Gastric sleeve revision is a secondary surgical procedure performed when the initial gastric sleeve surgery, also known as sleeve gastrectomy, does not achieve the desired weight loss results or leads to complications. This procedure is designed to address issues such as weight regain, inadequate weight loss, or medical complications like acid reflux.
During a gastric sleeve revision, a surgeon may modify the existing sleeve or convert it into another bariatric surgery, such as a gastric bypass. The revision aims to enhance weight loss outcomes and improve the patient’s overall health. The decision to undergo a revision surgery should be made after careful evaluation with a bariatric specialist.
Why Might You Need a Gastric Sleeve Revision?
Patients may require a gastric sleeve revision for various reasons, including:
- Weight Regain: Some individuals may experience weight regain after the initial surgery due to stretching of the stomach or lifestyle factors.
- Insufficient Weight Loss: In cases where patients do not lose enough weight after the first procedure, a revision may help optimize results.
- Complications: Medical complications such as severe acid reflux, hernias, or stomach issues can make revision surgery necessary.
Types of Gastric Sleeve Revision Procedures
- Re-Sleeving: This involves resizing the stomach to make it smaller if it has stretched over time.
- Conversion to Gastric Bypass: In some cases, the gastric sleeve is converted to a gastric bypass to promote further weight loss and address complications like acid reflux.
- Duodenal Switch: Another option is converting the gastric sleeve into a duodenal switch, which combines sleeve gastrectomy with intestinal bypass to improve weight loss.
Who is a Good Candidate for Gastric Sleeve Revision?
- You have regained significant weight after your original surgery.
- Your weight loss has plateaued, and you’re not reaching your goal.
- You experience ongoing complications that affect your quality of life.
