Re: Sleeve Gastrectomy

[Guest guest]

–

Our surgeons have started performing

sleeve gastrectomies – The way the surgeon has explained it to me is that

there are more similar to a gastric banding patient b/c they don’t have

the malabsorption that the RYGB patients do, but their pouch can hold 6-8

ounces (the size of a banana is what I have been told)

With our patients, this procedure is done

as a staging procedure to help our super obese patients lose weight before having

the RYGB – so we explain to them the difference in their procedure but

encourage them to follow the RYGB guidelines b/c in 6 months to a year –

that is what they have to anyway.

I have attached the brief handout I

provide them with explaining their procedure.

Hope this helps. I am by no means an

expert on this procedure as our program just starting performing them this

fall.

From:

[mailto: ]

On Behalf Of Laschkwitsch,

:LPH Obes Inst

Sent: Thursday, December 29, 2005

4:16 PM

Subject:

sleeve gastrectomy

Hello group:

looking for anyone with sleeve gastrectomy

experience. We do not currently perform sleeve gastrectomies

although it sounds like one of our surgeons may for a patient who has done a

lot of research and specifically requested it. Any general

differences between it and bypass would be appreciated. I would

imagine there is no dumping syndrome?! Also does having the pyloric

valve restrict volumes more so? Any references would also be

appreciated. Thank you.

Laschkewitsch RD LD

Dietitian, Legacy Obesity Institute

(503) 413-8135

Re:

Vits/Mins to reduce scarring and bruising

post-op

Topical - Mederma (Can find it OTC at Walmart, Drug stores)

joiekanga

<joiekanga@...> wrote:

Hello,

I had a client the other day that had asked if I

knew of any

supplements (vit/mins) that will reduce the risk

of scarring and

bruising after GB sx? I have not read anything in

the group yet, but

was wondering is any recommends pre-op nutrients

to their clients??

Thanks for your time.

Sjostrom, RD

Nutrition by

Las Vegas, NV

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[Guest guest]

:

Have you met with many patients post-op? One question I had was related to the pyloric valve in place....with our bypass patients their stomach is much like a funnel where liquid like foods can pass through pretty quickly and they can have more than 4 oz in a short period of time. Is that the case with sleeve gastrectomy? Do you suggest supplements similar to lap-band i.e. MVI or bypass i.e. iron, B12 etc.

Thanks for the handout!

-----Original Message-----From: [mailto: ]On Behalf Of Townsend, R.Sent: Thursday, December 29, 2005 2:31 PM Subject: RE: sleeve gastrectomy

-

Our surgeons have started performing sleeve gastrectomies - The way the surgeon has explained it to me is that there are more similar to a gastric banding patient b/c they don't have the malabsorption that the RYGB patients do, but their pouch can hold 6-8 ounces (the size of a banana is what I have been told)

With our patients, this procedure is done as a staging procedure to help our super obese patients lose weight before having the RYGB - so we explain to them the difference in their procedure but encourage them to follow the RYGB guidelines b/c in 6 months to a year - that is what they have to anyway.

I have attached the brief handout I provide them with explaining their procedure.

Hope this helps. I am by no means an expert on this procedure as our program just starting performing them this fall.

From: [mailto: ] On Behalf Of Laschkwitsch, :LPH Obes InstSent: Thursday, December 29, 2005 4:16 PM Subject: sleeve gastrectomy

Hello group:

looking for anyone with sleeve gastrectomy experience. We do not currently perform sleeve gastrectomies although it sounds like one of our surgeons may for a patient who has done a lot of research and specifically requested it. Any general differences between it and bypass would be appreciated. I would imagine there is no dumping syndrome?! Also does having the pyloric valve restrict volumes more so? Any references would also be appreciated. Thank you.

