Understanding Gastric Sleeve Revision Surgery
A vertical sleeve gastrectomy is a type of surgery where nearly 90% of a patient’s stomach is removed. When you initially had this surgery, you had to meet a certain set of requirements to be eligible. In the same manner, distinct indications must be met for gastric sleeve revision, such as Gastroesophageal Reflux Disease (GERD) or recurrent obesity.
What Causes GERD After a Vertical Sleeve Gastrectomy?
GERD following a vertical sleeve gastrectomy could be due to mechanical problems, such as:
- A hiatal hernia, which may need to repaired.
- A large stomach remnant producing too much acid, which may need to be trimmed.
- Reflux of bile into the stomach, which needs to be diverted by converting your gastric sleeve to a duodenal switch or a gastric bypass.
Types of Gastric Sleeve Revisions We Offer
A gastric sleeve can be revised in several ways. At the Center for Weight Loss Surgery, we perform all types of gastric sleeve revision or conversion surgeries, especially for those experiencing inadequate weight loss. These surgeries change the gut-brain signals (hormones), helping you feel less hungry and more consistently full, inducing better weight loss and weight maintenance.
- Re-sleeve gastrectomy: A large, stretched-out sleeve may need to be trimmed down to improve satiety with smaller amounts of food.
- Gastric sleeve to duodenal switch: This type of revision limits calorie absorption by bypassing roughly the upper one-half to three-fourths of the small intestine by dividing the duodenum and routing the food into the bottom half of the small intestine, then re-attaching the bypassed small intestine to the last quarter or third.
- Gastric sleeve to single anastomosis duodeno-ileostomy (SADI) or stomach intestinal pylorus sparing (SIPS) surgery: This works similarly to the duodenal switch, except the small intestine is attached in one place and not two by dividing the duodenum and attaching it to a loop of small intestine farther down, bypassing the rest, thereby limiting calorie absorption.
- Gastric sleeve to Roux-en-Y gastric bypass: Sometimes, we may need to create a small gastric pouch from the top portion of the gastric sleeve and bypass the rest of the stomach remnant.
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Gastric Sleeve Revision Process and Outcomes
At The Center for Weight Loss Surgery, we are invested in achieving your desired outcome. Our process for a revision of a gastric sleeve involves:
- Consultation: We will thoroughly assess you and determine what type of revision would best meet your needs.
- Completion of pre-surgery testing and consultations
- Pre-surgery education
- Surgery: Most patients go home the day of surgery and are seen regularly for follow-up care.
- Long-term support: We are committed to your long-term health and outcome by providing life-long comprehensive post-surgery care and support (nutritional, educational and psychological)
Reach out to the Center for Weight Loss Surgery Today
The team at the Center for Weight Loss Surgery is happy to help wherever we can. Contact us today with any questions or to schedule your consultation!
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