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The Sleeve Rescue™: An OCC Exclusive Sleeve Revision & Tightening Surgery

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 or Sleeve Rescue™ surgery, we consider ourselves leading experts in the field.

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UPGRADING YOUR SLEEVE AND GETTING RESTRICTION BACK

Gastric sleeve surgery, or sleeve gastrectomy, has become the most popular procedure in bariatric surgery. Sleeve gastrectomy is a highly effective metabolic and weight loss procedure. Still, like any other type of bariatric surgery, a small percentage of sleeve patients may only experience initial weight loss or may even regain some of it a few years after the surgery.

It’s normal for the stomach to expand over time after a sleeve gastrectomy. Much of the initial minimal gastric capacity is related to the inflammation and scarring that occurs during the recovery time, 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 most patients to eat a third of a typical meal; in most cases, capacity stays there or increases a tiny amount in the following years. Many patients cannot eat half of what they did before bariatric surgery.

There are several reasons why a sleeve gastrectomy could fail and lead to inadequate weight loss, or even weight regain. These include complications related to the bariatric surgery technique, the capacity of the stomach to stretch or dilate, chronic complications from the gastric sleeve, or not following nutritional guidelines. For more information about gastric sleeve revision surgery, a re-sleeving procedure, visit ncbi.nlm.nih.gov

Obesity Control Center, the leading medical tourism destination in Tijuana, MX, can correct technical issues with a sleeve gastrectomy with a revision surgery or Sleeve Rescue™ featuring the IGS IMPROVED GASTRIC SLEEVE® that resizes the sleeve to a smaller size with and combined procedure that involves stapling (“re-sleeve”) and suturing (gastric plication). With a high success rate of over 25,000 successful surgeries in Mexico performed, we are a world-leader in safe and effective bariatric surgery. We are proud to have four full United States-based accreditations for health and safety in gastric sleeve revision surgery and tightening.

After introducing a calibration tube, surgeons perform the stapling portion of the sleeve gastrectomy (cuts, seals, and removes part of the stomach) on any stretched or dilated gastric 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 gastric sleeve and adding protection to any stapled areas.   

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

These are safe and effective methods for providing adequate restriction through surgical intervention, allowing for solid food and the best weight loss results without generating nutritional problems or other chronic complications. Results from bariatric surgery may vary by patient. 

The IGS Improved Gastric Sleeve®, a new weight loss surgery technique exclusive to Obesity Control Center

The OCC-exclusive IGS Improved Gastric Sleeve® is the result of years of experience and research in bariatric surgery. We have addressed the safety issue (staple line leaks) with The Double Buttress Over-Sewing Technique*. The durability of the weight loss procedure is further enhanced by reinforcing the staple line with this proprietary technique. The most common undesirable effect of a sleeve gastrectomy 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.

HOW DOES THE SURGICAL TECHNIQUE INFLUENCE WEIGHT REGAIN?

We would like to start by saying that the Sleeve Rescue™ surgery has the same principle as a traditional sleeve gastrectomy, of creating a tubular-shaped stomach along most of its length. Still, sleeve gastrectomy surgery is not performed the same way by every bariatric surgeon.  

First, a sizing or calibration tube is placed in the stomach to provide a template for the surgeon. Some bariatric surgeons 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 lead to weight regain and excess weight. 

Another technical factor concerns the use of stomach staples. If a surgeon isn’t careful about positioning the staples, the bariatric surgery may result in a larger stomach with greater capacity. This technical error can also make it difficult to lose weight and often leads to weight regain.  

Some bariatric surgery patients have a technically perfect procedure, but the capacity of the stomach increases to the point of causing weight regain. This increase could be due to a bariatric patient’s unique elastic capacity of the stomach. In other words, the stomach pouch can stretch or relax to hold more food in some people, which leads to weight gain. Learn more about your revision options here.

sleeve revision bariatric surgery experts

THE OCC DIFFERENCE

  1. A quarter-century specialized in the bariatric 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. We are the only international team of bariatric surgeons, offering globalized bariatric healthcare and the best of the best to our patients.
  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 IGS 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 less-invasive abdominal wall preservation techniques for more weight loss and less risk to our patients.
  6. Unique patient pre-surgery education and preparation and 5 years follow-up program to prevent weight regain, 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 from sleeve patients after their initial procedure is the development or persistence of gastric reflux. In more than one study, the development or recurrence of a hiatal hernia after a sleeve gastrectomy leads to gastric reflux. During a gastric sleeve revision procedure in Tijuana, MX, we can repair the hernia with a quick and very low-risk procedure that yields good results for acid reflux control.  

Am I a candidate for sleeve revision?

You have revision options if you have undergone a sleeve gastrectomy and are experiencing any of the following symptoms related to bariatric surgery. You may be a good candidate for gastric sleeve revision surgery in Mexico if you experience:

 

  1. Less than 50% loss of the expected weight loss despite dietary changes and eating fewer calories
  2. Inadequate weight loss or partial or total weight regain that leads to a high BMI
  3. Difficult food intake, such as an intolerance to usual/solid foods, which can cause a vitamin deficiency
  4. Obesity related signs that the overall quality of life is diminishing
  5. Additional health issues caused by the bariatric surgery

Schedule Your Sleeve Tightening Procedure Today

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

References

  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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