Skip to main content
SpringerLink
Log in

Reoperative Options After Sleeve Gastrectomy

  • Chapter
  • First Online:
The ASMBS Textbook of Bariatric Surgery

  • 1732 Accesses

Abstract

Laparoscopic sleeve gastrectomy (LSG) is currently the most popular operative procedure in the fight against adiposity (Lee et al. Obes Surg 17:1235–41, 2007). One of the most often reported drawbacks of the technique is the supposedly high incidence of reoperations for weight issues (insufficient weight loss/weight regain after initial satisfactory weight loss) and/or for complications, mainly persisting or “de novo” gastroesophageal reflux. More often than not, reoperation after sleeve gastrectomy will consist of conversion to Roux-en-Y gastric bypass. However, the most “reasonable” complementary intervention remains the duodenal switch procedure, which historically has proven the most effective option to address weight issues.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Lee YC, Lee WJ, Lee TS, Lin YC, Wang W, Liew PL, et al. Prediction of successful weight reduction after bariatric surgery by data mining technologies. Obes Surg. 2007;17(9):1235–41.

    Article  PubMed  Google Scholar 

  2. Moroshko I, Brennan L, O’Brien P. Predictors of dropout in weight loss interventions: a systematic review of the literature. Obes Rev. 2011;12(11):912–34.

    Article  CAS  PubMed  Google Scholar 

  3. Dixon JB, Laurie CP, Anderson ML, Hayden MJ, Dixon ME, O’Brien PE. Motivation, readiness to change, and weight loss following adjustable gastric band surgery. Obesity (Silver Spring). 2009;17(4):698–705.

    Article  Google Scholar 

  4. te Riele WW, Boerma D, Wiezer MJ, Borel Rinkes IH, van Ramshorst B. Long-term results of laparoscopic adjustable gastric banding in patients lost to follow-up. Br J Surg. 2010;97(10):1535–40.

    Article  Google Scholar 

  5. Menenakos E, Stamou KM, Albanopoulos K, Papailiou J, Theodorou D, Leandros E. Laparoscopic sleeve gastrectomy performed with intent to treat morbid obesity: a prospective single-center study of 261 patients with a median follow-up of 1 year. Obes Surg. 2010;20(3):276–82.

    Article  PubMed  Google Scholar 

  6. Ortega E, Morinigo R, Flores L, Moize V, Rios M, Lacy AM, et al. Predictive factors of excess body weight loss 1 year after laparoscopic bariatric surgery. Surg Endosc. 2012;26(6):1744–50.

    Article  PubMed  Google Scholar 

  7. Csendes A, Burgos AM, Martinez G, Figueroa M, Castillo J, Díaz JC. Loss and regain of weight after laparoscopic sleeve gastrectomy according to preoperative BMI: late results of a prospective study (78–138 months) with 93% of follow-up. Obes Surg. 2018;28:3424–30.

    Article  PubMed  Google Scholar 

  8. Rosenthal RJ, International Sleeve Gastrectomy Expert Panel, Diaz AA, Arvidsson D, Baker RS, Basso N, et al. International sleeve gastrectomy expert panel consensus statement: best practice guidelines based on experience of >12,000 cases. Surg Obes Relat Dis. 2012;8(1):8–19.

    Article  PubMed  Google Scholar 

  9. Weiner RA, Theodoridou S, Weiner S. Failure of laparoscopic sleeve gastrectomy – further procedure? Obes Facts. 2011;4(Suppl 1):42–6.

    PubMed  PubMed Central  Google Scholar 

  10. Atkins ER, Preen DB, Jarman C, Cohen LD. Improved obesity reduction and co-morbidity resolution in patients treated with 40-French bougie versus 50-French bougie four years after laparoscopic sleeve gastrectomy. Analysis of 294 patients. Obes Surg. 2012;22(1):97–104.

    Article  PubMed  Google Scholar 

  11. Wang Y, Yi XY, Gong LL, Li QF, Zhang J, Wang LH. The effectiveness and safety of laparoscopic sleeve gastrectomy with different sizes of calibration: a systematic review and meta-analysis. Int J Surg. 2018;49:32–8.

    Article  PubMed  Google Scholar 

  12. Robert M, Pasquer A, Pelascini E, Valette PJ, Gouillat C, Disse E. Impact of sleeve gastrectomy volumes on weight loss results: a prospective study. Surg Obes Relat Dis. 2016;12(7):1286–91.

