revision Gastric Sleeve to SIPS

[tracey1027 0]

Has anyone on here had a revision from Sleeve to SIPS ? I have an appointment next week with a surgeon about it.. Just wondering to they make your stomach smaller again or they just do the rest of the surgery? How long to recover from this surgery? Have you lost any weight since the surgery?

[RickM 1,747]

No direct experience, as the surgeons I am associated with primarily do the "traditional" BPD/DS, but the process would be the same. As to whether or not the sleeve is redone as part of the revision depends on the surgeon's preference and what condition the sleeve is in. The surgeon who has adopted our local support group only does the resleeve if it is needed, if there are any problems or defects with it. There were a lot of sloppy sleeves done in the early days of the VSG (say, 8-12 ago) as surgeons worked up the learning curve getting their techniques right ("twenty years of doing bypasses and they think they know how to do a sleeve...." to paraphrase one prominent surgeon.)

As with any revision, count on weight loss being slower and less than with a virgin WLS (I like to think of it this way - our stomach was originally 32-64 oz capacity, and after WLS, even with some stretch and adaptation it may hold 6-8 oz,, so don't expect as big of a change the second time around.) If you are doing the revision for additional weight loss or correcting regain, try to seriously get a handle on why the first one had problems and correct those before proceeding. Good luck ...