I lost 100 pounds from sleeve and did well for 8 years but now I am 70 pounds overweight and want to have another sleeve done . any added risks because it's the second time? will surgery still work for me even if it's not 100 percent as effective as the first time?
February 20, 2017
Answer: Re sleeve in my optinion a resleeve is not a good option. the best weight loss operation for you at this point would be a revision to duodenal switch or SIPS (modified DS) depending on your current bmi. these operations are performed laparoscopically like the sleeve but they cause weight loss by limiting your bodies ability to absorb fat calories. for whatever reason restrictive operations tend to have a shelf life for some patients as evidenced by the large number of patients who have weight regain after gastric bypass (which is mostly a restrictive operation as well). a re sleeve is technically easier to do, but not without higher risk and the likelyhood of success is not high enough to justify the risk in my opinion. Im one of few surgeons that offers these surgical options so you may find it hard to locate a surgeon in your area that does. As sleeve has been done in very high volume for the last 7 years or so there is going to be many patients like you who did well but unfortunately the effects of the sleeve didnt provide durable weight loss.
Helpful
February 20, 2017
Answer: Re sleeve in my optinion a resleeve is not a good option. the best weight loss operation for you at this point would be a revision to duodenal switch or SIPS (modified DS) depending on your current bmi. these operations are performed laparoscopically like the sleeve but they cause weight loss by limiting your bodies ability to absorb fat calories. for whatever reason restrictive operations tend to have a shelf life for some patients as evidenced by the large number of patients who have weight regain after gastric bypass (which is mostly a restrictive operation as well). a re sleeve is technically easier to do, but not without higher risk and the likelyhood of success is not high enough to justify the risk in my opinion. Im one of few surgeons that offers these surgical options so you may find it hard to locate a surgeon in your area that does. As sleeve has been done in very high volume for the last 7 years or so there is going to be many patients like you who did well but unfortunately the effects of the sleeve didnt provide durable weight loss.
Helpful
February 15, 2017
Answer: No Surgery is not "effective" it is what you do that makes things work. If you didn't change eating habits and have a diet that is calorie rich and processed then you will not be successful again. Redo surgery has six times the risk of the first surgery. Before you even consider I would highly suggest you examine your diet carefully and work to change it. Making fruits and vegetables the primary part of your diet, decreasing processed foods like pizza, burgers, chips, cookies - and learning how to eat healthy
Helpful
February 15, 2017
Answer: No Surgery is not "effective" it is what you do that makes things work. If you didn't change eating habits and have a diet that is calorie rich and processed then you will not be successful again. Redo surgery has six times the risk of the first surgery. Before you even consider I would highly suggest you examine your diet carefully and work to change it. Making fruits and vegetables the primary part of your diet, decreasing processed foods like pizza, burgers, chips, cookies - and learning how to eat healthy
Helpful