Laschkewitsch RD LDDietitian, Legacy Obesity Institute(503) 413-8135

-----Original Message-----From: [mailto: ]On Behalf Of stacey senacSent: Thursday, December 15, 2005 12:32 PM Subject: Re: Vits/Mins to reduce scarring and bruising post-op

Topical - Mederma (Can find it OTC at Walmart, Drug stores)joiekanga <joiekanga@...> wrote:

Hello, I had a client the other day that had asked if I knew of any supplements (vit/mins) that will reduce the risk of scarring and bruising after GB sx? I have not read anything in the group yet, but was wondering is any recommends pre-op nutrients to their clients??Thanks for your time. Sjostrom, RDNutrition by Las Vegas, NV

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IMPORTANT NOTICE: This communication, including any attachment, contains information that may be confidential or privileged, and is intended solely for the entity or individual to whom it is addressed. If you are not the intended recipient, you should contact the sender and delete the message. Any unauthorized disclosure, copying, or distribution of this message is strictly prohibited. Nothing in this email, including any attachment, is intended to be a legally binding signature.

IMPORTANT NOTICE: This communication, including any attachment, contains information that may be confidential or privileged, and is intended solely for the entity or individual to whom it is addressed. If you are not the intended recipient, you should contact the sender and delete the message. Any unauthorized disclosure, copying, or distribution of this message is strictly prohibited. Nothing in this email, including any attachment, is intended to be a legally binding signature.

[Guest guest]

Hi, If it is a sleeve gastrectomy only and not with a band we use the following post op diet regimen. Day 1 - Clear Liq Day 2-3 - Full Liq Day 4-6 - Puree Day 7-14 - Soft Day 14-21 - Reg food trial Our surgeon wrote this diet Wayco, MHA, RD, LD ALAGSA Vienna, VAHumnut413@... wrote: Hello List serve members, I had my first Sleeve Gastrectomy patient today and am wondering what the post op diet protocol should be. We use liquids for 1 week, pureed foods and liquids for the next week and soft foods for 1 to 2 months for RYGB and lap patients. Is anyone starting these patients on pureed foods sooner? My patient does not like the CIB no sugar added that we have on our diet. I also have Boost Diabetic on my formulary, but she wants to proceed on to pureed foods as soon as she goes home on POD#3. Any assistance with this type of diet would be appreciated. Thank you. a Serafino-Cross, MS, RD, LDN Bariatric Dietitian, Springfield, MA

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[Guest guest]

Thanks to for the input on the Sleeve Gastrectomy diet. This is a little different than our progression for RYGB and what the patient had researched also.

a Serafino-Cross, RD

[Guest guest]

Thanks to Nazy for the input. This seems to be the general protocol for this procedure.

a Serafino-Cross, RD

[Guest guest]

Thank you - great information.

RE: Sleeve Gastrectomy

Hi,

We see a lot of sleeves and our protocol is:

day 1 clear fluids

day 2 full or free fluids

day 3 puree diet - very small serves and protein sources in between meals

3 weeks on puree diet

and then 3 weeks on soft then move on to full as tolerated

I also recommend a liquid multivitamin in the fluid and puree phase.

Hope this helps

Nazy

-----Original Message-----From: [mailto: ]On Behalf Of Humnut413aolSent: Wednesday, 16 August 2006 12:18 Subject: Sleeve Gastrectomy

Hello List serve members,

I had my first Sleeve Gastrectomy patient today and am wondering what the post op diet protocol should be. We use liquids for 1 week, pureed foods and liquids for the next week and soft foods for 1 to 2 months for RYGB and lap patients. Is anyone starting these patients on pureed foods sooner? My patient does not like the CIB no sugar added that we have on our diet. I also have Boost Diabetic on my formulary, but she wants to proceed on to pureed foods as soon as she goes home on POD#3. Any assistance with this type of diet would be appreciated. Thank you.

a Serafino-Cross, MS, RD, LDN

Bariatric Dietitian, Springfield, MA

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[Guest guest]

I have experience with the Sleeve

procedure. It is purely a restrictive procedure so it is similar to band

however these patients begin with a larger pouch, if you will, than the

band. They also maintain the pylorus valve so they have outflow

control. Nutritional guidelines are basic good healthy eating with

progression from amounts they can tolerate (some up to 3 oz from the start) to

a healthy diet. We did suggest puree for only the first 7 days.

Sometimes these patients get more reflux in the beginning than any other

procedure. Many of the same recommendations for band/bypass without the

dumping and no adjustability. They need to fill up on fiber full foods

after about a week and eat 4-5 small meals per day. They still need a MVI

and B12 since the other part of the stomach is actually removed from the body

unlike the other procedures.