    Article  PubMed  Google Scholar 

  13. Berger ER, Clements RH, Morton JM, Huffman KM, Wolfe BM, Nguyen NT, Ko CY, Hutter MM. The impact of different surgical techniques on outcomes in laparoscopic sleeve gastrectomies: the first report from the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP). Ann Surg. 2016;264(3):464–73.

    Article  PubMed  Google Scholar 

  14. Soricelli E, Iossa A, Casella G, Abbatini F, Calì B, Basso N. Sleeve gastrectomy and crural repair in obese patients with gastroesophageal reflux disease and/or hiatal hernia. Surg Obes Relat Dis. 2013;9(3):356–61.

    Article  PubMed  Google Scholar 

  15. Dakour Aridi H, Asali M, Fouani T, Alami RS, Safadi BY. Gastroesophageal reflux disease after laparoscopic sleeve gastrectomy with concomitant hiatal hernia repair: an unresolved question. Obes Surg. 2017;27(11):2898–904.

    Article  PubMed  Google Scholar 

  16. Santonicola A, Angrisani L, Cutolo P, Formisano G, Iovino P. The effect of laparoscopic sleeve gastrectomy with or without hiatal hernia repair on gastroesophageal reflux disease in obese patients. Surg Obes Relat Dis. 2014;10(2):250–5.

    Article  PubMed  Google Scholar 

  17. Snyder B, Wilson E, Wilson T, Mehta S, Bajwa K, Klein C. A randomized trial comparing reflux symptoms in sleeve gastrectomy patients with or without hiatal hernia repair. Surg Obes Relat Dis. 2016;12(9):1681–8.

    Article  PubMed  Google Scholar 

  18. Saber AA, Shoar S, Khoursheed M. Intra-thoracic Sleeve Migration (ITSM): an underreported phenomenon after laparoscopic sleeve gastrectomy. Obes Surg. 2017;27(8):1917–9.

    Article  PubMed  Google Scholar 

  19. Ellens NR, Simon JE, Kemmeter KD, Barreto TW, Kemmeter PR. Evaluating the feasibility of phrenoesophagopexy during hiatal hernia repair in sleeve gastrectomy patients. Surg Obes Relat Dis. 2017;13(12):1952–6.

    Article  PubMed  Google Scholar 

  20. Landreneau JP, Strong AT, Rodriguez JH, Aleassa EM, Aminian A, Brethauer S, Schauer PR, Kroh MD. Conversion of sleeve gastrectomy to Roux-en-Y gastric bypass. Obes Surg. 2018; https://doi.org/10.1007/s11695-018-3435-1.

  21. Clapp B, Wynn M, Martyn C, Foster C, O’Dell M, Tyroch A. Long term (7 or more years) outcomes of the sleeve gastrectomy: a meta-analysis. Surg Obes Relat Dis. 2018;14(6):741–7.

    Article  PubMed  Google Scholar 

  22. Mahawar KK, Nimeri A, Adamo M, Borg CM, Singhal R, Khan O, Small PK. Practices concerning revisional bariatric surgery: a survey of 460 surgeons. Obes Surg. 2018;28(9):2650–60.

    Article  PubMed  Google Scholar 

  23. Felsenreich DM, Kefurt R, Schermann M, Beckerhinn P, Kristo I, Krebs M, Prager G, Langer FB. Reflux, sleeve dilation, and Barrett’s esophagus after laparoscopic sleeve gastrectomy: long-term follow-up. Obes Surg. 2017;27(12):3092–101.

    Article  PubMed  Google Scholar 

  24. Genco A, Soricelli E, Casella G, Maselli R, Castagneto-Gissey L, Di Lorenzo N, Basso N. Gastroesophageal reflux disease and Barrett’s esophagus after laparoscopic sleeve gastrectomy: a possible, underestimated long-term complication. Surg Obes Relat Dis. 2017;13(4):568–74.

    Article  PubMed  Google Scholar 

  25. Blanchet MC1, Mesmann C, Yanes M, Lepage S, Marion D, Gelas P, Gouillat C. 3D gastric computed tomography as a new imaging in patients with failure or complication after bariatric surgery. Obes Surg. 2010;20(12):1727–33. https://doi.org/10.1007/s11695-010-0256-2.

