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  • Q&A with Australian Health Practitioners

    Additional gastric sleeve surgery

    I had a gastric sleeve surgery circa 4 years ago, it was a great success and I lost approximately 35 kg. I have since put on 18 kg with no sign of stopping. Dieting isn't helping.

    Is it possible to have another gastric sleeve surgery or complete by-pass surgery?
  • Find a professional to answer your question

  • Dr Ramez Bassari

    Bariatric (Obesity) Surgeon, General Surgeon, Laparoscopic Surgeon, Upper GI Surgeon (Abdominal)

    Mr Ramez Bassari is a specialist surgeon in the fields of Bariatric (obesity/weight loss), Upper Gastrointestinal (reflux, stomach, oesophagus), Laparoscopic and General Surgery - including ... View Profile

    Hi, 

    Weight gain after bariatric surgery can be due to multiple factors. It is important to see your surgeon to explore the factors involved. Most likely you will need further investigation to ascertain the reason for weight gain.

  • Dr Jason Wong

    Bariatric (Obesity) Surgeon, General Surgeon, Laparoscopic Surgeon, Upper GI Surgeon (Abdominal)

    Jason Wong is a skilled Laparoscopic and Bariatric Surgeon with expertise in sleeve and gastric bypass surgery, gallbladder, hernia, endoscopic pilonidal, antireflux and emergency general ... View Profile

    Dieting should not be required after gastric sleeve surgery as regulated, planned dietary intake in accordance with the caloric intake and meal composition the dietician would have provided education about after your initial surgery should achieve good weight maintenance.  Eating well is not dieting.

    It is not uncommon as time progresses that old habits can return including snacking behaviours, excessive alcohol intake, emotional eating as examples.

    Further surgery is certainly possible, but any maladaptive behaviours need to be addressed first, and if fixing these do not assist with weight-loss, then revision bariatric surgery can certainly be considered. 

    Exact revision procedure will depend on a number of factors which should be reviewed by your surgeon, but re-sleeve, gastric bypass and SADI certainly are options.

    I wish you all the very best.

  • Dr Jason Wong

    Bariatric (Obesity) Surgeon, General Surgeon, Laparoscopic Surgeon, Upper GI Surgeon (Abdominal)

    Jason Wong is a skilled Laparoscopic and Bariatric Surgeon with expertise in sleeve and gastric bypass surgery, gallbladder, hernia, endoscopic pilonidal, antireflux and emergency general ... View Profile

    Dieting should not be required after gastric sleeve surgery as regulated, planned dietary intake in accordance with the caloric intake and meal composition the dietician would have provided education about after your initial surgery should achieve good weight maintenance.  Eating well is not dieting.

    It is not uncommon as time progresses that old habits can return including snacking behaviours, excessive alcohol intake, emotional eating as examples.

    Further surgery is certainly possible, but any maladaptive behaviours need to be addressed first, and if fixing these do not assist with weight-loss, then revision bariatric surgery can certainly be considered. 

    Exact revision procedure will depend on a number of factors which should be reviewed by your surgeon, but re-sleeve, gastric bypass and SADI certainly are options.

    I wish you all the very best.

  • Dr Jason Wong

    Bariatric (Obesity) Surgeon, General Surgeon, Laparoscopic Surgeon, Upper GI Surgeon (Abdominal)

    Jason Wong is a skilled Laparoscopic and Bariatric Surgeon with expertise in sleeve and gastric bypass surgery, gallbladder, hernia, endoscopic pilonidal, antireflux and emergency general ... View Profile

    Dieting should not be required after gastric sleeve surgery as regulated, planned dietary intake in accordance with the caloric intake and meal composition the dietician would have provided education about after your initial surgery should achieve good weight maintenance.  Eating well is not dieting.

    It is not uncommon as time progresses that old habits can return including snacking behaviours, excessive alcohol intake, emotional eating as examples.

    Further surgery is certainly possible, but any maladaptive behaviours need to be addressed first, and if fixing these do not assist with weight-loss, then revision bariatric surgery can certainly be considered. 

    Exact revision procedure will depend on a number of factors which should be reviewed by your surgeon, but re-sleeve, gastric bypass and SADI certainly are options.

    I wish you all the very best.

  • Kirsty Woods

    Exercise Physiologist

    Hi I’m Kirsty Woods,I would like to use my experience, expertise and passion to help you reach your weight, energy and health goalsI have been ... View Profile

    Great question, thought you may find this video and article of interest:

    1) https://www.facebook.com/metabolichealthsolutionsclinics/videos/2346247688733906/

    2) https://mercybariatrics.com.au/obesity-surgery-2/weight-regain/

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