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There are a couple of different names to describe this operation–vertical gastrectomy, sleeve gastrectomy, or vertical sleeve gastrecomy (VSG)–these are all describing the same type of surgery, which is a newer procedure being performed for weight loss. It is done with the laparoscopic technique, similar to the Lap Band and Lap Gastric bypass. It involves removing the portion of the stomach that functions mainly as a storage receptacle for food to make it much smaller, so it doesn’t take much food to make you feel full. This is similar in concept to the Lap Band System. Most studies show that the weight loss with a sleeve is slightly less than with a gastric bypass but slightly more than with a Lap Band. Also many studies show up to an 80% remission rate for Type II diabetes!