When Gastric Sleeve Revision Is Considered

When Gastric Sleeve Revision Is Considered

Introduction

Gastric sleeve surgery helps many patients achieve major weight loss. However, for some, results may stall or complications may arise. In these cases, a gastric sleeve revision can be considered. This secondary procedure aims to address issues from the original surgery. 

Revisional surgery is not uncommon. While sleeve gastrectomy is effective, it doesn’t work the same for everyone. Some people regain weight or develop conditions such as reflux. Thankfully, several revision options exist that can restore effectiveness and improve quality of life.

What Is Gastric Sleeve Revision?

A gastric sleeve revision is a follow-up procedure done after an initial sleeve gastrectomy. The goal is to enhance or correct the original results. Unlike starting fresh, revision surgery builds upon the existing changes made during the first procedure.

The revision might involve resizing the stomach sleeve or correcting anatomical issues. The surgeon selects the approach based on your current condition and long-term goals.

These revisions are tailored to the individual, meaning no two surgeries are exactly alike.

Why Might Someone Need a Gastric Sleeve Revision?

There are several reasons someone might consider a gastric sleeve revision. One of the most common is weight regain. The stomach may stretch over time, allowing more food intake.

Another common reason is acid reflux. Some patients develop severe gastroesophageal reflux disease (GERD) after their original sleeve surgery. Others might not reach their expected weight loss targets, even after following medical advice closely.

Additionally, complications like a dilated sleeve or staple line issues may require correction. In each case, revision can offer a second chance at improved outcomes.

Types of Gastric Sleeve Revisions

There are various types of revisions depending on the issue. Some include:

• Resleeve: The surgeon trims the stretched stomach again to reduce volume.
• Conversion to Gastric Bypass: The stomach is rerouted into a small pouch. And the intestines are altered to limit absorption.
• Conversion to Duodenal Switch: Offers even more malabsorption for patients with significant weight regain.
• Anti-reflux procedure: For those with GERD, modifications can be made to help reduce acid symptoms.

Who Is a Candidate for Gastric Sleeve Revision?

Ideal candidates are people who have already had a sleeve gastrectomy but are now experiencing issues. These issues may include weight regain, reflux, stalled progress, or anatomical problems.

It’s important that candidates be in good health, non-smokers, and committed to lifestyle changes. Psychological readiness is also key. Medical evaluation will determine whether revision surgery is appropriate. A full assessment of dietary habits and exercise is necessary.

How to Prepare for Gastric Sleeve Revision

Just like your first surgery, preparation matters. Your surgeon will perform various tests to understand what has changed since the initial procedure. This might include an endoscopy, imaging, or blood tests.

You’ll be asked to follow a special diet before the surgery. This often includes low-carb or liquid meal plans to shrink the liver. Avoiding alcohol, smoking, and blood-thinning medications is also essential.

Additionally, patients must attend pre-operative counselling. Or support sessions to understand the expectations and lifestyle adjustments required afterward.

What Happens During the Procedure?

Gastric sleeve revision is typically done laparoscopically. Small incisions are made, and surgical tools are inserted through them. The surgeon then performs the selected revision method based on the preoperative plan.

The surgery usually takes one to three hours depending on its complexity. You’ll be under general anaesthesia during the procedure. Afterwards, patients are monitored closely in recovery. As a revision and not a primary procedure, it may take slightly longer to heal.

Conclusion

A gastric sleeve revision can offer renewed success. Whether addressing weight regain or structural issues, this secondary procedure helps restore balance. With careful planning and a supportive team, you can get back on track and achieve the health transformation you deserve.

For more information and to book a consultation visit the ACIBADEM Beauty Center Weight Loss webpage.