Whether or not a gastric sleeve revision is worth it depends on your individual situation. Generally, a gastric sleeve revision can be beneficial for those who have experienced weight regain or dissatisfaction with the original procedure.
Some of the benefits of undergoing a gastric sleeve revision include improved weight loss, reduced risk of weight regain, enhanced hunger control, improved satisfaction, and improved quality of life.
If a patient has already had a gastric sleeve procedure or is considering a revision, they should first consult with their physician to evaluate whether the procedure is right for them. The physician will carefully evaluate factors such as medical history, weight, health goals, and lifestyle to determine if the gastric sleeve revision is necessary and beneficial for their needs.
If the decision is made to move forward, the physician will create a personalized care plan to ensure safe and effective weight loss. Ultimately, a gastric sleeve revision is worth considering if it is determined to be a good fit for your lifestyle and health goals.
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How common is gastric sleeve revision?
Gastric sleeve revision is becoming more common as the number of individuals looking for revision operations increases. The American Society for Metabolic and Bariatric Surgery currently reports that 43 percent of bariatric surgeries undergo some form of revision.
Due to the unique nature of each individual’s health journey, it’s difficult to predict the exact rate of gastric sleeve revisitation. Revision surgeries are generally suggested to those who have experienced a failed outcome from the initial sleeve procedure and are seeking to help improve their overall health through additional treatment.
In the majority of cases, individuals with long-term health challenges and significant weight regain turn to revision operations.
Unlike with other bariatric surgeries, such as gastric bypass, gastric sleeve revisions are often performed with the patient’s health history in mind. The goal is to provide treatment that is not just a one size fits all solution but instead aims to address the patient’s traditional health challenges while also helping them achieve the long-term health goals they have set out to achieve.
Revision operations can take on many forms, the most common being the addition of a gastric balloon, which is designed to help reduce the amount of food consumed and absorb nutrients more efficiently.
Other forms of revision surgery involve the insertion of an intragastric balloon or gastric plication, and these can be combined with lifestyle modifications and medical support to ensure that the individual is able to reach their health goals.
Speak with your bariatric surgeon about the commonality of gastric sleeve revision and the options that are available to you. With the help of your health care team, you will be able to determine whether or not a revision is the best course of action for improving your health.
How successful is bariatric revision surgery?
Bariatric revision surgery can be a successful “re-do” of a previous weight loss surgery, but it is not always the best option. Although it can have a positive impact on patient outcomes, especially when the previous bariatric surgery was unsuccessful, there is a risk of complications and undesirable side effects.
The success of bariatric revision surgery depends on various factors, including pre-operative preparation, the complexity of the correction and the patient’s response to the surgery. Other factors include the type, duration, and dosage of medications taken, the patient’s adherence to the long-term diet and exercise programme, the anatomy of the patient, the experience of the surgeon, and the type of surgery performed.
A 2015 meta-analysis of 17 studies that included 3,164 patients demonstrated that bariatric revision surgery was successful in achieving a decrease in body mass index (BMI) and weight loss, with an average BMI reduction of over 22 points and an average reduction in weight of more than 44 pounds.
Additionally, there were reductions in waist circumference and body fat percentage.
Overall, bariatric revision surgery can be successful, but patients should discuss the risks and rewards of the procedure with their doctor before deciding whether to go through with it. It is also important to have realistic expectations and to follow the doctor’s instructions in order to maximize the chances of it being successful.
Why would you need a revision after gastric sleeve?
Revision surgery after gastric sleeve might be needed for a variety of reasons. One of the most common reason for a revision is due to weight regain, which is when a person does not maintain the weight loss that normally occurs from the original surgery.
If someone experiences frequent vomiting or dumping syndrome, this could also necessitate a revision. In such cases, a gastric plication may be a viable option to correcting the original sleeve gastrectomy.
Other reasons for a revision include the development of gastroesophageal reflux, gastric ulcers or lining damage, an internal hernia, or a recurrent hiatal hernia, as well as stretch issues. In certain cases, a revision may be needed for the removal of foreign bodies, such as a misplaced gastric band.
A revision may also be needed for the correction of a stricture or narrowing of the stomach outlet. If a person is suffering from overly reduced hunger, this may also be an indication for a revision.
Ultimately, any person considering revision surgery should receive a full evaluation from their bariatric surgeon.
How much weight can you lose with a sleeve revision?
Weight loss following sleeve revision can vary from person to person, and will depend on several factors including the pre-operative weight of the individual, their motivation to achieve weight loss, their adherence to dietary and post-operative guidelines, and the body’s response to the surgery itself.
Generally, on average, sleeve revision surgery can produce excess body weight losses of 60-70% of the excess weight at two years post-operation. Larger weight losses have been reported in some cases.
