it makes no difference in weight loss. After the surgery it’s too late to fix that. Sometimes you can go to a different surgeon and get re-sleeved. The ORIGINAL surgeon will refuse to - bc that would be ADMITTING they made the sleeve BIG... However, if the original surgeon can do a Revision to RNY for some OTHER reason (like reflux), he would probably do that for the PROFIT, plus he doesn’t have to ADMIT the patient’s slow weight loss is because he made a big sleeve in the first place... The problem with these old-school surgeons is that they are not TRANSPARENT about this and so the patients really have no real choice as to what size sleeve they get, because they are not being informed at the outset. If they were H O N E S T, they would tell them in the beginning and then the patient would have an actual REAL choice to go down the road to a different surgeon. The other tragedy after such a large sleeve has been done on a patient is they will notice that they are not losing as fast as other people, don’t have as much restriction, are hungrier, and aren’t losing as fast as others who had a sleeve by a different surgeon, and their honeymoon is over sooner [LIKE 4-6 MONTHS] and sometimes they start experiencing RE-GAIN in several months before they’ve even reached their GOAL. The OTHER tragedy on top of that is that such a surgeon and his Team including his nutritionist and dietitian will TRY TO BLAME THE CLUELESS PATIENT for this (the surgeon AND HIS TEAM knowing full well that he makes big sleeves)! The way to find out what size sleeve you were given in terms of distance from the pyloric valve is to order your Operative Report from the Hospital records department (YOU DO NOT NEED YOUR SURGEON’S PERMISSION). Find the sentence that reads something like this: “The sleeve began being resected at _________ centimeters distal from the pylorus or pyloric valve” Whatever that number is: 2, 3, 4, 5, 6, or 7, THAT will tell you how big your sleeve is in terms of volume. Again this has nothing to do with bougie size....which can ALSO have some impact, BUT NOT AS MUCH AS THE DISTANCE FROM THE PYLORIC VALVE THAT THE SLEEVE BEGAN BEING RESECTED.
@Kittybarcode
@Kittybarcode 4 года назад
Amanda Athanas thanks for the information
@FearlessVindications7227
@FearlessVindications7227 3 года назад
Thanks for pointing that out
@patc1839
@patc1839 3 года назад
😮 wow! Ordering my Operative Report now.
@amichelle6898
@amichelle6898 3 года назад
🙏
@ronaldking7180
@ronaldking7180 2 года назад
THANKS for the informative comment. Peace and prosperity
@kingsofuselessinformation6905
@kingsofuselessinformation6905 4 года назад
Dr bessler!! He just did my sleeve surgery. So far, so good👏🏼👏🏼👏🏼👏🏼👏🏼👏🏼
@lel3450
@lel3450 4 года назад
Kings of useless information hey what’s it like? Do you heal quickly? Does this mean no more buffets?
@daunzy4518
@daunzy4518 4 года назад
@@lel3450 takes long to heal 2 to 3 weeks in hospital you grt gull after a bannana
@dobbsxbox9389
@dobbsxbox9389 4 года назад
@@daunzy4518 stop lying. It is not 2-3 weeks in the hospital...
@daunzy4518
@daunzy4518 4 года назад
@@dobbsxbox9389 i didnt mean in the hospital imean to feel like normal i felt good after two weeks
@beavis1513
@beavis1513 4 года назад
Daniel Has your appetite changed?
@ameerawwad9171
@ameerawwad9171 2 года назад
great easy explanation from Top Doctor ❤️
@gabbinator2
@gabbinator2 3 года назад
I had this operation a few years back but i got a horrible infection in my brain (wernicke enzephalopathie) i am normal weight now... i used to weigh about 500pounds (250kg) now i weigh about 190pounds (95kg) what i wanted to say to the people that watch this video is getting this operation is risky the doctors thought i was going to die... AND another thing it does not stay small now i can eat normal portions... (sorry if my english is bad i live in germany)
@yaasy77smart1
@yaasy77smart1 3 года назад
So You can eat normal u don’t feel full at times when eating portion sizes I heard from other people who had it after two years they feel like they can eat normal and even though u suppose to eat slow some say they eat normal and drink after ten minutes is that true?
@puddlespickles8810
@puddlespickles8810 2 года назад
I'm interested in getting the gastric sleeve, struggled most of my life, hard to get on the NHS, not got the money for private in UK, so considering saving for the procedure in Prague, this will take a few years to save, but is my goal
@joycearnette9308
@joycearnette9308 3 года назад
How long should u wait before you have a different kind of surgery ? Like for back surgery ?
