LSG combines restrictive and hormonal
components. It is a newer procedure and is not universally covered by
third-party payers (including Medicare). The sleeve was previously reserved
as the first part of a staged operation for patients with super obesity with
the plan of converting to RYGB once a reasonable weight loss was achieved
Recent studies show weight loss with this procedure to be comparable to RYGB
with a similar percentage of EBW loss. Thus, a second surgery may not be
required for many patients
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