Reoperative Options After Sleeve Gastrectomy

  • Jacques M. Himpens
  • Gregg H. Jossart
  • Dafydd A. Davies


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.


Sleeve gastrectomy Insufficient weight loss Weight regain Re-sleeve Conversion Roux-en-Y gastric bypass Duodenal switch Single-anastomosis gastric bypass Gastroesophageal reflux disease 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Jacques M. Himpens
    • 1
  • Gregg H. Jossart
    • 2
  • Dafydd A. Davies
    • 3
  1. 1.Abdominal Surgery, St. Pierre University HospitalBrusselsBelgium
  2. 2.Department of SurgeryCalifornia Pacific Medical CenterSan FranciscoUSA
  3. 3.Division of Pediatric Thoracic and General SurgeryThe Hospital for Sick ChildrenTorontoCanada

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