How is a "re-sleeve" determined to be needed in revision ?

Discussion in 'Revisions' started by MissSteppy, Oct 9, 2017.

  1.  
    MissSteppy

    MissSteppy New Member

    18
    3
    3
    Hello,

    Has anyone here had a "re-sleeve" with their VSG to DS revision? If so can you tell me what those determining factors were?

    Thanks!
     
  2.  
    Munchkin

    Munchkin Full of Fairy Dust

    2,891
    2,047
    163
    Re sleeve is not common. I think it would depend on how big your stomach is.
     
  3.  
    MissSteppy

    MissSteppy New Member

    18
    3
    3
    Do you know how they find out the size of a stomach? Barium swallow?
     
  4.  
    Munchkin

    Munchkin Full of Fairy Dust

    2,891
    2,047
    163
    It's not as much the size of your stomach when empty, it's the size when full. The person I knew who had it done was asked what she could eat and quantities. Also she had regained everything she initially lost.
     
  5.  
    Marquis Mark

    Marquis Mark Well-Known Member

    673
    438
    113
    I had a re-sleeve and yes it was a barium swallow which confirmed the fundus was excessively large. BTW, it was not a re-sleeve, per se, as those are rare and many doctors won't do them. Mine was just a trim.
     
    LindaDarnell likes this.
  6.  
    MissSteppy

    MissSteppy New Member

    18
    3
    3
    So the size of the fundus is key here. Ok thank you for the info!
     
  7.  
    Marquis Mark

    Marquis Mark Well-Known Member

    673
    438
    113
    Well, it was key in MY case. Point is that while they may be able to staple over the old staple line and remove the excess, actually redoing the whole thing is rare and dangerous.
     
  8.  
    DSRIGGS

    DSRIGGS Yes, that is chocolate covered bacon

    4,546
    2,146
    163
    Are you thinking you need a re-sleeve? If so why? The switch is really the part of the DS that works long term, and there is risk with a res-sleeve. If made excessively small (data has shown there is no more weight loss with small sleeve vs larger) one can end up with a stricture. The other risk when cutting on the stomach is damaging the vagus nerve and causing the pyloric valve not to function properly.
     
  9.  
    MissSteppy

    MissSteppy New Member

    18
    3
    3
    I wasn't until I heard that it was even a possibility. I wouldn't even know if my sleeve is too big. I can eat half the amount of a normal meal. I feel like it is fine. From what I've been reading a re sleeve isn't a good idea with the complication rate. I will need to get some tests done to determine the size of my sleeve. Unfortunately that is months away.
     
  10.  
    DSRIGGS

    DSRIGGS Yes, that is chocolate covered bacon

    4,546
    2,146
    163
    If you can only eat half a normal meal then your sleeve sounds just fine.
     
    MissSteppy likes this.
  11.  
    Mini Me

    Mini Me New Member

    9
    3
    3
    I had a resleeve after a barium swallow (one pound of hamburger mixed with barium - YUCK) showed that my stomach had stretched significantly. I knew this by how much I could eat, but swallow showed my surgeon the actual size.

    I am 2 weeks out, so I cannot be for sure. But, I wanted smaller stomach to get me to goal and lower DS portion to help me maintain.
     
  12.  
    DSRIGGS

    DSRIGGS Yes, that is chocolate covered bacon

    4,546
    2,146
    163
    My stomach could be it's original size and I wouldn't care. Sleeve size has been shown to have no bearing on the final amount of weight loss. I believe it was Dr K who did the study comparing a 32 fr bougie and 56 fr bougie (think those were the sizes) and it showed no difference. The switch is what is crucial to long term weight control and is the huge separating factor between the DS and other WLS. So am I correct in reading that you already had your revision?

    And WTH hell on eating a pound of hamburger with the bariatric? All one needs is the barium....I wouldn't be able to do hamburger mixed with that stuff.

    Best wishes on everything.
     
    Caitlunn likes this.
  13.  
    Duckman

    Duckman Well-Known Member

    200
    149
    113
    wait what? did you do this at Evergreen? I didn't eat any hamburger, they had this great barium swallow fluid I had to sip through a straw and rotate on the bed 360 degrees. This was in Radiology on the first floor at Evergreen.
     
  14.  
    DSRIGGS

    DSRIGGS Yes, that is chocolate covered bacon

    4,546
    2,146
    163
    Yeah all I had was the barium fluid which kind of had a mint taste to it, but I didn't get a fancy 360 degree bet. I had one of those rock hard tables that hurt like a mofo. :D
     
  15.  
    Mini Me

    Mini Me New Member

    9
    3
    3
    Only required to do the eating part if a revision and he thought he may need to re-Sleeve.
     

Share This Page