I had the sleeve in 2011 and gained all my weight back. Is the sleeve useless now or can I lose the weight back?

Question

Is sleeve useless if u gain all weight back

Babak Moeinolmolki, MD, FACS · Answer

Hello,
Thank you for your question. I am sorry to hear the surgery has failed to treat your obesity long term. This can be due to the initial sleeve being too large, and/or stretching over time. 
Surgical options for you now include a re-sleeve, gastric bypass, or duodenal switch. Consultation with a bariatric surgeon will help you determine the best treatment based on your experience with the first surgery, your anatomy, and your health goals.
Please do not give up and know that many patients, regardless of their experience with their initial surgery, find long term results with the second surgery.
Best wishes,
Dr. Moein

Ali Solmaz, MD · Answer

Thank you for sharing your situation. Having had a sleeve gastrectomy in 2011 and regaining weight can feel very discouraging, but it does not mean the surgery was useless. Weight regain after sleeve surgery may be related to lifestyle factors, metabolic changes, or anatomic changes in the stomach itself, such as stretching of the sleeve over time.
Many patients can lose weight again with structured support, including nutritional counseling, behavioral strategies, and sometimes weight-loss medications. In cases where the sleeve has stretched or other anatomic issues are identified, a surgical revision may be an option. Common revision procedures include converting the sleeve to a gastric bypass or a duodenal switch, depending on your individual health profile and goals.
It is important to have a full evaluation with a bariatric surgeon, which may involve imaging, endoscopy, and lab work, so that the cause of weight regain can be identified and a personalized treatment plan can be made. While the sleeve itself may not provide the same level of restriction it once did, there are still effective options to help you get back on track and achieve long-term weight management.

Ariel Ortiz, MD, FACS · Answer

We developed the OCC Sleeve Rescue... though you will find a general opinion that now you have to be converted to another procedure with its own set of associated side we effects... I believe in second chances. If your sleeve meets certain criteria then it can be simply fixed, sized back if you will to the appropriate dimensions. We have hundreds of patients that have undergone successfully and are back on track.

Sergio Verboonen, MD · Answer

It’s very likely that your stomach has regain volume due to many posible factors, a revision procedure is very likely to be needed however it is important to do a full assessment. The only fact that I’m sure is that you have viable options that will require dietary and behavioral modifications to obtain long term results

Pablo Garcia, MD - Account Suspended · Answer

Hello, 
I would definitely consider the case for an evaluation, reading the information you have provided the gastric revision can be taken in consideration. The first thing is that you must evaluate yourself with a certified bariatric surgeon who can perform the Switch, also review your case and then proceed to take the best decision for you. Do not get discouraged in the search of options to improve your health.
My Best Regards,

I had the sleeve in 2011 and gained all my weight back. Is the sleeve useless now or can I lose the weight back?

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Answers (5)

More Gastric Sleeve Surgery Questions

How much weight should I expect to lose in first 3 months of the VSG?

What's the expected rate of weight loss with VGS for low BMI patient.

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EMAILS