Does Bougie size matter in a Gastric Sleeve surgery? The answer is yes. Many variables determine gastric sleeve bougie size used during surgery. The new stomach will be 6-80% smaller depending on how large the bougie is.
The size of the bougie used during a gastric sleeve procedure is an important consideration. There are several variables involved in bougie size.
The surgeon will look for the smallest size possible to minimize the stomach. A smaller bougie is better for weight loss since it limits food intake, but it also increases the risk of strictures and leakage. If the size of the bougie is too large, it could slow the weight loss process.
While bougie size does not directly correlate to the size of the stomach, it can play a role in the size of the sleeve. A smaller bougie will produce a smaller sleeve.
The same bougie size can cause the same results, but the sleeve size may differ. Additionally, it depends on the placement of the staple and whether the surgeon oversews the staple line.
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What is a Bougie, exactly?
A bougie, a flexible long tube used by gastric sleeve doctors to measure the stomach and guide them during sleeve-gastrectomy procedures, is what that is. The bougie is introduced through the mouth, and then advanced through the stomach and esophagus to the pylorus.
The surgeon uses the “template”, which is the part of the new stomach, to guide the stapler during the removal of a portion of the stomach or the creation the final gastric sleeves.The bougie will be removed forever once the gastric sleeve has been completed.
While the bougie size is a key consideration, the procedure itself is not. While the sleeve is the same size as the stomach, there are differences between the sizes of the two parts.
A smaller bougie will have a smaller sleeve, and a larger one will produce a larger one. The difference between the two depends on whether the surgeon reshapes the upper portion of the stomach to create a slimmer abdomen.
Is Size of the Bougie used in Gastric Sleeve Surgery important?
The size of the bougie used in gastric sleeve surgery is a critical factor for weight loss. In a normal diet, the stomach can hold about 48 ounces of food, but a gastric sleeve may only hold 10 to 15 ounces. Because the abdomen is smaller, it loses its previous flexibility and distensibility.
The size of the bougie during a gastric sleeve is important to avoid excessive leakage. The size of the bougie must be large enough for the stomach to pass food to the small intestine.
The smallest bougie can cause leakage and can compromise the success of the surgery. However, a bigger bougie is the best choice for the patient whose sleeve size is larger than the stomach.
Ideal Size for Bougie
There is no one shoe fits all type of situation when it comes to choosing an ideal bougie size for different patients. Surgeons can be challenged by the fact that there is no ideal size bougie. They must determine the best size to perform each procedure. This will ensure that the patient is safest and result in maximum weight loss.
Does Bougie Size Affect Weight Loss?
One of the most frequently asked questions that patients ask after undergoing gastric sleeve surgery is whether the bougie size affects weight loss. Fortunately, the answer to this question is a resounding no.
The bougie size does not affect weight loss. The surgeon can use the same bougie on different patients and achieve the same results. The surgeon’s preference will depend on how much food a patient is currently eating. The larger the bougie, the larger the sleeve will be.
The size of the bougie is dependent on many factors, including the type of duodena switch, the patient’s input, and their health. As a general rule, a smaller bougie is better for weight loss because it limits the stomach’s ability to absorb food.
However, it poses higher risks, such as strictures, which interfere with normal stomach movement. Although larger bougies have less risks, they may lead to less weight loss.
Many other factors influence the size of the stomach. The larger your belly is, the more you’ll have left after the gastric sleeve procedure. Generally, about 80 to 85% of the stomach is removed, so you can see how your surgery will affect the amount of remaining stomach.
What Is a Bougie Used for In Gastric Sleeve?
During gastric sleeve surgery, a thin, tube-like instrument called a “bougie” is inserted into the stomach through the mouth. To make sure the stomach is the right size after surgery, it is used to measure the stomach’s size and shape. Before beginning the surgery, the surgeon will need this information to confirm that the stomach is the proper size and shape. This permits adjustments if necessary and guarantees the best result for the patient.