The sleeve gastrectomy is an efficient bariatric surgical procedure for a lot of sufferers. Nonetheless, some sufferers expertise an issue with their surgical procedure that may trigger weight regain and different points.
One such challenge is a stretched sleeve that causes problem swallowing. A revision is an outpatient process that tightens the sleeve with out incisions.
What’s a Gastric Sleeve Revision?
What’s gastric sleeve revision? A gastric sleeve revision, also called a vertical sleeve gastrectomy (VSG) revision, is an outpatient process that makes use of sutures to tighten a sleeve gastrectomy so it may possibly promote weight reduction. Typically, a affected person’s abdomen can stretch out after a VSG, making it more difficult to shed some pounds or resulting in painful signs resembling acid reflux disease and problem swallowing.
This remedy is commonly carried out for sufferers who had a sleeve gastrectomy surgical procedure and suffered from problems that interfered with their weight reduction success. This remedy is often carried out with an endoscopic suturing system, permitting docs to work contained in the abdomen with out making exterior incisions. Throughout this outpatient process, they use the endoscopic suturing system to fold and fuse abdomen sections into smaller areas known as plications. It decreases the dimensions of your abdomen, limits meals consumption, and prolongs satiety that will help you attain your weight reduction targets as soon as once more.
Additionally they routinely carry out a gastric sleeve revision for sufferers who beforehand underwent lap band surgical procedure, which makes use of an adjustable silicone band positioned across the high of the abdomen to limit meals consumption. A typical motive for needing a gastric sleeve process is that the lap band has loosened over time and not helps with weight reduction. In these instances, they will convert your lap band to a sleeve gastrectomy or duodenal swap so as to add the malabsorption element of these bariatric procedures and encourage long-term weight reduction outcomes.
What are the Advantages of a Gastric Sleeve Revision?
A gastric sleeve revision, or re-sleeve surgical procedure, is a non-surgical process that helps sufferers with their weight reduction targets. It’s preferrred for individuals who have skilled a scarcity of success with their unique bariatric process. It could additionally tackle comorbidities resembling acid reflux disease or dysphagia. A sleeve revision is best when paired with a life-style change that promotes wholesome consuming habits and train.
Typically, the connection between a affected person’s abdomen pouch and small intestines (known as the stoma) can stretch over time. It could trigger weight acquire or a slowdown in weight reduction outcomes. Throughout a gastric sleeve revision, the surgeon can tighten this connection and scale back abdomen pouch measurement, permitting for elevated weight reduction.
Different occasions, the sleeve pouch can change into too massive resulting from a scarcity of adhesion or scar tissue buildup. On this case, a revision may be carried out so as to add an adjustable band or to elongate the Roux limb of a earlier gastric bypass to a duodenal swap.
Along with a life-style change, a gastric sleeve process may be transformed to different sorts of bariatric surgical procedure if it not affords the specified outcomes. It’s known as a step-up surgical pathway and may embrace a conversion to a gastric bypass or a duodenal swap, which each supply improved outcomes by including malabsorption parts to restriction surgical procedure.
What are the Dangers of a Gastric Sleeve Revision?
Typically a affected person’s abdomen can stretch after gastric sleeve surgical procedure, resulting in weight regain. On this state of affairs, a gastric sleeve revision could also be essential to tighten the abdomen pouch to its unique measurement.
A sleeve revision can also be an possibility for sufferers who’ve developed acid reflux disease / GERD and discover it tough to handle with weight-reduction plan and medicine alone. Conversion to a gastric bypass will assist divert the acid and bile circulation away from the abdomen.
Many sufferers who underwent lap band surgical procedure (a silicone band positioned across the high a part of the abdomen) now require further surgical procedure to lose extra weight. It’s normally resulting from a loosening or “slipping” of the band down the abdomen, leading to meals intolerance and vomiting. A sleeve or gastric bypass process can right this downside by attaching a loop of the small gut to the abdomen pouch, creating a brand new path for meals to journey.
Typically the connection between a affected person’s abdomen pouch and the small intestines, the stoma, can enlarge after a sleeve revision. A sleeve or gastric bypass operation can tighten this connection to cut back the quantity of meals the abdomen can maintain, serving to the affected person to really feel full after smaller meals. An endoscopic sleeve revision is a minimally invasive process carried out by means of the mouth utilizing a tube with a lightweight and digicam on its tip, known as an endoscope.
How Can I Know if I’m a Good Candidate for a Gastric Sleeve Revision?
In case you had bariatric surgical procedure and misplaced a considerable amount of weight however then regained a few of that weight or are affected by a surgical or medical complication afterward, you might be candidate for gastric sleeve revision. This process goals that will help you get again on monitor along with your weight reduction targets.
A gastric sleeve revision is often performed laparoscopically, that means your surgeon will use tiny incisions moderately than bigger openings. Permits for a much less invasive and quicker restoration. A gastric sleeve revision may be carried out in just a few other ways. One possibility is to take away the abdomen pouch solely after which re-shrink it, which may be efficient in instances the place the abdomen pouch has stretched out resulting from a change in weight-reduction plan or different problems like acid reflux disease.
Another choice is to transform the sleeve to a bypass, which may be useful for sufferers who’re experiencing dumping syndrome or different abdomen ulcers or wish to see higher long-term outcomes than they’d have achieved with a sleeve alone. Changing to a bypass also can assist relieve signs of acid reflux disease, resembling GERD (gastroesophageal reflux illness), by diverting the circulation of meals from the abdomen.
When you’ve got a BMI above 30 and have critical well being issues associated to your weight, resembling extreme diabetes or sleep apnea, you might be candidate for a gastric sleeve. The easiest way to know should you’re candidate for gastric surgical procedure is to contact our follow and converse with an skilled bariatric surgeon.