However, it is important to note that long-term weight loss with any bariatric surgery is based on the patient’s commitment to diet, exercise and lifestyle modifications, and success cannot be achieved without dedication and commitment.
Can I get my gastric sleeve tightened?
Yes, you can get your gastric sleeve tightened. Gastric sleeve tightening, also known as plication or laparoscopic greater curvature plication, is a surgical procedure designed to reduce the size of the stomach, resulting in weight loss.
It involves plicating or folding the stomach to reduce its capacity and limit how much food you are able to eat in one sitting.
The surgery is minimally invasive, typically taking between one or two hours. It is done with general anesthesia and involves inserting a camera and special instruments into the abdominal area. During the procedure, the stomach is stapled or sutured in order to reduce the stomach’s capacity for food.
This will help to decrease appetite and lower caloric intake, resulting in the desired weight loss.
As with any surgery, there are risks involved with gastric sleeve tightening. These can include a leak in the new stomach pouch, infection, blood clots, and abdominal pain. After the procedure, it is also important to make sure you have enough support to make healthy lifestyle changes, such as exercising and/or following a reduced calorie diet, as these are key components to achieving and maintaining weight loss.
If you are considering gastric sleeve tightening, it is important to speak with a bariatric surgeon in order to find out more information in order to determine if it is the right procedure for you.
How long does sleeve revision surgery take?
Sleeve revision surgery, also known as a sleeve gastrectomy, typically takes between one to two hours of operating time. During the procedure, your surgeon will remove a portion of your stomach to reduce its size and limit the amount of food you can eat.
The procedure is typically done laparoscopically, which means it is minimally invasive, but in some cases may require open surgery, which is more complex and requires a larger incision. The recovery time for sleeve revision surgery typically ranges from four to six weeks.
During this time, you should rest, stay away from strenuous activity, and follow your surgeon’s post-surgery instructions. Additionally, you will need to adhere to a post-op diet for the first four to eight weeks.
This diet consists of whole grains, lean proteins, fruits, and vegetables, and should include six small meals throughout the day. It is important to listen to and follow the diet instructions from your dietitian in order to achieve the best possible results.
How successful is revision from sleeve to bypass?
Overall, revision from sleeve to bypass surgery can be very successful in terms of restoring a patient’s weight loss and improving their health. Various sources of data indicate that bypass can achieve higher excess weight losses than the sleeve, sometimes even up to 50-60%.
Additionally, it can also help improve or resolve conditions that can be linked to obesity, such as type 2 diabetes, sleep apnea, hypertension and even some cardiovascular diseases.
It is important to note, however, that even though bypass surgery is highly successful for weight management, it does carry a higher risk of adverse outcomes such as infections and complications. Additionally, as with any type of surgery, revision from sleeve to bypass procedure can also come with definite risks, including the possibility of reverting your original weight or even developing other digestive health issues.
Patients considering revision surgery need to be sure that the benefits of the procedure outweigh the risks and should speak with their doctor about all their options. In conclusion, revision from sleeve to bypass can be very successful if the patient is confident it is the right approach and has a good plan in place for adequate post-op care, diet, and lifestyle management.
Is weight loss slow after revision surgery?
Yes, weight loss can be slow after revision surgery. Revision surgery refers to any type of surgical procedure that is done to correct or improve the results of a prior weight loss surgery. The amount of weight that someone loses after revision surgery can vary greatly and will depend on a number of factors, such as the type of procedure, their level of adherence to the post-operative diet, and the amount of time that has elapsed since the initial procedure.
It is common for patients to experience slower weight loss after a revisional procedure, as the tissue and anatomy that are involved in the surgical revision are more complex than in the initial surgery.
Additionally, revisions can be more difficult for the body to adapt to, and this can cause a slower rate of weight loss. Working closely with a healthcare team that includes a surgeon and a dietitian can help ensure that your weight loss goals are achievable and that modifications can be made accordingly to help you achieve success.
Can you have 2 gastric sleeve surgery twice?
No, it is not recommended to have two gastric sleeve surgeries, as it may cause significant health issues. Gastric sleeve surgery is intended to be a permanent procedure, since it involves the removal of a large portion of the stomach, which affects how the stomach processes food.
The procedure can help individuals with a body mass index (BMI) of 40 or more (or 35 or more with certain comorbidities) reduce their body weight and improve their overall health. When done correctly, it can result in significant weight loss and improved lifestyle management.
However, having two gastric sleeve surgeries can result in scarring, leakage, and narrowing of the stomach, which can lead to malnutrition, vomiting, and other health risks. Additionally, the risk of complications and infections increases the more times a person undergoes surgery.
Therefore, it is best to have just one gastric sleeve surgery and commit to lifestyle changes to help maintain long-term healthy weight. This includes eating a balanced diet and getting physical activity on a regular basis.
