Gastric Sleeve Revision
What is the Gastric Sleeve Revision?
The endoscopic sleeve revision is a minimally invasive and outpatient procedure, its function is to secure and adjust the endoscopic sleeve already performed to straighten the path to consistent and effective weight loss. This procedure is intended for patients who have undergone a gastric sleeve procedure and unfortunately have returned to gaining weight and eating larger portions of food. During the gastric sleeve revision, the sleeve is adjusted and returned to the initial size in a totally non-invasive procedure that does not take more than 15 minutes.
What is the gastric sleeve revision success rate?
Most patients can lose 15-20% of body weight after gastric sleeve revision and can lose even more weight if they adhere to the medical and nutritional plan provided by our professionals. The patient will feel satisfied with smaller portions and get back on track with the effective weight loss journey.
Who is a candidate for gastric sleeve revision?
The endoscopic sleeve revision is ideal for patients who have already undergone gastric sleeve surgery more than two years ago, who initially noticed accelerated weight loss, but then regained their initial weight and noticed that they had to eat a larger portion of food than they had already used to. In general, this procedure is for patients who have regained their initial weight and feel that the portions of food along with healthy habits are not the most optimal.
How does the gastric sleeve revision procedure work?
The endoscopic revision of the sleeve is a procedure that is performed on the same day and is minimally invasive. The doctor will use an endoscopic device that will reach the stomach through the mouth. With this technique, the doctor will be able to perform the revision without having to make cuts, incisions, or leave permanent marks such as scars. All this procedure does not take more than 15 minutes, from that moment you will be able to start again on the right path for weight loss. Often, the gastric sleeve after revision is a little smaller than it was originally.
The gastric sleeve revision is closely linked to the endoscopic gastric sleeve, Another option to lose weight without surgery, where the stomach is reduced with an endoscopic procedure, without long recovery times, minimally invasive, and with proven results.
How much weight will you lose after gastric sleeve revision?
A patient’s weight loss after endoscopic sleeve revision is 15-20% of body weight. Although the weight loss is not as drastic as the initial one, the revision can restore the successful path and allow patients to return to their normal life sooner. Generally speaking, a gastric sleeve revision procedure not only helps with weight loss but can help improve other conditions associated with obesity, such as gastric reflux.
Frequently Asked Questions
Endoscopic gastric sleeve revision is a non-invasive technique used to restore a gastric sleeve to its original, or smaller size. Sleeve gastrectomy is currently the most common bariatric surgery performed worldwide. It involves stapling and removing 80% of the stomach, leaving a narrow, banana-shaped stomach. However, beginning several years after sleeve gastrectomy, the stomach can begin to enlarge.
The result is greater capacity, the ability to eat more food, and weight regain. With endoscopic sleeve revision, we can tighten a stretched sleeve from the inside, using endoscopically placed sutures, reducing its size, and restoring restriction and fullness.
This procedure is designed for patients who have had a surgical sleeve gastrectomy, initially lost weight, but are now experiencing weight regain and a reduced feeling of fullness during meals.
Endoscopic sleeve revision is only for those who have had a prior laparoscopic or open sleeve gastrectomy. If you have regained weight for reasons other than dilation of your sleeve, you may also not be a candidate. If you have ulcers or complications from your surgery, you may not be a candidate. If you are an active smoker, you are not eligible for endoscopic sleeve revision.
There are few surgical options available to correct an enlarged gastric sleeve. A
surgeon could “re-do” the sleeve, in an attempt to make it smaller, though this carries
significant risk. Alternatively, a surgeon can convert add a bypass to a sleeve
with a more drastic surgery known as the duodenal switch. This carries additional risk
and potential for long-term complications.
In contrast, endoscopic sleeve revision is performed entirely through the mouth, with a suturing system (Overstitch) mounted to the end of an endoscope. The procedure is brief, and safe, with a risk of complication of 1% or less.
Because endoscopic sleeve revision is performed without incisions, the procedure is same-day, and the recovery is very fast. Most patients return to work within 2-3 days.
The procedure is performed in an outpatient setting in less than 30 minutes. You are sedated during the procedure. After the procedure, you will wake up, recover, then you will be discharged home.
Most patients will experience abdominal discomfort, mild nausea, chest pressure, and stomach spasm. These symptoms are well-tolerated and resolve within 1-2 days. The risk of major complication, such as infection, bleeding, or stomach injury, is less than 1%.
Most patients will lose an average of 10% to 20% of their total body weight. This is not the same amount of weight that was lost after the original gastric sleeve surgery, though it will allow patients to get back on track and enjoy a second chance with their sleeve. While individual results may vary, adhering to a structured diet and exercise regimen will increase the likelihood of long-term success.
Patients are urged to adopt healthier eating habits after undergoing endoscopic sleeve revision. Eating slowly and avoiding over-eating are keys to long-term success.