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Updated: Nov 29, 2025

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Revised Sleeve Gastrectomy: Our Experience.

Thibaut Coste1, Marius Nedelcu2,3, Charlotte Ferrandis4,5

  • 1Bariatric Department, Polyclinique Sainte Thérèse, Sete, France.

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
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Summary

ReSleeve Gastrectomy (ReSG) can address weight regain after initial laparoscopic sleeve gastrectomy (LSG), but carries a high complication rate. Careful patient selection is crucial for successful outcomes in revisional bariatric surgery.

Keywords:
long-term resultsresleeverevisional surgerysleeve gastrectomy

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Area of Science:

  • Bariatric Surgery
  • Gastroenterology
  • Surgical Outcomes

Background:

  • Laparoscopic sleeve gastrectomy (LSG) is a common bariatric procedure.
  • Weight loss failure and severe acid reflux can necessitate revisional surgery.
  • ReSleeve Gastrectomy (ReSG) is a potential option for these patients.

Purpose of the Study:

  • To evaluate the complications and short-term weight loss results of ReSleeve Gastrectomy (ReSG).
  • To assess the feasibility of ReSG as a revisional procedure after LSG.

Main Methods:

  • Retrospective analysis of 25 patients who underwent ReSG between January 2010 and February 2016.
  • Data collected included demographics, surgical history, comorbidities, and perioperative parameters.
  • Outcomes assessed included weight loss, complications (Dindo-Clavien classification), and hospital stay.

Main Results:

  • ReSG was primarily performed for weight regain (92%) with a mean BMI of 43.9 kg/m².
  • The complication rate was 60%, with 28% Dindo-Clavien grade 2 and 32% grade 3.
  • At a mean follow-up of 37.3 months, mean BMI decreased to 35 kg/m² with 38.2% excess weight loss.

Conclusions:

  • ReSleeve Gastrectomy (ReSG) should be reserved for well-selected cases, particularly those with a large gastric pouch (≥500 mL) or unresected fundus.
  • Further prospective studies are needed to compare ReSG with other revisional bariatric procedures.