Gastric Sleeve Revision Surgery

Obesity is a chronic disease, and while weight loss surgery may save a person’s life, it is not a cure. Its success is also dependent on an individual’s ability to adhere to certain lifestyle and nutrition guidelines. 

Some patients regain their weight as a result of behavioral changes or new external factors in their lives. So If you recently had gastric band surgery or other bariatric surgical treatments and haven’t reached your desired weight loss goal, or if you’ve gained weight since your surgery, a gastric sleeve revision surgery is the best substitute and solution for you to get back on track to achieving your weight loss target.

What is a gastric sleeve revision?

A small percentage of patients who have undergone weight loss surgery relapse years later. How much depends on the procedure they had to have to treat their obesity. These people may benefit from a second procedure known as revision surgery to help them lose weight again and treat specific symptoms.

There are various factors that may contribute to weight regain. Revision surgery may also be done because the patient’s anatomy has changed over time and needs repair. 

And for insufficient weight loss, weight regain, or persistent side effects, there are four gastric sleeve revision surgery options for you:

duodenal switch (DS)

A conversion to the Duodenal Switch is considered a complex procedure and is normally done only by qualified experts. We offer this surgery as the last solution for most patients in the long term.

a duodenal procedure includes extracting the excess portion of the stomach if it has spread out, extracting the gallbladder, and rearranging the small intestine, after the previous gastric operation. The most common explanation why certain initial gastric procedures do not produce the desired results is because this stretching 

However, After this treatment, the patient will absorb far fewer calories and minerals. As a result, DS patients lose a significant amount of weight quickly and lose up to 70% or more of their weight over the long term.

Gastric bypass

The revision gastric surgery using the gastric bypass method is Just like converting to a duodenal switch (DS), performing Roux-en-Y (RNY) gastric bypass surgery is a relatively “natural” progression from a failed gastric sleeve.

A gastric bypass procedure will include: the upper and lower portions of the stomach are divided, leaving a smaller “gastric pouch” attached to the esophagus, and the intestines are reorganized. Unlike the DS operation, the gallbladder is not removed, and more digestive fluids are maintained.

The result is rapid and significant long-term weight loss, although not as much as DS because gastric bypass is only mineral-malabsorptive (and not calorie-malabsorptive). but the procedure offers significant long-term weight loss and a Low risk of gaining weight again.

Re-sleeve

Performing another gastric sleeve surgery, also called a Re-sleeve, which is an option for patients with inadequate weight loss or weight regain as a result of the smaller sleeve stomach stretching out. 

Re-sleeve is considered a less technical procedure to perform than converting to gastric bypass or duodenal switch

It should result in a similar amount of weight loss as the average initial gastric sleeve procedure up to three-fourths of your excess weight within 1 to 2 year

Lap-Band

And if you’ll be undergoing a  gastric sleeve revision to a Lap-Band it will involve:

 

  • Wrapping a band to around the top of the abdomen. Inside the band is  A tube can be filled and unfilled inside the band to raise or decrease the level of restriction. A tube connects the band to a silver-dollar-sized port just below the skin.
  • And It often requires Visiting the surgeon multiple times to have the band’s fill quantity adjusted. To accomplish the optimum level of dietary restriction, the fill amount must be precisely perfect.

Gastric sleeve revision outcome and benefits

Gastric sleeve revision offers patients a chance to get rid of the weight they planned to lose if their previous treatment was inaccurate.

Also offers an alternative for certain patients who have had gastric sleeve surgery performed before and who have put their weight back on due to their diet or other factors.

Some of the advantages patients can get from revision surgeries: 

  • It provides an opportunity to address obesity-related complications.
  • patients Desire to eat decreases and a reduction in the patient’s hunger sensation.
  • It improves in the treatment of medical difficulties related to the first procedure, including as ulcers, scar tissue, and the inability to absorb nutrition.

Who is gastric sleeve revision most suitable for?

There are several considerations that surgeons take into account when determining whether or not this operation is appropriate for those who have had sleeve gastrectomy surgery before. Many of these variables include the following:


  • When and The type of  bariatric surgery  you previously had

  • The amount of weight you lost after your previous procedure

  • Any side effects or complications that you encountered after your first sleeve gastrectomy procedure

  • Whether you have developed any medical conditions since the last time you had surgery, which could affect the healing process or raise your risk of complications with gastric sleeve revision surgery

The amount of experience your previous surgeon had, which can indicate how effective that procedure was

How to prepare for a gastric revision procedure?

