Gained all weight back after a gastric sleeve. What other surgery do I need to do to take off that weight?

There are different causes why a bariatric procedure can fail, not letting reach your weight goals. The main reasons are:TECHNICAL: The surgery was not executed optimally, this is very rare, but unfortunately occurs. MECHANICAL: This could be an alteration of the procedure due to the transit of the food o pressure from the body.ADAPTATIVE: The body has adapted to the modifications made by the surgery, in the case of gastric sleeve, increase elasticity making the gastric reservoir larger.
But whatever the cause, it might be pertinent to do and x-ray study (barium swallow) to assess the size and shape of your sleeve.You should seek a consult with a bariatric surgeon with experience in revision surgeries, to asses your case and give you the options for your case specifically.

I am so sorry you are struggling with your weight loss after having a gastric sleeve surgery.  There are many reasons that a sleeve can fail, it can become stretched over time, which can be fixed.  If you aren't getting in enough protein and are relying on processed food and carbs, you aren't getting the most benefit from your sleeve.  The success of any weight loss surgery is a partnership between the patient, the surgeon, and the follow-up.  An active follow up program with access to a nutritionist, doctors, and support staff to make sure you are staying on track, and help you get back on track if you aren't succeeding.  If you feel like the issue is a stretched pouch, you may want to look into a revision that can fix your sleeve and give you back that restriction so you can get back on track!

Yes, it is called revision surgery, but first it is determined what led you to gain weight in the first place, because if you do not change the lifestyle you will not have positive results with any other surgery, for example if you did not make the necessary changes in your lifestyle it is 100%  likely that the same thing happens with another surgery and the objective of this type of procedure is that you as a patient take this opportunity to reeducate and make changes in everything related to maintaining a healthy lifestyle.
My Best Wishes,

Sorry to hear that the sleeve isn't working for you.  There are two possibilities here.  One as Dr. Simpson alluded to, is that it is "your fault" and you haven't changed your eating habits.  Another possibility is that the sleeve wasn't made narrow enough, thereby allowing you to eat too much food.The way to find out which one it is would be to have either an upper GI x-ray or an endoscopy to assess what your stomach looks like.  If it is too big, a re-sleeve might be indicated.  (Not your fault).  If the sleeve looks good, then there are two options; (your fault) one would be to change your lifestyle and eating habits; the other would be to add malabsorption in the form of a duodenal switch.

What you didn't do was change how you eat. It isn't the surgery that takes off the weight- surgery is a tool. If you don't change what you eat and how you eat then you will regain the weight. That is simple. So before you go through another operation - begin some real and serious changes to what you eat, how you eat, and how much you eat. You should have an evaluation of how much sleeve you have left - or if you stretched it out. The real work of weight loss surgery is changing what you eat - if you don't you will always regain the weight.