Re Sleeve Revision Surgery Option for Failed Gastric Sleeves
As we speak, failed gastric sleeve surgeries are being treated through Revision Surgery ensuring long term weight loss.
One of the consequences of an unsuccessful gastric sleeve surgery is weight regain. This is a common aftereffect due to different causes; whether the procedure was not done correctly or as efficient as it could have been, there are proper ways we can help persons achieve the expected weight reduction.
The first option is resleeve. Dr. Ungson can completely redo the sleeve if it has regrown. In some cases this procedure can reduce the sleeve by up to 50% and the patient can lose all of their excess weight. Also if the the previous sleeve left a large fundus and/or antrum that will stretch due to natural causes, it can be reduced considerably and can give the patient great results.There is also the case where the patient’s sleeve has grown but not enough to be resleeved, for which Dr. Ungson recommends DS surgery or the SADI-s procedure which is the single anastomosis that offers benefits for patients that want to lose the last excess pounds and keep it off long term.
Here are some cases of before and after X-rays which show how a patient’s revision can be treated.
Case #1
Female in her 40's had lap band, was unsuccessful with her band and was then revised to a sleeve by another surgeon. She was experiencing weight regain and came to MBC to have her sleeve redone.
BEFORE 1st Photo: On the upper part of the x ray we can see that the fibrous ring-like material where her band was previously was not removed so she had an upper pouch similar to still having a band.
BEFORE 2nd Photo: On the lower part of the x ray we can see she also had a very large lower stomach ( antrum).
AFTER 1 and 2: On the after pictures we see how both the fundus and antrum were reduced by Dr Ungson (upper and lower stomach). This smaller, tighter sleeve can hold approx ⅓ of what her previous sleeve could.
Case # 2:
A 33 year old female came to MBC to seek help because she had poor weight loss with her sleeve done 2.5 years ago with another surgeon and was regaining what little she had lost.
On the BEFORE x ray, we can clearly see that the fundus or upper part of the stomach was very big. This sleeve could hold large amounts of food thus accounting for the lack of weight loss.
On the AFTER pictures, surgeons at MBC reduced her sleeve to give her a uniform, tight sleeve that will ensure she can only eat small amounts of food achieving her weight loss goals.
Case # 3