Why do I feel no restriction after my VSG?

Question

VSG 5-15-15. From the start of eating solid food I've felt no restriction/fullness. I've read many reviews & everything I've seen mentions fullness or nausea/pain if they ate more than 1/4-1/2c. I started slowly because I was scared to stretch it but I'm already eating 2-3c & still feel nothing. Why's my sleeved stomach able to hold so much comfortably? My Dr. keeps saying "fullness" is a myth but isn't that the point of this procedure? To help feel full w/ only a little so you quit eating?

Mark Pleatman, MD (retired) · Answer

Something isn't right.  All surgeons aren't the same, and all sleeve gastrectomies are not the same either.  It may be that your stomach wasn't made narrow enough.  My patients have difficulty swallowing even water for the first week after surgery.Get an upper GI x-ray or endoscopy to assess the size of your stomach.  You may need to find a different doctor to order these tests for you, as your surgeon won't want to admit that he didn't do a good operation for you.If your stomach is too big, you may benefit from a re-sleeve.

Terry Simpson, MD, FACS (retired) · Answer

The sleeve is not about restriction or "feeling full." It is a tool - you can stretch it out by adding more food like you are doing, and if I were you I would stop doing that. Instead work on better eating, use the sleeve as a marker for that. Sleeves stretch over time- especially as people challenge them with more food.

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