Re Sleeve Revision Surgery Option for Failed Gastric Sleeves

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.

Something to keep in mind is that every revision surgery is different and requires a thorough evaluation by an experienced surgeon who can recommend the best treatment after assessing the patient’s particular case. It is common that prospects send their X-rays and ask for the the opinion of a specialist such as Dr. Ungson whose experience on duodenal switch and revision procedures has ranked him as the best bariatric surgeon in the country.

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

A 47 year old patient had her sleeve done by another surgeon 2 years ago, in this time she had lost 35 lbs. Her BEFORE x rays clearly shows a very large stomach. She came to Mexicali Bariatric Center to have her sleeve redone and in month had lost the same 35 lbs with her new smaller sleeve. Her AFTER x rays is the sleeve done by surgeons at MBC.