Gastric sleeve - is it enough to only remove 65% of stomach and 80% of ghrelin? Do I have to re-sleeve?

It’s understandable to have concerns about the extent of stomach removal during your sleeve gastrectomy. Typically, 80-90% of the stomach is removed in standard procedures, along with a significant portion of ghrelin production to reduce hunger. In your case, the surgeon opted to remove 65% of the stomach and 80% of ghrelin, likely due to your lower BMI of 30. This approach is sometimes taken to reduce surgical risk and avoid complications like strictures or reflux.
If you’re finding it difficult to manage hunger, portion sizes, or achieve your desired weight goals, you may want to explore the option of a re-sleeve procedure. This would involve further reducing the stomach size, but it does come with added risks due to scarring and previous alterations.
Before considering a re-sleeve, it may be helpful to assess for anatomical issues (like dilation or twisting of the sleeve) that could be affecting your results.

The extent of stomach and ghrelin removal can vary based on individual factors, including BMI. While 80% stomach removal is ideal (specially for higher BMIs), removing 65% could still be effective, especially given your lower BMI. The success of your sleeve depends not only on the percentage removed but also on how your body responds over time. It’s important to focus on lifestyle changes, the follow-ups with your surgeon and the multidisciplinary team (nutritionist, psychologist) will help determine if additional interventions are necessary.

Your surgeon spoke right. But still you can do revisional surgery in the form of gastric bypass not sleeve if you gained weight again. Hope that helps

Hello, I hope you are well. It sounds like he performed a "mini sleeve" which is when you remove less that 70% of the stomach. Based on your BMI, which as you stated is not as high, it sounds like the correct course of action. There is always a chance of re-sleeve, even when higher percentages of stomach is removed. Your nutritional habits following the surgery will most definitely play an important role in this.

No, it's not enough.Actually the Sleeve procedure is a restrictive surgery in addition to having a metabolic component. So even though the Ghrelin is reduced, unless you have a small stomach, your results will be limited.So you need to see a specialist with experience in revisional surgery. If your stomach is large, then you may benefit from a Re-Sleeve. In my practice we don't charge the procedure for low or high BMI.

One concern for going abroad is that standards may be different than in the US. Here you describe a situation where the surgeon performed an operation different from the one you consented to. To find out after the operation was lucky as you can imagine that you would never have known if he didn’t tell you after the fact. You will not have a satisfactory outcome. Nobody ever loses too much weight if the surgery is done correctly. Get it fixed by someone else