17 Sleeve Gastrectomy as a Revisional Procedure

  • Raul J. RosenthalEmail author


Laparoscopic sleeve gastrectomy (LSG) has been an acceptable revisional option for previously failed bariatric surgeries, especially gastric banding (GB). While feasibility of performing LSG as a revisional procedure for failed GB, a purely restrictive procedure, has been controversial, it has been demonstrated to have nonrestrictive benefits reported, such as hormonal level changes and rapid gastric emptying time. Revisional LSG has potential to gain popularity according to the increasing number of failed GB due to its level of technical ease and relative safety.

In this chapter, we review general aspects of LSG as a revisional treatment modality, particularly after failed GB. We also describe the rationale, indications, technique, short-term results for feasibility, and recent debates surrounding revisional LSG.


Failed bariatric surgery Laparoscopic sleeve gastrectomy Revision 

Supplementary material

Video 1

LSG to BP chronic fistula (MPG 786142 kb)


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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Bariatric and Metabolic InstituteCleveland ClinicWestonUSA

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