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Vertical Gastrectomy (Vertical Sleeve Gastrectomy)

What Is Vertical Gastrectomy Surgery?

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Vertical gastrectomy surgery is a weight loss procedure in which a portion of the stomach is removed.  The operation is also known as greater curvature gastrectomy, vertical sleeve gastrectomy, gastric reduction, parietal gastrectomy, and vertical gastroplasty.   

Vertical gastrectomy surgery is usually recommended for people with morbid obesity.  During gastric reduction surgery up to 90%of the stomach can be removed leaving behind a tube-like, thin stomach about 60-150 cc in volume.  During vertical gastrectomy surgery, the stomach is cut along a vertical axis.  A small plug of stomach is removed and a collar, usually made of propylene, is placed through this hole and then stapled to itself.  This creates a durable stomach.  Such gastric reduction can be performed as open surgery or by using laparoscopic technology.  

Since the normal flow of food is preserved during parietal gastrectomy, metabolic complications are normally rare.  After vertical gastroplasty, patients are put on a liquid diet for 2 weeks.  A solid diet of 600-800 calories per day is common 4-6 weeks after the surgery.  Once patients reach their optimum weight (which can take a year or two), they might be able to consume about 1,000-1,200 calories in a day.