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Undergoing a gastric sleeve revision can be a transformative journey toward renewed health and well-being. If you're considering a revision of your gastric sleeve, Turkey emerges as a notable destination, offering expert medical care, cutting-edge facilities, and affordability. 

The Benefits of Gastric Sleeve Revision in Turkey

Turkey stands out in bariatric surgery, offering an array of advantages for individuals seeking a gastric sleeve revision Turkey. Renowned for its high standards of healthcare and experienced medical professionals, the country presents a compelling choice for your revision journey.

Expert Medical Professionals

Turkey's medical fraternity has highly skilled surgeons specialized in bariatric procedures, including gastric sleeve revision surgery. These experts are well-versed in the latest surgical techniques, ensuring you receive proficient care tailored to your unique health needs.

State-of-the-Art Facilities

Hospitals in Turkey have modern infrastructure and the latest medical technology. This ensures that your Turkey gastric sleeve revision surgery is conducted in a facility that adheres to international standards of medical care, promising you a safe and conducive environment for your surgery and recovery.

Cost-Effectiveness

The cost advantage is one of the most compelling reasons to choose gastric sleeve revision in Turkey. The gastric sleeve revision Turkey cost is considerably lower than in many Western countries without compromising the quality of care. This cost efficiency extends to various aspects of the procedure, making it a financially viable option for many.

Comprehensive Care Packages

Many hospitals offer comprehensive packages for gastric sleeve revision surgery Turkey. These packages often include all aspects of the procedure, from pre-surgery consultations and the surgery to post-operative care and accommodation, ensuring a hassle-free experience.

Cultural and Recreational Opportunities

While the primary motive is your health, undergoing gastric sleeve revision in Turkey also allows you to experience the country's rich culture and hospitality. Many individuals combine their medical trips with the opportunity to explore Turkey's historical landmarks and natural beauty.

Gastric Sleeve Revision Cost in Turkey

When considering gastric sleeve revision surgery, understanding the financial aspect is crucial. Turkey is known for offering this life-altering surgery at a fraction of the cost compared to other countries, but with no compromise on the quality of medical care.

Gastric sleeve revision Turkey price is competitive, and while it varies depending on various factors, such as the hospital and the specifics of the case, it generally Turkey gastric sleeve revision cost €2,600 - €4000 and remains significantly lower than in many Western countries.

Some patients may opt for an endoscopic revision of sleeve gastrectomy, a less invasive option. This procedure is also cost-effective in Turkey, providing an affordable solution to individuals seeking revision.

While the gastric sleeve revision cost in Turkey is already appealing, exploring whether your insurance plan covers bariatric surgeries abroad is essential. Some insurance plans might offer partial or full coverage, reducing the financial burden further.

The Best Candidate for Gastric Sleeve Revision in Turkey

Deciding to undergo a gastric sleeve revision in Turkey is a significant step. Understanding if you are the right candidate is crucial to ensure the success and safety of the procedure. Here are some aspects that define the best candidates for a gastric sleeve revision in Turkey:

  1. Previous Gastric Sleeve Surgery: The primary candidates for gastric sleeve revision are individuals who have previously undergone a gastric sleeve surgery and have either experienced complications, insufficient weight loss, or weight regain over time.
  2. Medical Evaluation: A thorough medical evaluation is essential. Candidates should comprehensively understand their current health status.
  3. Commitment to Lifestyle Changes: Successful bariatric surgery goes beyond the procedure. Candidates should be committed to maintaining a healthy lifestyle, including proper nutrition and regular physical activity.
  4. Psychological Readiness: Mental preparedness is key. Candidates should be in a stable psychological state and have the resilience to adapt to the changes in their lifestyle and body.

The Next Steps If You Plan To Have Gastric Sleeve Revision Surgery in Turkey

If you've determined that a gastric sleeve revision in Turkey is the right path, planning your journey meticulously is vital. Here are the next steps to ensure a smooth and successful experience:

  1. Detailed Research: Gather as much information as possible about gastric sleeve revision surgery Turkey. 
  2. Consultation with Experts: Schedule consultations with medical professionals in your home country and Turkey. Discuss your medical history and the reasons for the failure of your previous surgery, and set realistic expectations for the revision.
  3. Financial Planning: Understand the full scope of gastric sleeve revision surgery costs in Turkey. Consider the surgery cost, travel expenses, accommodation, and additional fees.
  4. Prepare for Travel and Stay: Plan your travel comprehensively. Ensure your passport is valid and you have the necessary visas. Also, plan your stay in Turkey to ensure it's comfortable and conducive to your recovery.
  5. Post-Operative Care Plan: Discuss the post-operative care plan with your surgeon. Understand the dietary restrictions, exercise regimen, and follow-up appointments necessary after surgery.
  6. Support System: Having a support system is crucial. Ensure you have someone to accompany you or be in constant touch during your stay in Turkey. Emotional support plays a vital role in the recovery process.

