Can I revise my gastric sleeve or do I move to a gastric bypass?

Question

I had the gastric sleeve done in 2013 and lost about 40 pounds. I was able to eat more than I should but still tried to follow diet. I then lost another 45 on my own but now have gained it back. I think my sleeve was not done correctly and question whether I can have it revised or move to the bypass. I have seen photos of others who have had the procedure in other programs with other surgeons and they have been so successful. I just want to lose this stinking weight. Please help!

H. Joseph Naim, MD, FACS · Answer

First and foremost keep in mind that most Weight Loss Surgeries lose some of their effect after a year or two.
That is why you have to keep in mind the importance of diet and exercise and what we call "Lifestyle Change"!
But Sleeve can stretch, particularly if they were large to begin with. In that case you can find a Surgeon with experience to redo your sleeve. 
In my opinion, resleeve has higher complication rate. So my advice to you is to switch to bypass.
Revision to Gastric Bypass can be done safely and probably will give you better results and make you happy

Ali Solmaz, MD · Answer

It sounds like you're frustrated with your weight loss journey, and that’s completely understandable. You’ve worked hard, and it’s discouraging to see the weight come back despite your efforts. First, it's important to determine whether your sleeve is still functioning as it should or if there are factors, such as an increased stomach capacity, acid reflux, or hormonal changes, that might be affecting your ability to maintain weight loss.
A revision is possible in cases where the sleeve has stretched over time, leading to increased hunger and food intake. If this is the case, you may be a candidate for a resleeve (re-tightening the stomach) or conversion to gastric bypass. The bypass may be a better option if you struggle with acid reflux, metabolic resistance to weight loss, or difficulty with portion control despite efforts to stay on track.
Before considering revision surgery, a thorough evaluation is necessary. This includes imaging, such as an upper GI study or endoscopy, to assess the size and shape of your stomach. A metabolic and nutritional assessment can also help determine if hormonal factors or dietary habits are contributing to weight regain. If your sleeve is functioning properly, a structured nutritional plan and behavioral support might be the best next step before pursuing surgery.
Weight loss success varies from person to person, and it’s easy to compare your progress to others. However, it’s important to focus on what will work best for your body and lifestyle. If you haven’t already, consider consulting with a bariatric surgeon who specializes in revision procedures. They can guide you through your options and help you determine the best approach to get back on track and achieve lasting weight loss.

Guillermo Alvarez, MD · Answer

You do have options. You can resleeve the sleeve, you can revise to a bypass or even a DS. I would recommend you consult with a bariatric surgeon to see and explore your options and which one suits you best. warm regards, Dr. Alvarez

Pablo Garcia, MD - Account Suspended · Answer

Hello, thanks for your question. This Question is frequently asked by patients who didnt reach the goal or weight regain patients. Sleeve gastrectomy is a restrictive procedure that limits the amount of food. in 2013 probably the size considered for the surgery was larger than today and allows more food than the one we do today.Sleeve revision will be consider if the size is big and we can do a Reesleve, a plicature of the sleeve or convert it to a Duodenal switch or bypass, depending of your age, diseases, eating disorder, etcThe most important thing is to be aware that the bariatric surgery is only a tool but the solution to the obesity is to change eating habits, exercises and behavioral.

Can I revise my gastric sleeve or do I move to a gastric bypass?

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