Candidates are patients who have previously undergone gastric sleeve surgery and not experienced and/or sustained significant weight loss after sufficient changes in diet and exercise. Some patients may also be suffering from more severe side effects of gastric bypass such as ulcers, bowel obstruction, significant GI upset (vomiting, diarrhea, nausea, and heartburn) or gastrointestinal reflux disease. As gastric sleeve revision is a higher-risk surgery than the initial gastric sleeve procedure, more specific factors pertaining to an individual case will also determine candidacy.
Patients who have undergone gastric sleeve surgery but failed to sustain long-term permanent lifestyle and diet changes are not candidates for gastric bypass revision. They should rule out diet and exercise as reasons for failure to lose significant amounts of weight.
A period of consultation to determine how and if your gastric bypass has failed is required prior to gastric bypass revision. During this period, upper endoscopy (insertion of a small camera), radiography (tracing a safe radioactive dye you swallow), and/or an eating test may be conducted to see where the gastric sleeve has failed.
You may be asked to change your diet, lose or maintain a stable weight, or alter your dietary habits (i.e. eating smaller meals throughout the day) before surgery. This increases the chance of successful, sustained weight loss after surgery. Like other surgeries, gastric plication may require you to undergo certain general surgery procedures such as preoperative blood testing, medications, and cessation of smoking or use of pain relievers and anti-inflammatory drugs.
Typically, patients spend 24 to 48 hours after the procedure at the hospital before going home. Pain in the first 2 to 3 days after surgery in the upper left part of the abdomen is common, but can be managed with pain relievers. Pain should be minimal to nonexistent by 2 to 3 weeks after surgery. Although light walking is suggested soon after surgery, strenuous exercise should be avoided for the first few weeks.
Patients should stick to an all-liquid diet for the first two weeks, before gradually easing into soft foods, and eventually, back to a normal diet after four weeks. This new diet should be fully in place by 6 months after surgery. However, portion sizes should be heavily restricted and patients should eat slowly so they can properly gauge their fullness.
Gastric sleeve revision surgery carries the same risk of other open surgeries performed under general anesthesia, such as adverse reactions to anesthesia, infection at the wound site, allergic reactions to medication, and blood loss requiring transfusion. Generally, gastric sleeve revision is a higher risk procedure than initial weight loss surgeries, as it may include conversion to another weight loss surgery procedure (lap band or gastric bypass). Longer-term complications are similar to other weight loss procedures, including malnutrition and persistent nausea, vomiting, and diarrhea.
$16,800+ (similar to gastric sleeve)