Introduction

Sleeve gastrectomy (SG) is a widely favored bariatric procedure known for its effectiveness in promoting weight loss. However, it’s essential to recognize that, like any surgical intervention, challenges may arise. Weight regain or inadequate weight loss after sleeve gastrectomy can be a concern for some individuals. In this article, we will explore the potential causes of weight regain after sleeve gastrectomy and the available treatment options, with a focus on revision surgery as a solution to address this issue.

 

Why am I not losing weight after Sleeve Revision?

Weight regain after sleeve gastrectomy, so called Gastric Sleeve, can result from various factors, including:

1. Remnant Stomach Size: In some cases, the size of the remaining stomach pouch may be larger than intended, which can affect the restriction on food intake.
2. Gradual Increase in Stomach Volume: Over time, the remnant stomach may gradually increase in volume, allowing for larger meal consumption.
3. Dietary Habits: Factors such as increased consumption of sweets, larger portion sizes, emotional eating, and binge eating can contribute to weight regain.
   

How do you restart weight loss after Gastric Sleeve Revision?

To restart the weight loss procedure after Gastric Sleeve Revision it is important to take care of the nutrition as:

1. Dietary and Lifestyle Modification:

• Adopting a habit of consuming small, frequent meals (3-5 times a day) can help control calorie intake.
• Emphasize a balanced, healthy diet rich in protein, fiber, and nutrients while avoiding high-fat, high-sugar, and high-salt foods.
• Adequate hydration, sufficient sleep, and avoidance of late-night eating are crucial.
• Implement meal planning, grocery shopping strategies, and the use of food timers to avoid mindless eating.

Can a Sleeve Revision be revised to a Gastric Bypass?

Yes, it is possible to get a revision of a Sleeve revision. Below are two different options, for those who are not losing enough weight after Gastric Sleeve Revision Surgery:

Revision Bariatric Surgery Options:

Conversion to Roux-en-Y Gastric Bypass (RYGB):

• RYGB involves dividing the stomach to create a small pouch and rerouting the small bowel.
• Patients can expect to lose 30-70% of excess weight with improved comorbidities.
• Longer biliopancreatic limbs (100-200 cm) may enhance weight loss.

Conversion to One-Anastomosis Gastric Bypass (OAGB):

• OAGB creates a long gastric pouch, and the small bowel is connected to it.
• The longer biliopancreatic limb (150-200 cm) in OAGB can lead to weight loss of 50-85% of excess weight.

Conclusion

Weight regain or inadequate weight loss after sleeve gastrectomy can be a challenging issue, but it is not insurmountable. A combination of dietary and lifestyle modifications, weight loss medications, and, if necessary, revision bariatric surgery can help individuals achieve their weight loss goals and improve overall well-being. The choice of revision procedure should be discussed with a healthcare professional to determine the most suitable option based on individual needs and circumstances. Remember, with the right approach and support, sustained weight loss is achievable after sleeve gastrectomy revision.