27 August 2008

Surgery for high BMI patients.
  1. For patients with a particularly high body mass index (typically 50+) many forms of weight loss surgery are either difficult to perform or present increased risk.
  2. Vertical sleeve gastrectomy (or increasingly a laparoscopic sleeve gastrectomy) is sometimes performed as the first of a two-part weight loss solution to provide an initial drop in weight which then makes other bariatric follow up possible at a reduced level of risk.
Surgery for low BMI patients.
  1. For obese patients with a relatively low body mass index the vertical sleeve gastrectomy can also prove a good choice, especially where existing conditions (such as anemia or Crohn's disease) prevent them from having other forms of bariatric surgery.
  2. In addition, patients may choose this form of surgery if they are concerned about the long-term affects of bypass surgery or object to having a 'foreign' body implanted into their body, as is the case with lap band surgery.

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