By meticulously planning and preparing for your gastric sleeve revision surgery Turkey, you can ensure a safe procedure and a successful journey towards achieving your health goals.

Gastric Sleeve Revision Clinics(23 Clinics)

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Luna Clinic Turkey
Istanbul, Turkey
Luna Clinic Turkey Verified
  • Preliminary and follow-up examination
  • 98% would recommend
  • 1000+ operations last year
  • Internationally trained surgeons
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€2,600
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Istanbul European Clinic
Istanbul, Turkey
Istanbul European Clinic Verified
  • 97% would recommend
  • Uses cutting-edge tech
  • Accredited by TSAPS (Turkish Society of Aesthetic Plastic Surgery)
  • Well-equipped staff
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From
€2,750
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Memorial Sisli Hospital
Istanbul, Turkey
Memorial Sisli Hospital Verified
  • Popular by international patients
  • 200 bed capacity
  • JCI-Certified
  • Has an advanced medical technology
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From
€3,250
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Florence Nightingale Istanbul
Istanbul, Turkey
Florence Nightingale Istanbul Verified
  • Accredited by ISO, JCI and the TUV
  • Premium facility
  • Follows the latest treatment trends
  • 700 bed capacity
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From
€4,000
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Acibadem Maslak Hospital
Istanbul, Turkey
Acibadem Maslak Hospital Verified
  • 90% would recommend
  • ISO 9001:2008 and JCI accreditations
  • Leed Gold Certified
  • 231 patient rooms
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€3,850
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Kent Hospital
Izmir, Turkey
Kent Hospital Verified
  • 95% would recommend
  • Advanced technology investment
  • 1000+ treatments last year
  • Founded in 2008
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€3,300
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Medipol Mega University Hospital
Istanbul, Turkey
Medipol Mega University Hospital Verified
  • One of Turkey's largest hospitals
  • Accredited by ISO, JCI and the TUV
  • High review rate
  • Online doctor consultations
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€3,850
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Liv Hospital
Istanbul, Turkey
Liv Hospital Verified
  • 95% would recommend
  • Online doctor consultation
  • Great location
  • Open weekends
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From
€3,800
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Koç Healthcare Institutions
Istanbul, Turkey
Koç Healthcare Institutions Verified
  • Follows strict standards to deliver exceptional services
  • ISO 9001 Quality Management System
  • Founded in 1997
  • Internationally recognized surgeons
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Memorial Antalya Hospital
Antalya, Turkey
Memorial Antalya Hospital Verified
  • Designed with modern medical technology
  • Uses the latest technology
  • Has 132 patient beds
  • Accredited by American College & JCI
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By Abdulaziz Ali - Medically reviewed by Prof. Cuneyt Kayaalp, on Jan 26, 2024

What is a Gastric Sleeve Revision?

Gastric sleeve revision is a surgical procedure intended for individuals who have previously undergone a gastric sleeve surgery (sleeve gastrectomy) but did not achieve the desired results or encountered complications over time. The procedure rectifies or improves the outcomes of the initial surgery.

During the initial gastric sleeve surgery, a significant portion of the stomach is removed, leaving a smaller, tube-shaped stomach (resembling a sleeve). This reduction in stomach size helps patients lose weight by limiting food intake and reducing hunger. However, in some cases, the stomach may stretch over time, or the initial surgery may not lead to sufficient weight loss or may cause complications.

Gastric Sleeve Revision Recovery Time

The recovery time for gastric sleeve revision can vary based on the individual's health, the specific nature of the surgery, and the patient's adherence to post-operative care guidelines. Generally, the hospital stay for a gastric sleeve revision may last a few days, with the total initial recovery period ranging from a few weeks to a few months.

Immediate Post-Operative Phase (First Few Days)

This phase involves close monitoring in the hospital. As the medical team advises, you will start with a liquid diet and gradually transition to pureed foods.

Early Recovery Phase (First Few Weeks)

After discharge, you must adhere strictly to dietary guidelines, engage in light activities, and attend follow-up appointments. Full recovery from the surgery, including the ability to return to normal activities and work, typically occurs within 3 to 5 weeks.

