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Gastric Sleeve Revision (Getting it done twice)



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Has anyone had their gastric sleeve done twice? Mine has stretched out over the past 3 years and I am having the surgery done again. Just wanted to see If anyone else has done this?

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I had a revision to RNY due to gerd on 2/28. When I had my barium swallow it looked like I had a gastric fundus that had grown at the top of my sleeve, but when the surgeon went in my sleeve was fully intact, with no fundus and minimal stretching. My insurance would not have covered a resleeve. My doctor would never perform a resleeve as he says it's too risky although I have read some promising research that it can be done safely and is a good means to restart weight loss. However, it wouldn't have fixed my problem of gastritis and reflux. I had my sleeve 7 years ago. Good luck to you!


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Resleeves are done occasionally, either by themselves or as part of a revision to a duodenal switch. They tend to work best if the sleeve was somewhat defective - a stricture and/or too much fundus left behind at the top or bottom (the VSG is done by removing the major curvature of stomach, following the minor curvature of the stomach - problem is that the cutting/staple tools are straight and it takes lots of practice to get the curved profile right to avoid the above issues.) Often the resleeves are done open rather than lap due to having to work around the existing staple line. If the resleeve is being done due to normal capacity increase, the results tend to be less successful as there are often dietary issues as the root cause and cutting back capacity short term won't solve the longer term problem.

Have they done any imaging to evaluate any shaping issues?

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Resleeves are done occasionally, either by themselves or as part of a revision to a duodenal switch. They tend to work best if the sleeve was somewhat defective - a stricture and/or too much fundus left behind at the top or bottom (the VSG is done by removing the major curvature of stomach, following the minor curvature of the stomach - problem is that the cutting/staple tools are straight and it takes lots of practice to get the curved profile right to avoid the above issues.) Often the resleeves are done open rather than lap due to having to work around the existing staple line. If the resleeve is being done due to normal capacity increase, the results tend to be less successful as there are often dietary issues as the root cause and cutting back capacity short term won't solve the longer term problem.
Have they done any imaging to evaluate any shaping issues?

I have fundus at the top. I am being resleeved to get it removed.


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