@davidlewis3042
@davidlewis3042 2 года назад
I have a question after you lose all the weigh do your feet change sizes.. cause I have spent a ton of money on shoes and most of them I have not worn yet
@ILIK3HATERZ
@ILIK3HATERZ 4 года назад
They shrink it down to the size of a lemon now, due to the tube version screwing with digestion! UNMC surgeon says the lemon size version of a gastric bypass is much better than a sleeve due to the very small amount of work needed to be done. It’s pretty much like cut stomach in half then stitch the top back to the bottom of the stomach.
@kimberly6200
@kimberly6200 3 года назад
You mean gastric sleeve better*
@joycearnette9308
@joycearnette9308 3 года назад
How long does it take to start loosing weight ?
@varmaTrini
@varmaTrini 4 года назад
Much will also depend on the Surgery and the kind of sleeve that was created for U during surgery,Meaning that U can fail the surgery & also the surgery can fail on you(more common).I was 104Kg and got a Gastric sleeve done and reduced to 71kg and holding at that weight since the surgery around 2.5 years ago.
@Ash-rt9qx
@Ash-rt9qx Год назад
Hey how's it going so far? Any complications that you may have experienced? I'm 102 kg.
@varmaTrini
@varmaTrini Год назад
@Oscar Rondon Hi, I am 5 years after a Gastric sleeve as of July 2022. I was a 104 Kg and now i am 78kg. My lowest weight was 69kg and my lowest stable weight was 72kg for a long time in the past 5 years. I am now able to tolerate food better. During these 5 years i also have NOT followed any specific diet or exercise regimen. I now feel that i must employ for my health some kind of system to keep myself stable at this weight.Once I can get to eat healthy, i feel i should be fine.
@varmaTrini
@varmaTrini Год назад
@@Ash-rt9qx Hi, I am 5 years after a Gastric sleeve as of July 2022. I was a 104 Kg and now i am 78kg. My lowest weight was 69kg and my lowest stable weight was 72kg for a long time in the past 5 years. I am now able to tolerate food better. During these 5 years i also have NOT followed any specific diet or exercise regimen< which is bad. I now feel that i must employ for my health some kind of system to keep myself stable at this weight.Once I can get to eat healthy, i feel i should be fine.
@varmaTrini
@varmaTrini Год назад
@@Ash-rt9qx The Gastric sleeve is one of the best decisions i have taken in my life.Its not an easy one and surely has its own set of suffering that have to gone through.Pre Surgery i had, acanthosis niagrans, higher hba1c and on metformin for being pre-diabetic, knee pains, less energy due to over weight issues, on statins to reduce cholesterol < major issues. After surgery with reduced weight all the issues are resolved excepting my gastric acidity which has remained the same/mildly worse than before.If you have the resources to get a Gastric sleeve done, the courage to do it & your BMI > 32 & you struggle with issues concerning overweight & diet-exercise have failed to solve your problem>>>I would advice you to go for the Gastric sleeve.🙂
@Ash-rt9qx
@Ash-rt9qx Год назад
@@varmaTrini did you perhaps have pcos?
@gingerlord4983
@gingerlord4983 Год назад
What about churning the food is what the stomach does? It's its' job.I don't understand how this is healthy.I am on the fence about wls.
@TaiGot2MuchTV
@TaiGot2MuchTV 2 года назад
I was told you still had to exercise with the gastric bypass....
@SteffiNovaASMR_Replays
@SteffiNovaASMR_Replays 3 года назад
Is there a medication that reduces the effects of the hunger hormones? I’m too scared to have surgery
@ToddJumper
@ToddJumper 3 года назад
I had lost about 70 pounds in 8 months unfortunately I gained it all back during Covid due to depression and back issues, but when I was losing weight my doctor had me on time release Wellbutrin for couple months which combats addiction / hunger and increases dopamine. It seemed to really help but eventually I had trouble sleeping using it.
@prettyallday98
@prettyallday98 3 года назад
Starving , water n eating maybe 2 times a day and working out 7 days a week for 4 hrs a day... (in trying to lose weight too)
@ameerawwad9171
@ameerawwad9171 2 года назад
i like to have serious question here and i hope one special doctor answer me , is surgery can be easy or hard depending on how good the surgeon are ? i mean if the surgeon is very confident and experience this make surgery easy and more successful?
@seanedwards6169
@seanedwards6169 Год назад
Tirzepatide
@hookedonhustle5103
@hookedonhustle5103 3 года назад
What if I don’t eat much as it is?! Lol I’m almost 500 pounds but only eat once a day... granted not always the best things, but not a lot. Would this even help?