Extended Recovery Phase (Up to Several Months)

Complete healing and stabilization of weight loss patterns may take several months. During this period, you should maintain regular consultations with your healthcare providers, adhere to nutritional guidelines, and engage in regular physical activity.

Follow your surgeon's post-operative instructions, attend all follow-up appointments, and communicate any concerns or complications that arise during the recovery period. The focus should be on physical recovery and adapting to the lifestyle and dietary changes necessary for the long-term success of the gastric sleeve revision.

Gastric Sleeve Revision Requirements

Undergoing a gastric sleeve revision is a decision that requires careful consideration and an understanding of the specific requirements to determine if you are an eligible candidate. The requirements for gastric sleeve revision typically involve a combination of medical, psychological, and lifestyle criteria:

  1. Previous Gastric Sleeve Surgery: The most fundamental requirement is having previously undergone gastric sleeve surgery and not achieving the desired results, experiencing significant complications, or having issues such as weight regain after an initial period of success.
  2. BMI for Gastric Sleeve Revision: Body Mass Index (BMI) is a critical factor. Patients who haven't reached their weight loss goals and have a BMI that still categorizes them as overweight or obese qualify for revision.
  3. Consultation with a Gastric Sleeve Revision Doctor: A thorough evaluation by a qualified bariatric surgeon or gastric sleeve revision doctor is essential. The doctor will assess your medical history, the success or complications of the initial surgery, and your overall health to determine if a revision is the best course of action.

How Common is a Gastric Sleeve Revision?

Gastric sleeve revisions are not as common as the initial gastric sleeve surgeries but are becoming the new norm. This rise is partly due to the increasing number of primary gastric sleeve surgeries and a better understanding of the long-term outcomes and potential complications associated with the procedure. 

While the majority of patients achieve successful results with their initial surgery, a subset may require a revision for various reasons, including inadequate weight loss, weight regain, or complications such as GERD or sleeve dilation.

Gastric Sleeve Revision for GERD

Gastroesophageal Reflux Disease (GERD) can be a significant issue for some patients after a gastric sleeve surgery. Sometimes, altering the stomach's structure can exacerbate or lead to severe GERD. 

A gastric sleeve revision for GERD typically involves converting the sleeve gastrectomy to another type of bariatric surgery, such as gastric bypass. This conversion can help alleviate the symptoms of GERD by reducing acid reflux, improving the quality of life, and addressing the patient's weight loss needs. However, this decision should be made after a comprehensive evaluation by a specialist, considering all the potential risks and benefits.

Gastric Sleeve Revision Process

The gastric sleeve revision process is thorough and tailored to meet your needs. Understanding the steps involved, from the decision-making to surgery and healing, is essential for a successful outcome. Here's an overview of the gastric sleeve revision process:

Initial Consultation and Evaluation

The process begins with comprehensive consultations with a bariatric surgeon. The doctor will evaluate the reasons for the previous gastric sleeve's inadequacy or failure.

Determining the Method of Revision

The surgeon will discuss the gastric sleeve revision approach based on the initial consultation. The method chosen depends on individual factors such as the degree of weight regain, the presence of complications like GERD, or the anatomy of the existing gastric sleeve.

Pre-Operative Preparations

Before the surgery, you may undergo several tests and evaluations to ensure you're fit for the procedure. Nutritional counseling, psychological evaluation, and physical examinations are common at this stage.

The Surgery

The gastric sleeve revision surgery can be more complex than the initial sleeve gastrectomy. The surgeon may opt for different techniques, such as re-sleeving (making the stomach smaller again), converting to a gastric bypass (for better weight loss results or to address GERD), or other methods, depending on your specific situation.

Monitoring Gastric Sleeve Revision Weight Loss

After the surgery, the doctor will monitor your weight loss progress. This involves regular check-ups with your healthcare provider, adhering to dietary guidelines, and engaging in recommended physical activities.

Gastric Sleeve Revision Options

Several options are available when revising a gastric sleeve, each tailored to address specific issues or goals. The most common gastric sleeve revision options include:

  1. Re-Sleeving: This involves reducing the size of the stomach again if it has stretched since the initial procedure, leading to weight regain.
  2. Conversion to Gastric Bypass: This option solves severe GERD or if you haven't achieved significant weight loss with the sleeve. Gastric bypass can offer better results regarding weight loss and resolving acid reflux.
  3. Adding a Gastric Band: In some cases, adding a gastric band to the existing sleeve can help enhance restriction and promote further weight loss.
  4. Duodenal Switch: Converting to a duodenal switch may be an option for significant weight regain or substantial weight loss. This procedure is more complex and involves stomach and small intestine changes.

