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Gastric Sleeve Bougie – The What, Why, When and How

Gastric-Sleeve-Bougie


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Gastric sleeve or vertical sleeve gastrectomy (VSG) is a common weight loss surgery to combat obesity. It involves removal of almost 75% of the stomach and creating a sleeve out of the remnant stomach using a device called a “bougie.” The bougie size is important as it plays an important role later on while determining your quality of life.

What is a Bariatric Surgery Bougie for Sleeve?

A measuring device created in France, to divide the stomach during the gastric sleeve surgery.  Bougie comes in different sizes and is measured in French, where 1 French (F) = one-third of a millimeter.

  • The tube is placed into the mouth of the patient
  • It is carefully pushed through the esophagus to the stomach.
  • It ultimately rests at the pylorus.

Gastric Sleeve Surgery Bougie Size

What is the Ideal Size for a Bougie?

  • The smaller the bougie, the smaller the stomach.
  • A bigger bougie, the safer the surgery.
  • With a bigger bougie, the weight loss isn’t ideal in most cases.
  • The size is calculated on the basis of the BMI and the surgeon’s technique.
  • A smaller gastric sleeve bougie would result in a smaller pouch.
  • The smaller pouch risks increase of gastric sleeve leaks and strictures.
  • In the United States, bougie sizes range from 30F to 50F.
  • The size of the gastric sleeve bougie varies from case to case.
  • A smaller size bougie results in increased nausea and re-admissions.[1]Hawasli A, Jacquish B et al. “Early Effects of Bougie Size on Sleeve Gastrectomy Outcome”. American Journal of Surgery (2015) 209(3): 473-7. Web
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A study by Carlos Hoyuela proved that when the gastric sleeve is created using a 34 F bougie, it is highly safe and effective in reducing weight.[2]Hoyuela, Carlos. “Five-Year Outcomes of Laparoscopic Sleeve Gastrectomy as a Primary Procedure for Morbid Obesity: A Prospective Study.” World Journal of Gastrointestinal Surgery4 (2017): 109–117. PMC. Web.
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Why is a Bougie Used?

Function of Gastric Sleeve Bougie

  • The bougie creates a bulge in the stomach guiding the surgeon on how to staple the stomach to form a stomach sleeve.
  • The bougie does not guarantee an exact size of the stomach.
  • Bougie is only a guide for the surgeon.
  • The size of the new stomach depends on over-sewing the staple line.
  • The stomach can normally hold 64 ounces of food.
  • Gastric sleeve surgery reduces this number to approx. 15 ounces.
  • The bougie is removed after the sleeve is performed.

References

  1. Hawasli A, Jacquish B et al. “Early Effects of Bougie Size on Sleeve Gastrectomy Outcome”. American Journal of Surgery (2015) 209(3): 473-7. Web
  2. Hoyuela, Carlos. “Five-Year Outcomes of Laparoscopic Sleeve Gastrectomy as a Primary Procedure for Morbid Obesity: A Prospective Study.World Journal of Gastrointestinal Surgery4 (2017): 109–117. PMC. Web.
  3. Gastric Sleeve Surgery: What’s Your Bougie Size?” Christine Stewart, Thursday, October 10th, 2013, National Bariatric Link

This Post Addresses

  • Can you stretch a gastric sleeve?
  • What is a bougie in bariatric surgery?
  • Can you put weight back on after gastric sleeve?
  • Can you drink soda after a gastric sleeve?
  • Gastric Calibration Tube VSG


Updated on September 27, 2019

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