@trash5637
@trash5637 3 года назад
Eating once a day actually may be hindering you in your efforts to lose weight. If your body is only being fed once, your metabolism will slow drastically in efforts to conserve energy until you eat again. So basically your body is storing every calorie you eat. That’s why dietitians will tell you to eat multiple, small, healthy meals throughout the day, with snacks like nuts or fruit in between. This causes your metabolism to increase the rate and duration of time in which it’s burning off calories, carbs & fat. As far as if the surgery would help, I have no clue. 🤪😂
@Jlis2025
@Jlis2025 3 года назад
I heard HORROR story of people who had it, as for me i cancel my surgery, I rather work out and eat right than have complication for the rest of my life
@iraidavassell9393
@iraidavassell9393 2 года назад
I have a question do you go home the same day of gastric bypass surgery?
@juliel8720
@juliel8720 Год назад
no
@judykoller147
@judykoller147 4 года назад
Do the staples stay in the stomach forever ?
@trash5637
@trash5637 3 года назад
Just looked it up because I was curious: Your staples are made of titanium and they are radiolucent. This means that they are not magnetic and will not set off x-ray machines when you go through the airport. Basically, the staples will stay in you forever and not cause any issues. 😊
@youngolf1
@youngolf1 3 года назад
Staples come loose, acid leakage and you have a major problem.
@sua6887
@sua6887 2 года назад
@@youngolf1 you do know that the body normally heals itself? Means after a while, the stomach will come together and close on itself meaning the staples will be only there
@jennif9999
@jennif9999 4 года назад
I m doing in Tijuana on July 8th as American Doctors are crazy what they charge
@dianaseveriano6960
@dianaseveriano6960 4 года назад
How much they charge and where i want to go to
@jennif9999
@jennif9999 4 года назад
@@dianaseveriano6960 I pay $4300. Contact the Coodinator Trish, tell her Jennifer Eady sent you. 6192074114 info@wls4betterlife.com My Dr. is Jaime Ponce de Leon Palomares, Tijuana I m traveling from West Palm Beach Florida on Tuesday to San Diego and they arrange a car service to pick you up and take care of all after care. I have done surgeries in Cancun before and it is safe.
@beavis1513
@beavis1513 4 года назад
Careful they don’t put a burrito in you.
@RashaadFontenot
@RashaadFontenot 4 года назад
Trump Supporters at Mar-A-Lago how was it?
@jennif9999
@jennif9999 4 года назад
@@RashaadFontenot It was fantastic. I m down 34 lb now. 50 lb more to go. So easy. I can only recommend. If you need the Coodinators info, let me know. I paid $4300
@aamirmahmood1837
@aamirmahmood1837 4 года назад
Staple means what. Stitching with threads or iron pins or what?
@maggiem8426
@maggiem8426 4 года назад
Using the stapler
@Chicago317girly
@Chicago317girly 3 года назад
Like a zipper
@HadiAli-tn8yy
@HadiAli-tn8yy 2 года назад
@@rajanm5571 titanium stapples???
@seanedwards6169
@seanedwards6169 2 года назад
They use a red Swingline.
@Devo1987
@Devo1987 3 года назад
so does the stomach heal heal with stichies and not have to have any plalstic holding the two cut pices months downs the road ?
@immie1709
@immie1709 2 года назад
I imagine it might be stiches that dissolve over time perhaps? once the stomach has fused back together.
@phineaspepper3530
@phineaspepper3530 Год назад
I read in a article that the staples don't dissolve and are there forever. I am researching because I am planning to get the sleeve.
@marcialbaralt596
@marcialbaralt596 Год назад
There are people that claim that one of the downside of this surgery is that because you technically have no stomach, if you ever have an ulcer or any kind of stomach cancer, you'll surely die because now you have NO stomach. Can anyone speak to this????? thanks.
@SpencerRaySanders
@SpencerRaySanders 3 года назад
My old cardiologist kept insisting that I do this. However, I feel in my gut that surgery is not for me. I often binge-eat junk food to cope with stress, anxiety, and depression. No surgery in the world can fix that.
@insanity5231
@insanity5231 3 года назад
It can definitely defer it though, and act as a deterrent from doing so
@Jlis2025
@Jlis2025 3 года назад
You did right of refusing it, This surgery will bring you lots of complication. Work out is better and eat right
@jacquelinekitchin6349
@jacquelinekitchin6349 3 года назад
Get some counseling and medicine for depression and anxiety.