    Article  PubMed  Google Scholar 

  26. Garay M, Balagué C, Rodríguez-Otero C, Gonzalo B, Domenech A, Pernas JC, Gich IJ, Miñambres I, Fernández-Ananín S, Targarona EM. Influence of antrum size on gastric emptying and weight-loss outcomes after laparoscopic sleeve gastrectomy (preliminary analysis of a randomized trial). Surg Endosc. 2018;32(6):2739–45.

    Article  PubMed  Google Scholar 

  27. Michalsky D1, Dvorak P, Belacek J, Kasalicky M. Radical resection of the pyloric antrum and its effect on gastric emptying after sleeve gastrectomy. Obes Surg. 2013;23(4):567–73.

    Article  PubMed  Google Scholar 

  28. Gagner M, Rogula T. Laparoscopic reoperative sleeve gastrectomy for poor weight loss after biliopancreatic diversion with duodenal switch. Obes Surg. 2003;13(4):649–54.

    Article  PubMed  Google Scholar 

  29. Baltasar A1, Serra C, Pérez N, Bou R, Bengochea M. Re-sleeve gastrectomy. Obes Surg. 2006;16(11):1535–8.

    Article  PubMed  Google Scholar 

  30. Dapri G, Cadiere GB, Himpens J. Laparoscopic repeat sleeve gastrectomy versus duodenal switch after isolated sleeve gastrectomy for obesity. Surg Obes Relat Dis. 2011;7(1):38–43.

    Article  PubMed  Google Scholar 

  31. Iannelli A, Schneck AS, Topart P, Carles M, Hebuterne X, Gugenheim J. Laparoscopic sleeve gastrectomy followed by duodenal switch in selected patients versus single-stage duodenal switch for superobesity: case-control study. Surg Obes Relat Dis. 2013;9(4):531–8.

    Article  PubMed  Google Scholar 

  32. Baumann T, Grueneberger J, Pache G, Kuesters S, Marjanovic G, Kulemann B, et al. Three-dimensional stomach analysis with computed tomography after laparoscopic sleeve gastrectomy: sleeve dilation and thoracic migration. Surg Endosc. 2011;25(7):2323–9.

    Article  PubMed  Google Scholar 

  33. Barbiero G, Romanucci G, Ortu V, Zuliani M, Miotto D, Pomerri F, Albanese A, Verdi D, Prevedello L, Foletto M. Relationship between gastric pouch and weight loss after laparoscopic sleeve gastrectomy. Surg Endosc. 2016;30(4):1559–63.

    Article  PubMed  Google Scholar 

  34. Braghetto I1, Cortes C, Herquiñigo D, Csendes P, Rojas A, Mushle M, Korn O, Valladares H, Csendes A, Maria Burgos A, Papapietro K. Evaluation of the radiological gastric capacity and evolution of the BMI 2–3 years after sleeve gastrectomy. Obes Surg. 2009;19(9):1262–9.

    Article  PubMed  Google Scholar 

  35. Disse E, Pasquer A, Pelascini E, Valette PJ, Betry C, Laville M, Gouillat C, Robert M. Dilatation of sleeve gastrectomy: myth or reality? Obes Surg. 2017;27:30–7.

    Article  PubMed  Google Scholar 

  36. Nedelcu M, Noel P, Iannelli A, Gagner M. Revised sleeve gastrectomy (re-sleeve). Surg Obes Relat Dis. 2015;11(6):1282–8.

    Article  PubMed  Google Scholar 

  37. AlSabah S, Alsharqawi N, Almulla A, Akrof S, Alenezi K, Buhaimed W, Al-Subaie S, Al Haddad M. Approach to poor weight loss after laparoscopic sleeve gastrectomy: re-sleeve vs. gastric bypass. Obes Surg. 2016;26(10):2302–7.

    Article  PubMed  Google Scholar 

  38. Silecchia G, De Angelis F, Rizzello M, Albanese A, Longo F, Foletto M. Residual fundus or neofundus after laparoscopic sleeve gastrectomy: is fundectomy safe and effective as revision surgery? Surg Endosc. 2015;29(10):2899–903.

    Article  PubMed  Google Scholar 

  39. Gero D, Karila-Cohen P, Marmuse JP. Simplified laparoscopic hill repair for the treatment of symptomatic sliding hiatus hernia after bariatric surgery. Surg Obes Relat Dis. 2016;12(8):1630–4.

