Unsuccessful sleeve not once but twice!

Question

I have been sleeved twice. My starting weight at first surgery was 336, and I only got down to 309 Aftwr about 8 mos. I got re-sleeved a year after my first surgery. Starting weight for that was 303, I'm now at 250. I don't feel like my stomach is stretched, I can still barely eat without getting full and throw up quite often for being 2 years out. All I really want is to have a successful surgery and get down to 180. Should I look into being sleeved again?

Wiljon W. Beltre, MD · Answer

Be honest, are you following the eating instructions? Are you eating healthy meals?, are you staying away from refined carbs and sugary drinks?, Are you eating and drinking at the same time?  If you fail to lose weight with this second sleeve, do not get re-sleeved.  Your best option to lose weight is to revise the sleeve to the loop duodenal switch or SADI.  You do not o well with restrictive procedure.  You need a procedure a stronger metabolic response like the SADI or SIPS.

Pablo Garcia, MD · Answer

Hello, Although not common but there are cases where the patient after a gastric sleeve has not lost the ideal amount of weight, another sleeve could be done. In your particular case, with two previous gastric sleeve surgeries, your bariatric surgeon could evaluate and consider another type of bariatric surgery such as a Gastric Bypass or SADIS, both of which could be considered as the next step in case of a failed sleeve surgery

Gilberto Ungson, MD · Answer

Hi !
Although the sleeve is a very successful surgery , some patients do not do well with restrictive procedures like the sleeve. You may need a malabsorbic surgery like a Duodenal Switch of a Gastric Bypass  to help you lose the weight you still need to lose and to keep it off long term. 
You already have the first part of the DS done so the natural revision would be the DS vs a bypass.  Your surgeon may decide to redo the sleeve at the same time depending on what size your sleeve is at the time of surgery.

Jay Roberts, DO, FACOS, FASMBS · Answer

the best treatment for failed weight loss after sleeve is conversion to Duodenal switch or SIPS (modified DS). These operations work by causing malabsorption of fat instead of restricting caloric intake. This can be done laparoscopically with a perioperative risk comparable to sleeve or gastric bypass.

Unsuccessful sleeve not once but twice!

Answers (4)

Answer: Ds conversion

Answer: Ds conversion

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Everything you need to know about Gastric Sleeve Surgery

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Unsuccessful sleeve not once but twice!

Answers (4)

Answer: Ds conversion

Answer: Ds conversion

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Recommended reading

Everything you need to know about Gastric Sleeve Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.