@rrsharizam
@rrsharizam 2 года назад
Best decision ever
@asanta2023
@asanta2023 Год назад
@@rrsharizam why?
@ismaeljussub8231
@ismaeljussub8231 4 года назад
GOOD VÍDEO Í HAVE MY SON WITH 196 KG IS NECESSSRY THIS OPERATION BUT WATH ABOUT PRICE COST .Í AM FROM .MOZAMBIQUE
@ameerawwad9171
@ameerawwad9171 2 года назад
cost around 3000 euro included flights and hotel in turkey
@Stevawn33
@Stevawn33 3 года назад
My aunt had this done I was wondering how it was done because in months she lost like 100 lbs crazy. I just finished losing 35lbs but dieting and exercising. I love food too much to ever want this done even If I needed it. I’d rather die eating tacos.
@shopper4016
@shopper4016 3 года назад
why so much being removed? I could see removing about 20% but 80% is to much.
@yaasy77smart1
@yaasy77smart1 3 года назад
To crave hunger I know it’s a lot but that’s the reason for surgery but overstime stomach stretches
@mariannebell6454
@mariannebell6454 6 лет назад
Please help me understand my sleeve surgery! First my doctor told me he only takes 50% out!!? After many months of reaching this I asked him I have not read anywhere any successful sleeve surgery with just 50%!!!? The morning of my surgery I brought my concern to the nurse's which they relayed it to him. I just got my pathlogy report! Here what it said.... "Stapled margin of resection measuring 22.5 × 3.0 cm" Can someone explains this to me? Please! I'm 12 post op and my stomach is always growling.
@bendover-bz4bc
@bendover-bz4bc 5 лет назад
It's been a year since your last comment on this video. How you doing now ?have you gained your weight back ? I hope everything went well.
@adinaciocea1450
@adinaciocea1450 3 года назад
Marianne have you gained weight back?
@Ash-rt9qx
@Ash-rt9qx Год назад
Hey how's it going so far? Any complications that you may have experienced?
@daviddamron1370
@daviddamron1370 4 года назад
Does this surgery cure diabettes?
@Lolo-vx3kp
@Lolo-vx3kp 4 года назад
David Damron yes
@rubycurwick1720
@rubycurwick1720 4 года назад
It can put your symptoms into remission
@SuperiorRobyn
@SuperiorRobyn 3 года назад
Just eat a proper diet bro. Get some self control and start cutting back on sugar and processed crap. This surgery is just going to fuck up your digestive system. No need to mutilate your body. Believe in yourself and fucking try. Your diet doesn't have to be perfect right away. If you can quit the bad food cold turkey, good for you. If you can't do cold turkey, then ween yourself. Eat a higher ratio of lean meat in your meals as opposed to carbs and sugar, it is the most nutritious food and will keep you satiated unlike carbs and sugars. And start exercising. You don't have to go full on blood sweat and tears. You can just start walking regularly. Then after you've been regularly walking for a few months maybe then maybe try some more intense exercise and it will be easier cause you took baby steps and built up endurance by walking. Or if all you can do is walk but you do it regularly, that's great! And honestly you would be doing better than A LOT of people.
@sathishkumar-op6uu
@sathishkumar-op6uu 5 лет назад
This surgery is safe ah
@patelrekha3767
@patelrekha3767 4 года назад
Wet loss vay pement
@mrbalsemgosok
@mrbalsemgosok 3 года назад
can it be reversed?
@kyuuliexo
@kyuuliexo 3 года назад
never.
@lauraswihart4816
@lauraswihart4816 2 года назад
No thanks! 😳
@youngolf1
@youngolf1 3 года назад
Absolutely insane on a healthy organ! Try some discipline and self-control.
@fionamochar-collins5493
@fionamochar-collins5493 2 года назад
Is discipline and self control what you used to lose and keep off a significant amount of weight?
@rrsharizam
@rrsharizam 2 года назад
@@fionamochar-collins5493 Yes
@youngolf1
@youngolf1 2 года назад
@@fionamochar-collins5493 i have been 20lbs over at times. i change what i eat (no cookies, no pizza, no soda!! no fried grease))....and regular exercise. lifestyle changes, NOT surgery, not diets. life is short, you have 1 body.......get it done
@xxxthoughtlessxxx
@xxxthoughtlessxxx Год назад
How about shut the fuck up with your ignorance? They literally MAKE you lose weight naturally first before any procedure like this. 🖕🏼
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