Weight loss can be a lifelong challenge for many people, leading them to consider bariatric surgery as a solution. The gastric sleeve procedure has become one of the most common surgical methods for weight loss, with many patients achieving significant and sustained results. However, for some, the results of the initial sleeve gastrectomy may not be sufficient or lasting. This is where the resleeve procedure comes into play.
Resleeve surgery, also known as a gastric sleeve revision, is a revisional bariatric surgery aimed at patients who have not experienced the desired weight loss or have regained weight after the initial sleeve gastrectomy. This article will delve into the ins and outs of the resleeve procedure, its suitability for various patients, and what you should consider before opting for this secondary weight loss surgery.
How Does Resleeve Surgery Work?
The resleeve procedure works similarly to the original sleeve gastrectomy. During the original procedure, around 80% of the stomach is removed, leaving a tube-like "sleeve" structure, which reduces the stomach's capacity and helps patients feel full more quickly.
In the case of a resleeve surgery, the surgeon will readdress the existing gastric sleeve by trimming the stomach further or correcting any expansion that may have occurred over time. This approach restores the stomach's smaller size, which enhances restriction and helps the patient regain control over their portion sizes.
The procedure can sometimes involve additional adjustments, such as addressing scar tissue or anatomical concerns that might have contributed to less-than-ideal results from the first surgery.
Who Should Consider a Resleeve Procedure?
Resleeve surgery is not for everyone, but it can be a valuable option for specific candidates. Typically, patients who consider this revisional procedure fall into one of the following categories:
- Insufficient Weight Loss:
Some individuals may not have achieved their targeted weight loss after the initial gastric sleeve procedure. This could be due to a variety of factors, including metabolic differences or a stretching of the stomach over time. - Weight Regain:
In some cases, patients may experience weight regain after their initial sleeve gastrectomy. This could occur if the stomach expands or if dietary habits return to pre-surgery patterns. A resleeve can help in reducing the stomach size once again and aid in weight management. - Anatomical Concerns:
Occasionally, anatomical issues such as the formation of scar tissue or an abnormal sleeve shape can result in complications or hinder weight loss. A resleeve can address these issues, helping the patient get back on track. - Desire to Avoid More Invasive Revisions:
Some patients may consider other revision surgeries, such as gastric bypass, but prefer a less invasive option. The resleeve procedure is often seen as a middle-ground option before considering more complex bariatric surgeries.
Benefits of a Resleeve Procedure
Like the initial sleeve gastrectomy, the resleeve surgery offers several benefits to patients. For those who may be eligible, the following advantages are significant reasons to consider the procedure:
- Restores Restriction:
The primary benefit of resleeve surgery is the re-tightening of the stomach, which once again limits food intake. By reducing the stomach size further, patients can regain a sense of fullness after eating smaller portions, helping them better manage their diet. - Less Invasive Than Other Revisions:
Compared to more invasive revisional bariatric surgeries like gastric bypass, the resleeve is a less complex procedure. It does not involve rerouting the intestines or adding any foreign devices to the body, making it a more straightforward option for patients seeking a revision. - Potential for Additional Weight Loss:
Patients who struggled with insufficient weight loss or weight regain may find that a resleeve surgery helps jumpstart their weight loss efforts once again. With proper dietary management and lifestyle adjustments, significant weight loss can be achieved post-surgery. - Improved Quality of Life:
For those who found their weight loss journey stalled after the initial gastric sleeve, a resleeve can help regain momentum. Patients who undergo the procedure may experience improvements in physical health, mobility, and mental well-being.
Risks and Considerations
As with any surgical procedure, it's essential to weigh the risks and potential complications before deciding if a resleeve surgery is the right option for you. While the resleeve procedure is generally safe, there are some risks that patients should be aware of:
- Surgical Risks:
As with the initial sleeve gastrectomy, complications such as bleeding, infection, or leaks from the staple line can occur. These risks are rare but should be considered when planning for surgery. - Limited Weight Loss:
While many patients experience renewed weight loss after a resleeve procedure, the results are not always guaranteed. Weight loss outcomes can vary depending on several factors, including adherence to dietary recommendations and the body's response to surgery. - Scar Tissue Formation:
Patients who undergo multiple abdominal surgeries may experience increased scar tissue formation, which can complicate future surgeries if needed. - Longer Recovery Time:
Since a resleeve is a secondary procedure, recovery times may be longer than the initial surgery. Patients should plan for adequate rest and follow their surgeon’s guidelines to ensure a smooth recovery. - Potential for Future Revisions:
In some cases, even a resleeve may not be the last surgical step in a patient's weight loss journey. Patients should be prepared for the possibility that additional revisional surgeries might be necessary if the resleeve procedure does not achieve the desired outcomes.
How to Prepare for Resleeve Surgery
If you are considering a resleeve procedure, preparation is key to ensuring a successful outcome. Here are a few steps you can take to get ready:
- Consult with Your Surgeon:
Discuss your weight loss goals and the reasons for your decision to pursue a resleeve. A thorough consultation will help determine if this procedure is right for you. - Follow Pre-Surgery Guidelines:
Your surgeon may require you to follow a specific diet or make lifestyle changes before the surgery. These steps can help reduce the size of your liver, making the surgery safer and easier to perform. - Psychological Preparation:
Undergoing a revisional procedure can be mentally and emotionally challenging. Ensure that you have a strong support system in place and seek counseling if necessary to cope with the stress of surgery and recovery.
We highly recommend Dr. Jalil Illan Fraijo, MD. Dr. Illan is a Tijuana bariatric surgeon and one of Mexico's top-ranked, board-certified weight loss surgeons. Dr. Jalil Illan is a recognized expert in laparoscopic surgery who has performed over 16,500 metabolic and bariatric surgeries; 6,000 revision surgeries, and helped more than 22,000 patients.
During this time, he distinguished himself by publishing research articles in Obesity and General Surgery. Afterward, Dr. Illan completed an intensive four-year fellowship program in Laparoscopic Bariatric Surgery with world-renowned surgeon, Dr. Juan Lopez Corvalá. Dr. Jalil Illan completed advanced courses in both Laparoscopic Surgical Techniques and Laparoscopic Gastric Bypass at the prestigious Hospital Oswaldo Cruz Sao Paulo, Brazil – which holds a position as one of the most recognized healthcare institutions in Brazil. He has become one of the few Master Surgeons in Tijuana, Mexico. A distinguished accreditation by the Surgical Review Corporation in Mexico. Dr. Illan has always strived for a better education and overall practice in his medical career.
To learn more about Dr. Illan or to contact him, please visit www.drjalil.com.
