I just ran accross this and found it interesting. It is about doctors who have been approached for surgery after failed gastric sleeves, and instead of re-sleeving, they are plicating the stomach like the gastric plication surgery.

Here is the article:

http://obesitycontrolcenter.com/uncategorized/gastric-sleeve-failure/

I wonder how often the failures are occurring. I have seen some posts on an Australian weight loss surgery site saying that they have gained back a significant amount of weight. They were doing the sleeve in Australia way back in 2001. I know the bougies were larger back then. Some of the 7 to ten year data we are seeing are from the very earliest of sleeves which were larger. So to really see how well the smaller bougies (32-40) have fared, we may be waiting until 2017 to get accurate data. I just thought this was interesting. So people are heading back for a re-sleeve, which has a higher rate of complication, and being treated with plication to restore restriction and weight loss. Interesting!

I won't say much about this other than the fact that I think it's a really BAD idea to plicate a failed sleeve. Just do some research on plication and you'll see why.

I don't know about plication but my surgeon said that so far 36's seem to be doing the best. 32 too small, more vomiting, etc.. 40's too big with not enough restriction. Time will tell though...