Hope that helps…if you need to know

any more please email me

Abbe

Looking for that perfect gift...give the gift

of memories

A video montage of those special moments to share

Visit us at www.finefilmproductions.com

From:

[mailto: ]

On Behalf Of Marcus,

Sent: Monday, September 24, 2007

1:18 PM

Subject: RE:

Sleeve Gastrectomy

I am in a similar situation - could you

please post responses to list. Thanks

Marcus MS RD CDN

NY

From:

[mailto: ]

On Behalf Of Giannone

Sent: Monday, September 24, 2007

12:56 PM

Subject:

Sleeve Gastrectomy

The surgeons that I work with are beginning to perform Laparoscopic

Sleeve Gastrectomies. Do any of you work with these patients and if so,

may I have some feedback regarding nutritional guidelines.

I would appreciate any information.

Giannone M.S., R.D., CDN

Nutritionist for the Bariatric Program

Lutheran

Medical Center

(718) 667-8100

Pinpoint

customers who are looking for what you sell.

---------------------------------------------------------------------------------

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entity to whom or to which it is addressed, and may contain

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that is privileged, confidential and exempt from

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is

not the intended recipient, or the employee or agent responsible

for

delivering this communication to the intended recipient, you

are

hereby notified that any dissemination, distribution, copying

or

disclosure of this communication and any attachment is strictly

prohibited.

If you have received this transmission in error, please

notify

the sender immediately by telephone and electronic mail,

and

delete the original communication and any attachment from any

computer,

server or other electronic recording or storage device

or

medium. Receipt by anyone other than the intended recipient is

not

a waiver of any attorney-client, physician-patient or other

privilege.

Thank you.

[Guest guest]

I have experience with the Sleeve

procedure. It is purely a restrictive procedure so it is similar to band

however these patients begin with a larger pouch, if you will, than the

band. They also maintain the pylorus valve so they have outflow

control. Nutritional guidelines are basic good healthy eating with

progression from amounts they can tolerate (some up to 3 oz from the start) to

a healthy diet. We did suggest puree for only the first 7 days.

Sometimes these patients get more reflux in the beginning than any other

procedure. Many of the same recommendations for band/bypass without the

dumping and no adjustability. They need to fill up on fiber full foods

after about a week and eat 4-5 small meals per day. They still need a MVI

and B12 since the other part of the stomach is actually removed from the body

unlike the other procedures.

Hope that helps…if you need to know

any more please email me

Abbe

Looking for that perfect gift...give the gift

of memories

A video montage of those special moments to share

Visit us at www.finefilmproductions.com

From:

[mailto: ]

On Behalf Of Marcus,

Sent: Monday, September 24, 2007

1:18 PM

Subject: RE:

Sleeve Gastrectomy

I am in a similar situation - could you

please post responses to list. Thanks

Marcus MS RD CDN

NY

From:

[mailto: ]

On Behalf Of Giannone

Sent: Monday, September 24, 2007

12:56 PM

Subject:

Sleeve Gastrectomy

The surgeons that I work with are beginning to perform Laparoscopic

Sleeve Gastrectomies. Do any of you work with these patients and if so,

may I have some feedback regarding nutritional guidelines.

I would appreciate any information.

Giannone M.S., R.D., CDN

Nutritionist for the Bariatric Program

Lutheran

Medical Center

(718) 667-8100

Pinpoint

customers who are looking for what you sell.

---------------------------------------------------------------------------------

The

information contained in this electronic e-mail transmission

and

any attachments are intended only for the use of the individual

or

entity to whom or to which it is addressed, and may contain

information

that is privileged, confidential and exempt from

disclosure

under applicable law. If the reader of this communication

is

not the intended recipient, or the employee or agent responsible

for

delivering this communication to the intended recipient, you

are

hereby notified that any dissemination, distribution, copying

or

disclosure of this communication and any attachment is strictly

prohibited.

