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Updated: Feb 5, 2026

Sleeve Gastrectomy in Mice using Surgical Clips
Published on: November 14, 2020
Re-sleeve Gastrectomy 4 Years Later: Is It Still an Effective Revisional Option?
F De Angelis1, M Avallone2, A Albanese3
1Division of General Surgery & IFSO Bariatric Center of Excellence, Department of Medico-Surgical Sciences and Biotechnology, Hospital ICOT, Sapienza University of Rome, Via F. Faggiana 1668, 04100, Latina, Italy. francescodeangelis7@gmail.com.
Abstract:
Laparoscopic sleeve gastrectomy (LSG) is the most performed surgical procedure worldwide. Long-term outcomes report that up to 30% of patients require revisional surgery and re-sleeve gastrectomy (rLSG) is one of the revisional procedures available. The aim was to update the outcomes of a cohort of rLSG at 52 months. This study reports the 52-month follow-up of a cohort of 19 patients previously published after 24-month follow-up. Sixteen patients completed the follow-up. Nine patients complained of GERD symptoms after 36 months. Five patients were converted to laparoscopic RYGB. Two patients were converted to a laparoscopic BPD-DS for weight regain 4 patients are asymptomatic with stable weight. On the basis of our disappointing results, it can be said that rLSG is not currently offered as revisional procedure in both centers.
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