Sleeve Revision (Sleeve to Bypass)

Sleeve revision, specifically sleeve-to-bypass revision, is a surgical procedure designed for individuals who have previously undergone a sleeve gastrectomy but need further weight loss or are experiencing complications such as significant weight regain, severe acid reflux, or inadequate weight loss. This procedure involves converting the existing gastric sleeve into a gastric bypass. By doing so, the surgery not only reduces the stomach size but also reroutes a portion of the small intestine, limiting food absorption and enhancing weight loss.

The sleeve-to-bypass revision procedure is typically performed laparoscopically, which involves making small incisions and using specialized instruments for a minimally invasive approach with a shorter recovery time. During the surgery, the surgeon first assesses the current state of the gastric sleeve. The procedure then involves creating a small stomach pouch from the existing sleeve and connecting it directly to the small intestine, bypassing a significant portion of the digestive tract. This dual approach of restriction and malabsorption helps in achieving significant weight loss and improving or resolving obesity-related conditions.