A Comprehensive Guide to Gastric Sleeve Revision

A Comprehensive Guide to Gastric Sleeve Revision

Weight loss surgery doesn’t always go as planned and has risks and complications, like any other procedure. Although gastric sleeve revision surgery is rarely necessary, it is wise to stay aware of the possibility of it.

Most patients won’t require sleeve revision surgery, but it is wise to understand all your options should complications arise.

What is a gastric sleeve revision?

Surgeons perform gastric sleeve revision surgery to correct a previous gastric sleeve surgery. This procedure is necessary when the patient has not lost enough weight or is experiencing complications. These complications may be a result of inadequate weight loss.

Surgery to improve a sleeve gastrectomy by making it more effective or fixing any new problems that have arisen.

What are the gastric sleeve revision requirements?

What are the gastric sleeve revision requirements

Bariatric surgery can provide long-term solutions, but revisions may become necessary over time. Look out for signs like hernias or stomach pain that could indicate the need for gastric sleeve revision surgery.

  1. Trouble with Food Groups: If you struggle with eating certain food groups post-gastric sleeve surgery, it might indicate a need for revision. While most can consume varied foods, difficulty with solids may signal a necessary adjustment.
  2. Chronic Acid Reflux: Frequent acid reflux post-surgery may indicate the need for a sleeve gastrectomy revision. Persistent reflux could suggest anatomical changes requiring a larger gastric sleeve.
  3. Feeling Very Full After Eating: Consistently feeling full after small meals may signal a need for gastric sleeve revision. This sensation may stem from anatomical changes or an overly restrictive sleeve.
  4. Constant Stomach Pain: Persistent stomach pain may result from a gastric sleeve that is too tight, causing inflammation. If your stomach hurts constantly, it might be a sign that a revision is necessary.
  5. Hernia or Incisional Issues: Symptoms like hernias, excessive swelling, or inflammation at the incision site may indicate the need for a revision. Early removal of the securing tack can lead to complications.
  6. Re-gaining Weight: A properly functioning gastric sleeve minimizes the chance of weight regain. If concerns arise, consider a revision to ensure continued success.
  7. Nausea and Vomiting: While normal initially, prolonged nausea and vomiting might indicate the need for a revision. Persistent symptoms could suggest anatomical changes requiring a larger gastric sleeve.

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What are the recovery times for a revisional gastric sleeve?

What are the recovery times for a revisional gastric sleeve

The recovery time for a gastric sleeve revision varies depending on which procedure you choose. It could take months to fully recover from a revisional surgery due to additional wounds and healing. If you have problems with healing, you may need to take some time off from work.

You can help speed up your recovery time by following your surgeon’s post-operative instructions. This includes ensuring you are resting as much as possible, eating healthy foods that will help you heal, and drinking plenty of fluids to stay hydrated.

You can boost your recovery by following these steps:

  • Follow post-op instructions for optimal recovery.
  • Prioritize a nutrient-rich diet, focusing on protein and vitamins.
  • Attend regular check-ups to monitor progress.
  • Incorporate gentle exercise as advised for improved healing.

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How much is the cost of gastric sleeve revision?

How much is the cost of gastric sleeve revision

The cost of a sleeve gastrectomy revision procedure will vary depending on where you live, your specific procedure, and your chosen surgeon. Gastric sleeve revisions can cost anywhere between $5,000 and $15,000. 

It would help if you kept in mind that this is the total cost of your procedure, including any follow-up appointments you may need with your surgeon.

In general, having a revisional operation is less expensive than the initial surgery. This is because the surgeon will use smaller incisions than they would if they performed the initial surgery. Since the incisions are smaller, you will not need as much anesthesia, reducing the surgery’s cost.

Related Post: How much does Gastric Sleeve Cost?

The Best Gastric Sleeve Revision Options‍

Many people choose gastric sleeve surgery for weight loss, but sometimes they need revisions, such as removing the sleeve. Should this become necessary, exploring other options might provide better outcomes.

1. Duodenal Switch (DS)

A DS surgery combines gastric bypass and partial duodenal switch to redirect food and change the digestive system. It’s gaining popularity for its benefits, which are similar to gastric bypass and have easier reversibility.

2. gastric sleeve revision to bypass

For those with complications post-standard roux en y gastric bypass, a revision involves creating a new bypass. The stomach folds to create a smaller pouch that connects to the small intestine, forming a new path for food.

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3. Re-sleeve

Re-sleeve entails crafting a smaller sleeve inside the original one. This less invasive laparoscopic procedure is cost-effective but not a permanent solution, potentially requiring a full revision later.

4. Conversion to Lap-Band

To treat problems after gastric sleeve, doctors use a lap band to restrict the amount of food the stomach can hold. Reversible and less invasive than other revision bariatric surgery, it allows a return to the original procedure if needed.

Conclusion

There are many benefits to gastric sleeve surgery. It is a non-invasive procedure performed on an outpatient basis, has a quick recovery time, and has an excellent track record for long-term weight loss results.

However, like any surgical procedure, there are also risks associated with gastric sleeve procedures. These include the risk of complications, the potential for the surgery to fail to produce the desired results, and the need for sleeve gastrectomy revision in certain instances.

As with any surgery, patients considering gastric sleeve surgery should be aware of the risks associated with the procedure and should discuss these with their surgeon. 

They should also ensure that they are fully prepared for the recovery process and that this is the best procedure for their unique circumstances.

frequently asked questions

Yes, gastric sleeves can be revised. Revision surgery should generally only be considered when an initial gastric sleeve procedure has not produced the expected results or complications have occurred from it.

Qualification for gastric sleeve revision depends on several factors, including health condition, weight loss progress, and reasons for the revision. Consulting with an accredited healthcare professional to determine eligibility is vital in order to be eligible.

Insurance coverage for gastric sleeve revision procedures varies and depends on an individual policy’s terms and conditions, making it essential to contact your provider to understand their coverage for revision surgeries.

Revision surgeries following gastric sleeve can vary, depending on factors like patient adherence to post-surgery guidelines and surgeon expertise. Discussing potential risks and revision rates during your initial consultation is advised.

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This article was Medically reviewed by Dr. Hakan Evrüke

About the author

Binsy George
Binsy George

Binsy brings over 13 years of expertise to the HayatMed Clinic Blog. With a passion for healthcare communication, she has crafted insightful articles that demystify complex medical topics, empowering readers to make informed decisions about their well-being.
Her wealth of experience ensures that each blog post is a reliable source of knowledge, fostering a deeper understanding of health and medical advancements.

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