Weight Regain after Sleeve Gastrectomy (Gastric Sleeve)

Sleeve Gastrectomy (Gastric Sleeve)

The Sleeve Gastrectomy (Gastric Sleeve) was originally the first stage of a bariatric procedure called Biliopancreatic Diversion with a Duodenal Switch in super morbidly obese patients and/or very high risk patients.

Due to the super high BMI of patients and associated high risks, the Biliopancreatic Diversion with Duodenal Switch needed to be performed in two surgical stages.

However, it was found that in a significant amount of patients who had undergone the first stage of surgery (the vertical sleeve gastrectomy), the second stage of the operation (the second malabsorptive stage) was not required as patients had lost significant satisfactory weight following the first stage of the surgery. The Gastric Sleeve became a stand alone treatment as a consequence.

The Gastric Sleeve has gained huge popularity over recent years, mainly due to many surgeon’s dissatisfaction with the long term results of the Gastric Band.

The Gastric Sleeve is a procedure that permanently removes approximately 75-80% of the stomach. The expected weight loss is higher than with the Gastric Band and slightly less than with the Gastric Bypass.

Long term Weight Regain after Gastric Sleeve is possible if poor habits occur… snacking between meals, poor dietary choices and lack of exercise, the same habits that originally created the obesity.

During the first year after surgery it is vital to adopt new dietary habits, exercise patterns, lifestyle habits and change your mindset otherwise you are likely to return to the weight you were before surgery.

Bariatric surgery requires commitment and compliance from the patient, the surgery alone will not prevent weight gain for the rest of your life. A healthy balanced diet and exercise will help to maintain weight loss long term. Emotional difficulties can often lead to reverting to old bad habits, the habits that led to the obesity in the first place. It is therefore essential that emotional needs are addressed. You can overcome these difficulties with understanding and professional guidance.

If you are experiencing difficulties please do not be disheartened or embarrassed, the sooner you seek dietary and psychological help, the more likely you are able to get back on track and prevent a large increase in weight.

The first step would be to engage in a programme of dietary, exercise, lifestyle and emotional change.

However binge eating and overeating in general can stretch the stomach and the sleeve will no longer be effective. You then have the choice of revisional or conversion surgery. The options are:

  • Convert to a Gastric Bypass
  • Resize the stomach  (Re-Sleeve)
  • Place a Gastric Band around the  Gastric Sleeve

However it must be noted that the above are of little use long term unless diet, exercise, lifestyle and mindset are changed.


Need advice?

Whether you are considering Conversion Surgery, concerned about weight gain or interested in our proven, effective aftercare programme contact:

Gateway Health 0345 9000 339

UK Leading Bariatric surgeon, outstanding aftercare….. all at competitive prices