Is there a procedure to measure my stomach after vertical sleeve gastrectomy? 9 months post op and weight loss has stopped.

Question

I had VSG in December of 2021. Since surgery I've only lost 20lbs. This is in addition to the 11lbs lost while on the pre-op diet. I've been at a stall for over 6months. I currently weigh 190 (BMI 32). I strictly followed my post op diet andd am very confused on why my weighloss has halted. I obtained my operating report for details, but no measurements were included. I'm afraid that not enough of my stomach was removed. Is there any way i can have my stomach measured post op?

Reza Keshavarzi, MD, FACS, FASMBS · Answer

You can have an endoscopy to see what the state of your sleeve is or you can try a pouch reset test. I'd recommend a bariatric surgeon to do your endoscopy because they will know what the sleeve is suppose to look like. I'd also recommend a nutritionist and bariatric psychologist to make sure you aren't failing the sleeve unknowingly. But this is not a good weight loss after a sleeve. If you schedule a consultation with us, Dr. K does all endoscopies himself to see what's going on and can give you better insight.

Jorge Maytorena, MD · Answer

There is a way to measure the volume, but you have to do a tomography with three-dimensional reconstruction, and thus know how much of your stomach was removed.

Ali Solmaz, MD · Answer

Stalls can happen for many reasons after VSG (Vertical Sleeve Gastrectomy), and it’s good that you’re being proactive in seeking answers.
It is possible to measure the size of your stomach after surgery. Tests such as an endoscopy or an upper GI series (a type of X-ray with contrast) can help visualize the shape and size of your stomach. These tests can show if your sleeve is larger than expected or if part of your stomach wasn’t removed as much as intended.
In some cases, a slow or halted weight loss can be related to metabolic factors, hormone levels, or how your body processes food. Even if you’re following your diet, adjustments might be necessary to break the stall. A dietitian who specializes in bariatric surgery could review your current eating habits and recommend changes that may help.
If the tests reveal that your stomach is larger or has stretched, your surgeon may discuss options like a revision or re-sleeve. In some cases, switching to a different procedure, such as bypass surgery, might be considered.

Cemal Kara, MD · Answer

Hello there. We can have endoscopy done and then we can understand from the result if you had surgery properly or not.

Edgar Serrano, MD · Answer

These procedures include:
Endoscopic ultrasound (EUS): This procedure uses sound waves to create images of the inside of your stomach. The doctor can use these images to measure the length and width of your stomach and estimate its volume.Computerized tomography (CT) scan: This procedure uses X-rays to create detailed images of your stomach. The doctor can use these images to measure the length and width of your stomach and estimate its volume.Magnetic resonance imaging (MRI): This procedure uses magnetic fields and radio waves to create detailed images of your stomach. The doctor can use these images to measure the length and width of your stomach and estimate its volume.The choice of procedure will depend on your individual circumstances. Your doctor will be able to recommend the best procedure for you.
In addition to these procedures, there is also a non-invasive method called radiographic measurement of gastric remnant volume after laparoscopic sleeve gastrectomy. This method uses X-rays to measure the distance from the pylorus to the anastomosis, which is the point where the stomach is stapled together after VSG. This distance can then be used to estimate the volume of the stomach.
The radiographic measurement method is less accurate than the other procedures listed above, but it is non-invasive and does not require the use of sedation or anesthesia.
If you are interested in having your stomach measured after VSG, talk to your doctor. They will be able to discuss the different procedures with you and recommend the best option for you.

Is there a procedure to measure my stomach after vertical sleeve gastrectomy? 9 months post op and weight loss has stopped.

Answers (8)

Answer: Solution

Answer: Solution

Answer: Yes, there are a few procedures that can be used to measure the volume of your stomach after vertical sleeve gastrectomy (VSG)

Answer: Yes, there are a few procedures that can be used to measure the volume of your stomach after vertical sleeve gastrectomy (VSG)

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Is there a procedure to measure my stomach after vertical sleeve gastrectomy? 9 months post op and weight loss has stopped.

Answers (8)

Answer: Solution

Answer: Solution

Answer: Yes, there are a few procedures that can be used to measure the volume of your stomach after vertical sleeve gastrectomy (VSG)

Answer: Yes, there are a few procedures that can be used to measure the volume of your stomach after vertical sleeve gastrectomy (VSG)

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Recommended reading

Everything you need to know about Gastric Sleeve Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.