Every patient reacts differently to surgery, and every surgery is unique. There are two primary reasons why a revision following a sleeve gastrectomy may be necessary. The first is a complication that occurs after surgery. Another issue is insufficient weight reduction following the initial operation.

What to Consider Before Revision Surgery
There are numerous elements to consider when deciding whether or not a gastric sleeve revision surgery is the best option based on your previous experience. If you followed all dietary and nutritional guidelines, there could be an inside problem. If you didn't lose weight following the operation, you may have a mechanical problem, which is a common cause to seek a revision procedure.

When you suspect the surgery was unsuccessful, make an appointment with your surgeon to discuss your concerns and obtain the information you'll need to make an informed decision. Revision bariatric surgery may be considered if you have initial success with the procedure and all other possible causes of your results with the original procedure have been ruled out, such as:
- Failure to follow dietary recommendations
- A fitness regimen that did not meet your needs
- Deficiencies in nutrition in your diet

Testing Before Revision Surgery
If an interior problem is identified, you will most likely be subjected to many tests before undergoing revision surgery. An upper gastrointestinal tract (upper GI tract) radiography test involves drinking a particular liquid before taking an x-ray of your stomach. The goal of these tests is to watch your digestive system in action.

An endoscopy is a procedure that uses a tube with a tiny camera to examine your stomach and small intestines. The endoscope will also examine your pouch to see if there is a problem there. Another test you might undergo is an eating test, in which you'll be given food to eat and asked how much you can eat before feeling full. These examinations also look for the following:
- Roux limb abnormalities
- Esophageal abnormalities
- Gastrogastric fistula
- Staple line problems

Correcting Complications
A revision may be the answer if you're experiencing stomach reflux following your sleeve gastrectomy. Reflux can be caused by stricture and can also present as swallowing problems.

Reigniting Weight Loss
Options for renewing weight loss are available for sleeve patients who did not achieve the success they hoped for.

What to Expect
Gastric sleeve surgery is used to treat complications such as gastric reflux. This simple procedure leads to a lower-pressure pouch, relieving reflux and making swallowing easier.

Weight regain revisions are of two categories, which can be done concurrently if both are required. The first step is to reduce the sleeve size to restore limitations. In some people, the sleeve grows larger with time or is greater than necessary, requiring more food to be consumed before a sense of fullness is achieved.

Re-sleeving the stomach is the most consistent technique to reestablish restriction. As with a primary sleeve gastrectomy, we insert a tube down the sleeve and staple along the tube. This works reasonably well to reestablish restriction but rarely produces the same powerful sensation as the initial surgery. This is partly due to nerve dulling; therefore, correcting anatomy will not restore the restricting feeling.

Converting to a duodenal switch is another possibility. We execute the duodenal switch frequently, which has the best weight loss of any surgery we conduct. The duodenal switch procedure begins with a sleeve gastrectomy followed by a small bowel bypass. Converting a sleeve gastrectomy to a duodenal switch is as simple as doing a short bowel bypass.

This procedure is low risk and can be performed as a single anastomosis or with only one connection, reducing the operation's danger. This procedure is typically performed laparoscopically, using all of the same incisions as the sleeve gastrectomy. It entails spending the night in a hospital or surgery center. This surgery is often less expensive than a re-sleeve procedure when performed without insurance.

To be evaluated for secondary bariatric surgery, our doctors will need a copy of your previous bariatric surgery's operative note to fully analyze your anatomy and alternatives moving forward.

Author's Bio: 

I am Amelia Grant, a journalist, and blogger. I think that information is a great force that is able to change people’s lives for the better. That is why I feel a strong intention to share useful and important things about health self-care, wellness, and other advice that may be helpful for people. Being an enthusiast of a healthy lifestyle that keeps improving my life, I wish the same for everyone.