    Article  PubMed  Google Scholar 

  40. Macedo FIB1, Mowzoon M2, Mittal VK2, Sabir M. Outcomes of laparoscopic hiatal hernia repair in nine bariatric patients with prior sleeve gastrectomy. Obes Surg. 2017;27(10):2768–72. https://doi.org/10.1007/s11695-017-2880-6.

    Article  PubMed  Google Scholar 

  41. Deslauriers V, Beauchamp A, Garofalo F, Atlas H, Denis R, Garneau P, Pescarus R. Endoscopic management of post-laparoscopic sleeve gastrectomy stenosis. Surg Endosc. 2018;32(2):601–9.

    Article  PubMed  Google Scholar 

  42. Kalaiselvan R1, Ammori BJ2. Laparoscopic median gastrectomy for stenosis following sleeve gastrectomy. Surg Obes Relat Dis. 2015;11(2):474–7.

    Article  PubMed  Google Scholar 

  43. Vilallonga R, Himpens J, van de Vrande S. Laparoscopic management of persistent strictures after laparoscopic sleeve gastrectomy. Obes Surg. 2013;23(10):1655–61.

    Article  PubMed  Google Scholar 

  44. Dapri G, Cadière GB, Himpens J. Laparoscopic seromyotomy for long stenosis after sleeve gastrectomy with or without duodenal switch. Obes Surg. 2009;19(4):495–9.

    Article  PubMed  Google Scholar 

  45. Parmar CD, Mahawar KK, Boyle M, Schroeder N, Balupuri S, Small PK. Conversion of sleeve gastrectomy to Roux-en-Y gastric bypass is effective for gastroesophageal reflux disease but not for further weight loss. Obes Surg. 2017;27(7):1651–8.

    Article  PubMed  Google Scholar 

  46. Quezada N, Hernández J, Pérez G, Gabrielli M, Raddatz A, Crovari F. Laparoscopic sleeve gastrectomy conversion to Roux-en-Y gastric bypass: experience in 50 patients after 1 to 3 years of follow-up. Surg Obes Relat Dis. 2016;12(8):1611–5.

    Article  PubMed  Google Scholar 

  47. Felsenreich DM, Langer FB, Kefurt R, Panhofer P, Schermann M, Beckerhinn P, Sperker C, Prager G. Weight loss, weight regain, and conversions to Roux-en-Y gastric bypass: 10-year results of laparoscopic sleeve gastrectomy. Surg Obes Relat Dis. 2016;12(9):1655–62.

    Article  PubMed  Google Scholar 

  48. Landreneau JP, Strong AT, Rodriguez JH, Aleassa EM, Aminian A, Brethauer S, Schauer PR, Kroh MD. Conversion of sleeve gastrectomy to Roux-en-Y gastric bypass. Obes Surg. 2018; https://doi.org/10.1007/s11695-018-3435-1. [Epub ahead of print].

  49. Boru CE, Greco F, Giustacchini P, Raffaelli M, Silecchia G. Short-term outcomes of sleeve gastrectomy conversion to R-Y gastric bypass: multi-center retrospective study. Langenbeck's Arch Surg. 2018;403(4):473–9.

    Article  Google Scholar 

  50. Casillas RA, Um SS, Zelada Getty JL, Sachs S, Kim BB. Revision of primary sleeve gastrectomy to Roux-en-Y gastric bypass: indications and outcomes from a high-volume center. Surg Obes Relat Dis. 2016;12(10):1817–25.

    Article  PubMed  Google Scholar 

  51. Langer FB, Bohdjalian A, Shakeri-Leidenmuhler S, Schoppmann SF, Zacherl J, Prager G. Conversion from sleeve gastrectomy to Roux-en-Y gastric bypass – indications and outcome. Obes Surg. 2010;20(7):835–40.

    Article  PubMed  Google Scholar 

  52. Thereaux J, Lesuffleur T, Czernichow S, Basdevant A, Msika S, Nocca D, Millat B, Fagot-Campagna A. Do sleeve gastrectomy and gastric bypass influence treatment with proton pump inhibitors 4 years after surgery? A nationwide cohort. Surg Obes Relat Dis. 2017;13(6):951–9.

    Article  PubMed  Google Scholar 

  53. Chang DM, Lee WJ, Chen JC, Ser KH, Tsai PL, Lee YC. Thirteen-year experience of laparoscopic sleeve gastrectomy: surgical risk, weight loss, and revision procedures. Obes Surg. 2018; https://doi.org/10.1007/s11695-018-3344-3. [Epub ahead of print].