If you have received this transmission in error, please

notify

the sender immediately by telephone and electronic mail,

and

delete the original communication and any attachment from any

computer,

server or other electronic recording or storage device

or

medium. Receipt by anyone other than the intended recipient is

not

a waiver of any attorney-client, physician-patient or other

privilege.

Thank you.

[Guest guest]

Thanks for your help Abbe. Giannone M.S., R.D., CDN Nutritionist for the Bariatric Program Lutheran Medical CenterAbbe <abbemi@...> wrote: I have experience with the Sleeve procedure. It is purely a restrictive procedure so it is similar to band however these patients begin with a larger pouch, if you

will, than the band. They also maintain the pylorus valve so they have outflow control. Nutritional guidelines are basic good healthy eating with progression from amounts they can tolerate (some up to 3 oz from the start) to a healthy diet. We did suggest puree for only the first 7 days. Sometimes these patients get more reflux in the beginning than any other procedure. Many of the same recommendations for band/bypass without the dumping and no adjustability. They need to fill up on fiber full foods after about a week and eat 4-5 small meals per day. They still need a MVI and B12 since the other part of the stomach is actually removed from the body unlike the other procedures. Hope that helps…if you need to know any more please email me Abbe Looking for that perfect gift...give the gift of memories A video montage of those special moments to share Visit us at www.finefilmproductions.com From: [mailto: ] On Behalf Of Marcus, Sent: Monday, September 24, 2007 1:18 PM Subject: RE: Sleeve Gastrectomy I am in a similar situation - could you please post responses to list. Thanks Marcus MS RD CDN NY From: [mailto: ] On Behalf Of GiannoneSent: Monday, September 24, 2007 12:56

PM Subject: Sleeve Gastrectomy The surgeons that I work with are beginning to perform Laparoscopic Sleeve Gastrectomies. Do any of you work with these patients and if so, may I have some feedback regarding nutritional guidelines. I would appreciate any information. Giannone M.S., R.D., CDN Nutritionist for the Bariatric Program Lutheran Medical Center (718) 667-8100 Pinpoint customers who are looking for what you sell. --------------------------------------------------------------------------------- The information contained in this electronic e-mail transmission and any attachments are intended only for the use of the individual or entity to whom or to which it is

addressed, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If the reader of this communication is not the intended recipient, or the employee or agent responsible for delivering this communication to the intended recipient, you are hereby notified that any dissemination, distribution, copying or disclosure of this communication and any attachment is strictly prohibited. If you have received this transmission in error, please notify the sender immediately by telephone and electronic mail, and delete the original communication and any attachment from any computer, server or other electronic recording or storage device or medium. Receipt by anyone other than the intended recipient is not a waiver of any attorney-client, physician-patient or other privilege. Thank you.

Don't let your dream ride pass you by. Make it a reality with Autos.

[Guest guest]

You are welcome

Abbe

Looking for that perfect gift...give the gift

of memories

A video montage of those special moments to

share

Visit us at www.finefilmproductions.com

From:

[mailto: ]

On Behalf Of Giannone

Sent: Tuesday, September 25, 2007

9:47 PM

Subject: RE:

Sleeve Gastrectomy

Thanks for your help Abbe.

Giannone M.S., R.D., CDN

Nutritionist for the Bariatric Program

Lutheran

Medical Center

Abbe <abbemimyacc (DOT) net>

wrote:

I have experience with the Sleeve

procedure. It is purely a restrictive procedure so it is similar to band

however these patients begin with a larger pouch, if you will, than the band.

They also maintain the pylorus valve so they have outflow control.

Nutritional guidelines are basic good healthy eating with progression from

amounts they can tolerate (some up to 3 oz from the start) to a healthy

diet. We did suggest puree for only the first 7 days. Sometimes

these patients get more reflux in the beginning than any other procedure.

Many of the same recommendations for band/bypass without the dumping and no

adjustability. They need to fill up on fiber full foods after about a week

and eat 4-5 small meals per day. They still need a MVI and B12 since the

other part of the stomach is actually removed from the body unlike the other

procedures.

