Re-sleeve Gastrectomy for Failed Laparoscopic Sleeve Gastrectomy: A Feasibility Study

Abstract

Laparoscopic sleeve gastrectomy (LSG) has been rapidly accepted as a valuable bariatric procedure before its effectiveness on weight loss in the long-term is clearly demonstrated. We report a feasibility study including 13 patients undergoing a redo LSG for either progressive weight regain after initial weight loss of insufficient weight loss. From October 2005 to April 2010, 13 patients underwent a re-sleeve gastrectomy procedure for progressive weight regain or insufficient weight loss (2 and 61.8 (38.2–93.9) kg, respectively. There were ten comorbid conditions in five out of the 13 patients. The revision resulted in a mean BMI, percent of excess weight loss (%EWL), and percentage of excess BMI loss (%EBL) of 32.3 kg/m², 50.3%, and 57% at 1 month; 32 kg/m², 47.9%, and 54.5 at 6 months; and 27.5 kg/m², 71.4%, and 82.8% at 12 months, respectively. There was no morbidity. Laparoscopic revision of LSG is safe and effective in the short term to obtain substantial loss of weight and improvement in comorbidities.