  54. AlSabah S, Al Haddad E, Al-Subaie S, Ekrouf S, Alenezi K, Almulla A, Alhaddad M. Short-term results of Revisional single-anastomosis gastric bypass after sleeve gastrectomy for weight regain. Obes Surg. 2018;28(8):2197–202.

    Article  PubMed  Google Scholar 

  55. Bruzzi M, Voron T, Zinzindohoue F, Berger A, Douard R, Chevallier JM. Revisional single-anastomosis gastric bypass for a failed restrictive procedure: 5-year results. Surg Obes Relat Dis. 2016;12(2):240–5.

    Article  PubMed  Google Scholar 

  56. Iannelli A, Schneck AS, Noel P, Ben Amor I, Krawczykowski D, Gugenheim J. Re-sleeve gastrectomy for failed laparoscopic sleeve gastrectomy: a feasibility study. Obes Surg. 2011;21(7):832–5.

    Article  PubMed  Google Scholar 

  57. Regan JP, Inabnet WB, Gagner M, Pomp A. Early experience with two-stage laparoscopic Roux-en-Y gastric bypass as an alternative in the super-super obese patient. Obes Surg. 2003;13(6):861–4.

    Article  CAS  PubMed  Google Scholar 

  58. Homan J, Betzel B, Aarts EO, van Laarhoven KJ, Janssen IM, Berends FJ. Secondary surgery after sleeve gastrectomy: Roux-en-Y gastric bypass or biliopancreatic diversion with duodenal switch. Surg Obes Relat Dis. 2015;11(4):771–7.

    Article  PubMed  Google Scholar 

  59. Ceha CMM, van Wezenbeek MR, Versteegden DPA, Smulders JF, Nienhuijs SW. Matched short-term results of SADI versus GBP after sleeve gastrectomy. Obes Surg. 2018; https://doi.org/10.1007/s11695-018-3415-5. [Epub ahead of print].

  60. Arman GA, Himpens J, Dhaenens J, Ballet T, Vilallonga R, Leman G. Long-term (11+years) outcomes in weight, patient satisfaction, comorbidities, and gastroesophageal reflux treatment after laparoscopic sleeve gastrectomy. Surg Obes Relat Dis. 2016;12(10):1778–86.

    Article  PubMed  Google Scholar 

  61. Greenstein AJ, Jacob BP. Placement of a laparoscopic adjustable gastric band after failed sleeve gastrectomy. Surg Obes Relat Dis. 2008;4(4):556–8.

    Article  PubMed  Google Scholar 

  62. Lemmens L, Van Den Bossche J, Zaveri H, Surve A. Banded sleeve gastrectomy: better long-term results? A long-term cohort study until 5 years follow-up in obese and superobese patients. Obes Surg. 2018;28(9):2687–95.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Abdominal Surgery, St. Pierre University Hospital, Brussels, Belgium

    Jacques M. Himpens

  2. Department of Surgery, California Pacific Medical Center, San Francisco, CA, USA

    Gregg H. Jossart

  3. Division of Pediatric Thoracic and General Surgery, The Hospital for Sick Children, Toronto, ON, Canada

    Dafydd A. Davies

Authors
  1. Jacques M. Himpens
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Gregg H. Jossart
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Dafydd A. Davies
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Surgery, Division of Gastrointestinal Surgery, University of California, Irvine Medical Center, Orange, CA, USA

    Ninh T. Nguyen

  2. Department of Surgery, The Ohio State University, Columbus, OH, USA

    Stacy A. Brethauer

  3. Bariatric and Minimally Invasive Surgery Division, Yale School of Medicine, New Haven, CT, USA

    John M. Morton

  4. Bariatric Surgery, Metabolic and Bariatric Care, CHI Memorial Hospital, Chattanooga, TN, USA

    Jaime Ponce

  5. Department of General Surgery, The Bariatric and Metabolic Institute, Cleveland Clinic Florida, Weston, FL, USA

    Raul J. Rosenthal

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Himpens, J.M., Jossart, G.H., Davies, D.A. (2020). Reoperative Options After Sleeve Gastrectomy. In: Nguyen, N., Brethauer, S., Morton, J., Ponce, J., Rosenthal, R. (eds) The ASMBS Textbook of Bariatric Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-27021-6_26

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-27021-6_26

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-27020-9

  • Online ISBN: 978-3-030-27021-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation