Gastric sleeve revision

Gastric sleeve revision surgery involves re-sleeving the stomach after the initial gastric sleeve surgery. The procedure typically involves removing an additional portion of the stomach. The result is a smaller sleeve or tube like shape of the stomach.

Gastric sleeve revision surgery may be recommended for individuals who experience weight regain, persistent hunger, Gastro-oesophageal reflux or difficulty achieving weight loss goals after gastric sleeve surgery.

The steps involved in gastric sleeve revision surgery can vary depending on the specific case, but typically the surgery involves the following steps:

1. Anesthesia: The patient will be given general anesthesia to ensure they are comfortable and pain-free during the procedure.
2. Keyhole surgery: The surgery is typically performed using laparoscopic techniques, which involve making small incisions in the abdomen and using a camera and surgical instruments to access the stomach.
3. Resection of the stomach: A portion of the stomach is resected (removed) to create a smaller stomach sleeve.
4. Stomach reconstruction: The remaining stomach is then reconstructed to create a smaller stomach sleeve, similar to the one created during the original sleeve procedure.
5. Closure of incisions: Dr Kuzinkovas then then closes with sutures or staples.

Yes. Revisional bariatric surgery is one of our specialties. It is common for our patients to have undergone their first bariatric surgery with another surgeon. Getting a second medical opinion can provide added insight and perspective, leading to better-informed decisions and potentially improved health outcomes.

Gastric sleeve revision surgery is typically performed laparoscopically, which involves making small incisions in the abdomen and using specialised instruments to perform the procedure.

Keyhole surgery typically results in reduced blood loss, reduced trauma and faster recovery times for patients.

As with any surgical procedure, there are risks associated with gastric sleeve revisional surgery. These can include bleeding, infection, blood clots, and anesthesia-related complications.

Patients tend to lose 60-70% of their excess body weight after a gastric sleeve revision. Weight loss will not be immediate and will happen gradually over time. It’s also important to follow the guidance of your surgeon and dietitian and stick to a healthy diet and exercise regimen.

With physical exercise and a healthy, nutritious diet, patients can expect to lose 1kg to 1.5kg per week after revision sleeve gastrectomy. This weight loss may slow down to .5kg to 1kg or less as the patient nears a normal body weight and has lost most of their excess kilograms.

Gastric sleeve revision surgery can be very effective in helping patients achieve significant weight loss and improve related health conditions such as diabetes, high blood pressure, and sleep apnea. However, it is important to remember that the success of the surgery also depends on the patient’s commitment to making lifestyle changes, such as committing to a healthy diet and exercise regimen.

Recovery from gastric sleeve revision surgery can vary depending on the individual and the specific type of revision performed. In general, however, you can expect the following during recovery:

1. Hospital stay: You will likely spend several days in the hospital recovering from the surgery. During this time, you will be closely monitored for any complications.
2. Pain management: You may experience pain and discomfort after the surgery, which will be managed with pain medication.
3. Limited mobility: You will need to limit your movements after the surgery to allow your body to heal. This may mean that you need help with daily activities.
4. Diet restrictions: You will be placed on a specific diet to help your body heal. This will likely involve a liquid diet for the first few days, followed by a progression to soft and solid foods.
5. Follow-up appointments: You will need to follow up with your surgeon regularly to monitor your recovery and address any issues that may arise.
6. Lifestyle changes: Gastric sleeve revision surgery is a major procedure. It is important to make lifestyle changes to support your weight loss goals and maintain a healthy weight in the long term.

Sleeve gastrectomy patients can enjoy regular foods sooner than patients who undergo more invasive weight loss surgeries, but there are still some limitations. Patients need to stick to a liquid or pureed diet for the first four weeks after sleeve gastrectomy and progress to soft foods slowly. A healthy diet with solid foods typically starts approximately six weeks after gastric sleeve surgery.

Dr V. Kuzinkovas will explain the recovery process and provide detailed instructions to guide you throughout the entire process. You will be provided with information about dietary restrictions and recommendations.

We offer a specialist post-operative care program. With over 15 years of supporting bariatric surgery patients, we have perfected our approach with a scientifically proven program that ensures minimum procedure complications and improves long-term weight loss success.

Our post-operative care team includes a bariatric physician, psychologist, and dietician. We offer evidence-based treatments that are proven to help you keep the weight off for good.

You will attend regular follow-ups with our bariatric physician, Dr Daiva, to guide you towards your weight loss goals.

Sally and Kerryn, our in house Dieticians will support you in keeping your healthy eating and activity regime on track. Carmel, our Bariatric psychologist will provide counselling to strengthen your emotional and mental health and improve your relationship with food.

Please visit our page on pricing for more information.