Hope that helps…if

you need to know any more please email me

Abbe

Looking

for that perfect gift...give the gift of memories

A video

montage of those special moments to share

Visit us at

www.finefilmproductions.com

From:

[mailto: ]

On Behalf Of Marcus,

Sent: Monday, September 24, 2007

1:18 PM

Subject: RE:

Sleeve Gastrectomy

I am in a similar situation - could you

please post responses to list. Thanks

Marcus MS RD CDN

NY

From:

[mailto: ]

On Behalf Of Giannone

Sent:

Monday, September 24, 2007 12:56 PM

Subject:

Sleeve Gastrectomy

The surgeons that I work with are beginning to perform Laparoscopic

Sleeve Gastrectomies. Do any of you work with these patients and if so,

may I have some feedback regarding nutritional guidelines.

I would appreciate any information.

Giannone M.S., R.D., CDN

Nutritionist for the Bariatric Program

Lutheran

Medical Center

(718) 667-8100

Pinpoint

customers who are looking for what you sell.

---------------------------------------------------------------------------------

The information contained in this electronic e-mail

transmission

and any attachments are intended only for the use of the

individual

or entity to whom or to which it is addressed, and may

contain

information that is privileged, confidential and exempt from

disclosure under applicable law. If the reader of this

communication

is not the intended recipient, or the employee or agent

responsible

for delivering this communication to the intended recipient,

you

are hereby notified that any dissemination, distribution,

copying

or disclosure of this communication

and any attachment is strictly

prohibited. If you have received this transmission in error,

please

notify the sender immediately by telephone and electronic

mail,

and delete the original communication and any attachment

from any

computer, server or other electronic recording or storage

device

or medium. Receipt by anyone other than the intended

recipient is

not a waiver of any attorney-client, physician-patient or

other

privilege. Thank you.

Don't let your dream ride pass you by. Make

it a reality with Autos.

[Guest guest]

please post to list

Thanks

From: [mailto: ] On Behalf Of Beth TaschukSent: Tuesday, October 16, 2007 3:43 PM Subject: sleeve gastrectomy

Good afternoon:

What are your experiences with food intolerance for the sleeve patient? I find that due to the stoma, band and bypass patients have similiar experiences.

Thank you

Beth Taschuk RD

Be a better Heartthrob. Get better relationship answers from someone who knows. Answers - Check it out. ---------------------------------------------------------------------------------The information contained in this electronic e-mail transmissionand any attachments are intended only for the use of the individualor entity to whom or to which it is addressed, and may containinformation that is privileged, confidential and exempt fromdisclosure under applicable law. If the reader of this communicationis not the intended recipient, or the employee or agent responsiblefor delivering this communication to the intended recipient, youare hereby notified that any dissemination, distribution, copyingor disclosure of this communication and any attachment is strictlyprohibited. If you have received this transmission in error, pleasenotify the sender immediately by telephone and electronic mail,and delete the original communication and any attachment from anycomputer, server or other electronic recording or storage deviceor medium. Receipt by anyone other than the intended recipient isnot a waiver of any attorney-client, physician-patient or otherprivilege. Thank you.

[Guest guest]

please post to list

Thanks

From: [mailto: ] On Behalf Of Beth TaschukSent: Tuesday, October 16, 2007 3:43 PM Subject: sleeve gastrectomy

Good afternoon:

What are your experiences with food intolerance for the sleeve patient? I find that due to the stoma, band and bypass patients have similiar experiences.

Thank you

Beth Taschuk RD

Be a better Heartthrob. Get better relationship answers from someone who knows. Answers - Check it out. ---------------------------------------------------------------------------------The information contained in this electronic e-mail transmissionand any attachments are intended only for the use of the individualor entity to whom or to which it is addressed, and may containinformation that is privileged, confidential and exempt fromdisclosure under applicable law. If the reader of this communicationis not the intended recipient, or the employee or agent responsiblefor delivering this communication to the intended recipient, youare hereby notified that any dissemination, distribution, copyingor disclosure of this communication and any attachment is strictlyprohibited. If you have received this transmission in error, pleasenotify the sender immediately by telephone and electronic mail,and delete the original communication and any attachment from anycomputer, server or other electronic recording or storage deviceor medium. Receipt by anyone other than the intended recipient isnot a waiver of any attorney-client, physician-patient or otherprivilege. Thank you.