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Sleeve Revision & Tightening

At OCC, we understand that revising a failing surgery is unique and must be approached accordingly. After thousands of patients that have undergone successful weight loss revision surgery, we consider ourselves leading experts in the field.



Gastric sleeve has become the most popular procedure in bariatric surgery.  It is a highly effective metabolic and weight loss procedure. Still, like any other bariatric surgery, a small percentage of patients may not lose enough weight or regain some of it a few years after the surgery. 

It’s normal for the stomach to expand over time after sleeve surgery. Much of the initial minimal gastric capacity is related to the inflammation and scarring process, which can take 6 to 8 months to resolve. After this time, the stomach regains elasticity and relaxes to accommodate more food. This increase in capacity usually allows a person to eat a third of a typical meal; in most cases, capacity stays there or increases a tiny amount in the following years. It rarely allows a person to eat more than half compared to before the surgery.

There are several reasons why a gastric sleeve could fail. These include complications related to the surgical technique, the capacity of the stomach to stretch or dilate, chronic complications from the sleeve, or not following nutritional guidelines. To learn more about gastric sleeve revision surgery, visit

Obesity Control Center, located in Tijuana, MX can correct technical issues with a sleeve by resizing the sleeve to a smaller size with a combined procedure that involves stapling (“re-sleeve”) and suturing (gastric plication). With over 23,000 successful surgeries performed, we are a world-leader in safe and effective bariatric surgical procedures. 

After introducing a calibration tube, surgeons perform the stapling (cuts, seals, and removes part of the stomach) on any stretched or dilated sleeve segment. In some cases, we have to extend the sleeve due to proximal or distal portions that the previous surgeon didn’t divide into precise anatomical landmarks. After the completion of the extension, we suture the stomach with strong non-absorbable material. The greater curvature of the stomach is in-folded close to the calibration or sizing tube, creating a perfect-sized sleeve and adding protection to any stapled areas.   

In some other cases, the size of the sleeve may not allow further stapling. Still, gastric plication reduces stomach capacity compared to the previous sleeve.  

These are safe and effective methods for providing adequate restriction, allowing for solid food and long-lasting weight loss results without generating nutritional problems or other chronic complications.

Sleeve Revision


The Improved Gastric Sleeve (IGS), a new weight loss surgery technique

The OCC Improved Gastric Sleeve is the result of years of experience and research in weight loss surgery. We have addressed the safety issue (staple line leaks) with The Double Buttress Over-Sewing Technique*. The durability of the procedure is further enhanced by reinforcing the staple line with this proprietary technique. The most common undesirable effect is heartburn symptoms (reflux disease and hiatal hernia). We have effectively diminished the problem with special attention placed on the GEF Triad (Gastro-Esophageal-Fundus Triad).

These are not just medical terms being thrown around. These are the key components of an Improved Gastric Sleeve with the numbers and data to back it up.


First, we would like to start by saying that the surgery has the same principle of creating a tubular-shaped stomach along most of its length. Still, it’s not performed the same way by every surgeon.  

First, a sizing or calibration tube is placed in the stomach to provide a template for the surgeon. Some prefer a small, medium, or even large size calibration device. If a surgeon uses the larger calibration device, there will be more stomach capacity after the healing process. If the capacity of the stomach reaches 2/3, it can easily lead to weight gain. 

Another technical factor concerns the use of stomach staples. If a surgeon isn’t careful about positioning the staples, it will result in a larger stomach with greater capacity.  

Some patients have a technically perfect procedure, but the capacity of the stomach increases to the point of gaining weight. This increase could be due to a patient’s unique elastic capacity of the stomach. In other words, the stomach can stretch or relax to hold more food in some people. Learn more about sleeve revision here.

sleeve revision bariatric surgery experts


  1. A quarter-century specialized in the weight loss surgery field. We were some of the first to perform bariatric surgical procedures.
  2. Three Master Bariatric Surgeons caring for every patient. You’re always in the hands of a world-renowned and highly-trained surgeon.
  3. Fully accredited as an SRC Center of Excellence in Bariatric and Metabolic Surgery. We have also obtained the Golden Seal awarded by the Joint Commission International that signifies that we met the highest standards in patient safety and quality available.
  4. Pioneers in the field, including several registered techniques, patented devices, and many “firsts” in the field like teenage obesity treatments, the Improved Gastric Sleeve, the Stomach Sparing Gastric Sleeve, the Double-Buttress Sewing Technique and more.
  5. Faster recovery and better outcomes. Shorter times under anesthesia and a less-invasive abdominal wall preservation techniques.
  6. Unique patient pre-surgery education and preparation and 5 years follow-up program, an industry first! To learn more about the OCC Difference, watch a detailed patient testimonial here

Sleeve Revision & Tightening FAQs

What if my sleeve loses restriction and causes acid reflux?

One of the most common complaints after sleeve gastrectomy is the development or persistence of acid reflux. In multiple studies, the development or recurrence of a hiatal hernia leads to acid reflux. During revision surgery, we can repair the hernia with a quick and low-risk procedure that yields good results for acid reflux control.  

Am I a candidate for sleeve revision?

 If you have undergone gastric sleeve and are experiencing any of the following symptoms, then you may be a good candidate for a sleeve revision:


  1. Less than 50% loss of the expected weight loss
  2. Weight loss followed by partial or total regain
  3. An intolerance to usual/solid foods
  4. Signs that the overall quality of life is diminishing
  5. Additional health issues caused by the procedure

Schedule Your Sleeve Tightening Procedure Today

Call 1 866-893-8005 or email us here to start your weight loss journey. Call one of our US-based coordinators and learn how you can get the life you’ve always wanted with the help of the Obesity Control Center in Tijuana, MX


  1.     S Brethauer, S Kothari, R Sudan, et al. Systematic review on reoperative bariatric surgery American Society for Metabolic and Bariatric Surgery Revision Task Force. Surg Obes Relat Dis 10 (2014) 952–972
  2.     Schauer P,  Mingrone G, Ikramuddin S, Wolfe B.  Clinical Outcomes of Metabolic Surgery: Efficacy of Glycemic Control, Weight Loss, and Remission of Diabetes. Diabetes Care Jun 2016, 39 (6) 902-911;

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