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Can You Have Gastric Sleeve Surgery Twice? A Comprehensive Guide to Gastric Sleeve Revisions

Before and After BMI

January 4, 2024

Can You Have Gastric Sleeve Surgery Twice? A Comprehensive Guide to Gastric Sleeve Revisions

The question “Can you have gastric sleeve surgery twice?” is one that has risen in prominence as more people turn to bariatric surgery for a solution to persistent weight issues. Gastric sleeve surgery has become one of the most common weight loss procedures performed today. 

However, life happens, and some patients find themselves grappling with regained weight years after their first surgery. This comprehensive guide aims to answer your pressing questions and concerns about undergoing gastric sleeve surgery for the second time.

Gastric Sleeve vs. Gastric Sleeve Revision

While both surgeries aim to help you lose weight, there’s a difference between the initial gastric sleeve surgery and a gastric sleeve revision. The first surgery involves removing a portion of your stomach to create a smaller “sleeve.” A revision, on the other hand, is usually performed to correct issues from the first surgery.

Why Consider a Second Surgery?

The reason most people look into a second gastric sleeve surgery is because they’ve gained weight back after initially losing it post-surgery. Despite best efforts to adhere to the recommended lifestyle changes, sometimes weight regain happens. It can be incredibly frustrating and disheartening, which is why many consult their bariatric surgeon about the possibility of a second surgery.  Another reason is because of GERD, or reflux, which can occur in 25-30% of patients after a sleeve gastrectomy.

Medical Considerations

Before you even step foot into the surgical suite again, there are numerous medical considerations to take into account. Your surgeon will review your surgical history, including how your body responded to the first procedure, any complications you encountered, and how well you adhered to the post-op care guidelines. This information is crucial for determining whether a second surgery is a feasible option for you.

Risks and Benefits

As with any surgical procedure, there are risks associated with undergoing gastric sleeve surgery twice. Complications can include infection, bleeding, and issues related to anesthesia. Additionally, there’s always the concern that the revision surgery might not be as effective in achieving the desired weight loss.

However, there are also benefits. For those who have struggled with regained weight, a second surgery can be an effective way to re-establish control and get back on track with their weight loss journey.

Concerns and Considerations

Patients usually have a lot of questions when considering gastric sleeve revisions, such as the safety of the procedure, what the recovery process entails, and how effective the surgery will be this time around. It’s important to discuss all of these concerns with your bariatric surgeon to make an informed decision.

Success Rates

The success rate for gastric sleeve revision surgery varies but is generally positive. However, it’s important to note that the efficacy of revision surgeries can sometimes be lower than that of initial procedures. Success often depends on a multitude of factors, including how well the patient sticks to their post-operative care plan.

Who Is a Candidate?

Certain factors may make someone a better candidate for gastric sleeve revision surgery. These can include how much weight was regained, the patient’s current state of health, and how well they adhered to the prescribed lifestyle changes after the first surgery.

Final Thoughts

Can you have gastric sleeve surgery twice? The answer is nuanced. While it’s a possibility for some, it’s critical to weigh the risks and benefits and to consult with a qualified bariatric surgeon for an individual assessment. This article complements existing content about revision surgery, and for more information, please refer to BMI’s Revision Surgery page.

In conclusion, if you find yourself contemplating whether to undergo this surgery a second time, the best step is to consult with a medical professional. The decision to have a second gastric sleeve surgery is not to be taken lightly, but with the right guidance, you can make the choice that’s best for you and your health.

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