Can you get a second gastric sleeve?

Can you get a second gastric sleeve?

Gastric sleeve surgery is one of the most popular weight-loss surgeries performed throughout Australia – and it’s not hard to see why gastric sleeve surgery is still on the rise in this country and becoming more common. Firstly, the procedure poses a substantially higher success rate in comparison to other weight loss procedures. Also, patients usually experience quick and extraordinary weight loss within the first year after undergoing surgery.

However, a small number of patients who have had gastric sleeve surgery may be dissatisfied with the post-surgery weight loss results due to complications or lifestyle factors. So, you might be wondering; can you get gastric sleeve twice?

Can You Get Gastric Sleeve Surgery Twice?

In short, yes! Patients who have undergone a gastric sleeve may be eligible for a ‘gastric sleeve revision’. There are numerous reasons as to why patients might contemplate getting a second gastric sleeve, these can include unhappiness with the post-surgery weight loss outcome, or complications following surgery such as acid reflux, stomach ulcers, chronic nausea, and dilation of the oesophagus. Most surprisingly, recent research has suggested that 10% – 30% of gastric sleeve surgery patients require further intervention to improve or maintain their weight loss goal.

While the procedure of gastric sleeve surgery is undoubtably effective, unfortunately, the statistics highlight that there’s a great challenge in changing behavioural and lifestyle influences permanently.

What Is Gastric Sleeve Revision?

A gastric sleeve revision is the secondary surgery and a complex procedure which shrinks the stomach to its original size following the first gastric sleeve gastrectomy. The procedure follows the same protocol as an endoscopic sleeve gastroplasty (ESG).

Gastric sleeve revision surgery is a procedure that should be carefully considered in consultation with a medical professional. There are some common options for a gastric sleeve revision which all depend on the patient’s individual circumstances.

Duodenal Switch

The duodenal switch is a challenging procedure which involves the removal of the excess part of the stomach if it has stretched out following the previous gastric procedure – removing the gallbladder and repositioning the small intestine. The stretching of the stomach is the most common reason as to why some initial gastric procedures don’t achieve the desired results.

Gastric Bypass

A gastric bypass involves the removal of the top section of the stomach and ligating the oesophagus with the lower portion.

Gastric Sleeve Options

If you are looking to get a second gastric sleeve, there are various procedures available based on your individual needs.

These include Mini Gastric Bypass Surgery, Single Anastomosis Stomach-Ileal Bypass with Sleeve Gastectomy (SASI-S), Single Anastomosis Duodeno-Ileal Bypass with Sleeve Gastectomy (SADI-S), RYGB Gastric Bypass Surgery and also Stomach Intestinal Bypass with Sleeve Gastrectomy (SIBS).

Combination (SIBS)

Dr Kevin Dolan also offers combination procedures, most recently and highly recommended is the SIBS procedure. Studies show a combination of surgeries can provide greater weight loss than either a standard sleeve gastrectomy or gastric bypass. Some other advantages of SIBS include:

  • Combines benefits of sleeve and bypass
  • Less risk of dumping and diarrhoea than other bypasses
  • Less risk of internal hernia

Gastric Sleeve Perth

It’s essential to first consider the alternative options to leading a healthier and more balanced lifestyle before committing to a gastric sleeve revision. If you want to discuss a gastric sleeve procedure, get in touch with Dr Kevin Dolan today on (08) 9246 2314 and we’ll provide a tailored approach to your weight loss journey.

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