Sleeve gastrectomy as a revisional procedure

Abstract

Laparoscopic sleeve gastrectomy (LSG) has been an acceptable revisional option for previously failed bariatric surgeries, especially gastric banding (GB). While feasibility of performing LSG as a revisional procedure for failed GB, a purely restrictive procedure, has been controversial, it has been demonstrated to have nonrestrictive benefits reported, such as hormonal level changes and rapid gastric emptying time. Revisional LSG has potential to gain popularity according to the increasing number of failed GB due to its level of technical ease and relative safety.In this chapter, we review general aspects of LSG as a revisional treatment modality, particularly after failed GB. We also describe the rationale, indications, technique, short-term results for feasibility, and recent debates surrounding revisional LSG.