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Dr. Mehran: When patients are considering the vertical sleeve gastrectomy, they have
to be very careful where they are going to have this surgery. Many programs which only
offer he adjustable band are now suddenly jumping into vertical sleeve gastrectomies.
Patients should really be seeking their surgeries at locations by programs which have a long
track record of not only doing vertical sleeve gastrectomies but also the other staple procedures
such as the gastric bypass, This is very important because even though
once again, it's being touted as a simple, straightforward operation with very low risk
profile, it is not. There are very specific nuances of how the sleeve is created, how
the surgery is done, what steps have to be taken and what things have to be watched out
for; that patients can get into trouble for a very long time -- if not a lifetime 0 if
they do not have this surgery at places which do have a track record, by surgeons who have
been doing this a long time, as well as other staple procedures.