To have fewer issues following surgery and to have better weight reduction outcomes after surgery, secure and cautious preparation is recommended.

Before surgery, you should consume a lot of protein to compensate your body for its needs after surgery, as you can lose weight quickly. It is also recommended to take multivitamins. Your doctors will be able to send you detailed nutritional recommendations to suit your individual needs.

You should expect to have a clear gastrointestinal system by midnight the night before surgery.

And You may also be subjected to psychiatric, dietary, and upper gastrointestinal testing to establish your preparation and health for surgery. Normal examinations, such as blood work, electrocardiograms, and x-rays, will also be required.

After a gastric revision procedure

Following successful revision gastric surgery, clear liquids such as fruit juices can be included in the diet. Soon, you’ll be transitioning from fluids to solid foods.

Following treatment, high protein and healthful diets are typically suggested. Remember that decreasing weight is our primary motivation.

In the first week after surgery, you will need someone to help you with your daily chores because unexpected exercise or discomfort should be avoided.

And finally, you will need four to six weeks to heal fully after surgery.

Sleeve Revision Surgery Cost in Turkey vs UK

If you’ve ever considered undergoing a Sleeve Revision Surgery, you may be wondering how much it costs in Turkey. Although the UK is the most expensive country in the EU. Prices differ greatly, ranging from 7.995£ to 10.300£ for a gastric sleeve procedure, depending on the surgeon and the procedure. Some Turkish hospitals may charge as little as 4.000£ for the procedure, even if they offer “5 star” accommodation. Surgical instruments used in the UK are disposable, while in Turkey, they are likely to be re-used and of inferior quality.

Turkey is cheap destination for gastric sleeve surgery. Prices is around from 4.000£, based on the local income and living wage. This is about half of what it would cost in the UK private clinic. That means that patients in the Turkey can get a gastric sleeve procedure for 4.000£, as compared to 8.000£ in the UK.

When comparing cost between Turkey and the UK, it is important to remember that Turkey does not follow the same standards as the UK Bariatric Registry. The British Bariatric Registry scrutinises surgeons’ procedures on a yearly basis. That means that Turkish surgeons might perform revision surgeries without adhering to UK Bariatric Registry standards. Aside from the cost, Turkey also offers a higher quality of service.

 

 

FAQ:

Is there a revision for gastric sleeve?

If the patient who has had gastric Sleeve surgery is unable to lose weight at the expected level or the stomach is enlarged again, weight loss is reduced and the patient has started to gain weight, gastric Sleeve surgery can be performed again for revision surgery. But the patient’s condition can be evaluated and a different method can also be selected.

Is gastric sleeve revision successful?

At the stage of revision surgery procedure, 90% success can be achieved in revision operations performed with the correctly selected method. It is an inescapable fact that people who do not follow strict rules, such as the rules of nutrition, after obesity surgery will undoubtedly fail. Among all obesity surgeries in the world, there are such possibilities as “not being able to achieve the desired result” in a 10% section. If a patient who has undergone obesity surgery gives less than 50% of his excess weight in the 18-month period, it means that the obesity surgery is unsuccessful. In addition, the weight that has been regained after losing weight for a long time or later is also an indicator of failure. For this reason, bariatric surgeons may prefer to translate unsuccessful restrictive surgical procedures. The processes that can be translated are malabsorbent, that is, resorption, or combined methods.

How Common is a Gastric Sleeve Revision?

There are a number of reasons why a person may need a gastric sleeve or a revision. These include following the recommended dietary plan, experiencing complications after the procedure, and experiencing excessive weight gain. Some people experience complications after the initial procedure, but this is uncommon. Other people find that the sleeve has failed to work for them.

The biggest reason why gastric sleeve surgery fails is that patients do not follow their new diet and lifestyle habits. Surgical patients are required to adhere to strict dietary restrictions for several months after the procedure and are careful about the types, quantities and liquids they consume. Before deciding on a revision, patients should consult with a dietician and consider their mental health. Alcohol consumption can have a negative impact on the results of gastric sleeve surgery, and patients should discuss their lifestyle with their surgeon to determine whether they need a revision or not.

Revision surgeries are common, although not as common as a gastric sleeve. Revisions are most common in patients who did not meet their initial weight loss goals. In general, weight regain after a gastric sleeve or a lap band procedure, and comorbid diseases associated with obesity are the most common reasons for a revision.

References:

  1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4062454/
  2. https://clinmedjournals.org/articles/jowm/journal-of-obesity-and-weight-loss-medication-jowm-6-036.php?jid=jowm
AboutDr. HE Obesity Clinic

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