2nd leak developed 1 year post-op

[MichiganChic 3,262]

Actually, you can revise a sleeve to bypass. They take the remaining portion of stomach and treat it as if there was no sleeve, and turn that into a pouch, and create an anastomosis to the intestine. I would imagine this might work if the leak is in the portion of stomach this sewn up and bypassed, but the surgeon can answer that question.

The sleeve was originially intended to be the first surgery before a duodenal switch, not the first step of gastric bypass. They are two different procedures.

To the OP, so sorry to hear this! I have heard one other person on the boards report a leak a year out, so I know it can happen. Wishing your husband a speedy recovery.

I'm aware of the difference. I'm a surgical nurse. thanks

I have a sleeve and I am being converted to bypass. So it can be done. Also, in a lot if literature they do say the sleeve was done as a first step to RNY. It is used to get weight down because it is a less invasive procedure for those with very high BMIs. I think people get caught up on the whole DS thing because everyone thinks the sleeve and DS just automatically go together. I wish you the best and hope they find a resolution fast for him!

http://bariatrictimes.com/the-history-of-sleeve-gastrectomy/

http://www.sages.org/wiki/laparoscopic-sleeve-gastrectomy/

https://asmbs.org/resources/story-of-obesity-surgery

[SleeveandRNYchica 1,155]

We all can post links to prove our points.

It is used in both. I constantly see people correct someone that says is used as a first step is DS. No one is not saying that it isn't, but surgeons also use it for pre RNY. This forum is full of people trying to prove they are always right. I wasn't aware that was the purpose of the forum. Thanks for the links thought.

http://www.obesityaction.org/educational-resources/resource-articles-2/weight-loss-surgery/laparoscopic-sleeve-gastrectomy-a-newcomer-to-bariatric-surgery