If desired weight is still not achieved, alternative treatments such as medical weight-loss programs, medications, or endoscopic procedures can be explored.
How do you restart weight loss after gastric sleeve?
Restarting weight loss after gastric sleeve surgery can be a bit tricky. First and foremost, ensure that you are at least two weeks out from your surgery. Unless instructed otherwise by your doctor, your diet should consist only of liquids and pureed foods for two weeks following the surgery.
After that period, you can begin adding soft, easy-to-digest foods – like yogurt, eggs, cooked vegetables, and cereals – back into your diet.
Eating small, frequent meals throughout the day will help to maintain your energy levels, as well as encourage healthy weight loss. Be sure to avoid sugars and carbonated drinks, as they are more likely to make you feel sluggish.
Set realistic weight loss goals, such as 1-2 pounds per week, and avoid comparing yourself to others. If needed, consult a nutritionist or dietician to learn more about a healthy, balanced diet.
In addition to a healthy diet, regular exercise is key for successful weight loss. Focus on low-impact activities, like swimming or walking, initially so as not to strain your body. Find a friend or family member to exercise with you; research shows that those who work out with a partner are more likely to stick to their fitness goals.
Finally, be sure to consult with your doctor regularly. They may be able to provide additional tips and pointers if you hit a plateau, as well as assess your overall state of health to ensure that you’re recovering properly.
With the right combination of diet and exercise, you can achieve the weight loss goals you set for yourself after gastric sleeve surgery.
What qualifies you for a gastric sleeve revision?
A patient qualifies for a gastric sleeve revision surgery if they are experiencing unfavorable outcomes from their initial sleeve gastrectomy procedure. In some cases, a gastric sleeve may not produce the desired weight loss outcomes.
This means the patient either has not lost any weight or didn’t lose as much weight as desired following the initial surgery. In some cases, a patient’s weight may even rebound after the initial surgery.
These circumstances can all suggest that a gastric sleeve revision is necessary.
In some cases, a gastric sleeve can also cause unseen complications or patient discomfort, such as increased acid reflux or vomiting. These issues can be caused by insufficient stomach wall tissue after the removal of part of the stomach during the initial gastrectomy.
Patients should consider a revision if they continue to struggle to maintain their desired weight loss or if they experience any discomfort such as vomiting, nausea, or acid reflux. Additionally, if a patient experiences any of the complications noted above after their gastric sleeve, it is important to seek medical attention as soon as possible.
How do you know if you stretched your sleeve?
The best way to tell if you stretched your sleeve is to try it on and see if it feels comfortable. If the sleeve is too tight in the shoulders or arms, or the fabric is pulling in too many places, it likely means it’s been stretched out.
Other signs that a sleeve has been stretched out could include the fabric losing its elasticity or the sleeve hems coming undone. You can also look at the sleeve and try to see if it looks longer than it did before.
If it appears to have lost its shape or looks like it’s grown in size, this could be a sign it has been stretched out.
How many years does gastric sleeve last?
The gastric sleeve procedure is considered to be a permanent weight loss solution because it involves the removal of a significant portion of the stomach. However, it does not guarantee permanent weight loss.
Just like any bariatric surgery, a portion of the stomach is removed, but it does not address the underlying behavioral or lifestyle issues that lead to obesity.
Therefore, any weight loss achieved with the surgery can be undone if the individual fails to commit to a healthier lifestyle, with proper diet and exercise. Since this surgery is considered a permanent procedure, it is important to understand that weight can still be regained if a person does not maintain a balanced diet and regular exercise.
The best way to judge how long a gastric sleeve will last is to track weight loss progress. Generally speaking, most people who have had this surgery will continue to lose weight for 18-24 months. If a healthy diet and exercise plan is maintained, it is possible for a gastric sleeve surgery to last well beyond that.
In some cases, patients may even be able to maintain their weight for many years after the surgery. However, every patient is different and results may vary.
Can you have a second weight loss surgery?
Yes, it is possible to have a second weight loss surgery if you have not achieved your desired weight loss goal, have regained weight, or if your weight has stabilized. However, it is important to remember that having multiple weight loss surgeries can increase your risk of complications and is not recommended unless it’s absolutely necessary.
Before having a second weight loss surgery, discuss the potential risks and benefits with your doctor. It’s also important to get an evaluation from a dietitian or nutritionist to develop a long-term, sustainable nutrition plan for your specific needs and goals.
You also want to ensure that you have the right support system, including personal and medical care, to help you achieve success with your weight loss goals. It’s important to understand that bariatric surgery is most beneficial when combined with lifestyle changes.
Lifestyle changes include following a balanced, nutrient-rich diet and exercising regularly.