Each option has its benefits, risks, and considerations. Discussing these in detail with your healthcare provider to determine the most suitable approach for your gastric sleeve revision is crucial.

How Do They Do Gastric Sleeve Revision to Bypass

Converting a gastric sleeve to a gastric bypass is a revision option for patients who have not achieved their desired weight loss goals or are experiencing complications such as severe GERD. The process involves the following steps:

  1. Surgical Approach: The revision is laparoscopic, meaning it's minimally invasive, involves small incisions, and uses a camera to guide the surgery.
  2. Creating a Small Pouch: The surgeon makes a small pouch at the top of the stomach, similar to the traditional gastric bypass procedure.
  3. Bypassing the Stomach: The small pouch is then directly connected to the small intestine, bypassing a large portion of the stomach and the first part of the small intestine (the duodenum).
  4. Reducing Absorption: This rerouting reduces the amount of food you eat at one time and decreases the absorption of calories and nutrients, leading to weight loss.
  5. Post-Operative Care: After the surgery, the doctor will place you on a specific diet and need to follow strict nutritional guidelines to ensure proper healing and maximize weight loss results.

How Do They Do Gastric Sleeve Revision to Duodenal Switch

A gastric sleeve revision to a duodenal switch is another option for individuals who require further weight loss or have specific metabolic conditions. 

  1. Maintaining the Sleeve: The existing gastric sleeve is preserved, maintaining the reduced stomach size.
  2. Intestinal Bypass: The next step involves rerouting a significant portion of the small intestine. The surgeon divides the duodenum just past the stomach and connects the end portion of the intestine (the ileum) to the new opening in the duodenum.
  3. Altering Digestion and Absorption: This rerouting changes digestion and limits the absorption of calories and nutrients, leading to weight loss.
  4. Comprehensive Follow-up Care: Patients need careful monitoring and possibly supplementation to prevent nutritional deficiencies due to the procedure's complexity and nutrient absorption changes.

Gastric Sleeve Revision After Pregnancy

Pregnancy after a gastric sleeve surgery can lead to various changes in the body that might necessitate a revision surgery, particularly if significant weight gain occurs or if nutritional issues arise. Here's what to consider for a gastric sleeve revision after pregnancy:

  1. Timing: It's crucial to wait until the body has fully recovered from childbirth and any potential breastfeeding period is complete. 
  2. Evaluation: A thorough evaluation is necessary to determine the reasons for the revision, whether it's due to weight regain, nutritional deficiencies, or changes in the stomach's structure post-pregnancy.
  3. Nutritional Support: Given the increased nutritional needs post-pregnancy, particularly if breastfeeding, the revision process should include comprehensive dietary counseling to meet the mother's and baby's health needs.

Gastric Sleeve Revision Success Rate

The success of gastric sleeve revision can be quite significant, but it's important to have realistic expectations and understand that outcomes can vary based on individual circumstances. 

You will experience substantial weight loss after a gastric sleeve revision, especially when the revision is due to weight regain or insufficient weight loss after the initial surgery. The amount of weight loss can vary, but many achieve results comparable to or exceed their initial weight loss.

Gastric Sleeve Revision Side Effects

While gastric sleeve revision can offer significant benefits, it's also associated with potential side effects and complications. Being aware of these is crucial for anyone considering the procedure:

  1. Nutritional Deficiencies: Due to changes in the absorption of nutrients, you may be at risk for deficiencies in vitamins and minerals and may require lifelong supplementation.
  2. Surgical Complications: As with any surgery, there are risks of complications such as infections, bleeding, or adverse reactions to anesthesia. There's also the potential for leaks from the staple lines in the stomach.
  3. Gastrointestinal Issues: Some patients may experience gastrointestinal symptoms post-surgery, including nausea, vomiting, acid reflux, or dumping syndrome, where food moves too quickly from the stomach to the small intestine.
  4. Weight Regain: Although the goal of the revision is to aid in weight loss, there's still the possibility of weight regain if lifestyle modifications are not adhered to.
  5. Psychological Effects: The physical changes after surgery can also have psychological impacts. Some individuals may experience mood swings, depression, or challenges in adapting to their new lifestyle and dietary habits.

Frequently Asked Questions (FAQs)

What qualifies you for a gastric sleeve revision?

Qualifications include inadequate weight loss or weight regain after the initial surgery, complications like GERD or stomach dilation, or medical issues worsened by obesity.

What is the best revision surgery for gastric sleeve?

The best revision surgery depends on individual needs but can include re-sleeving, conversion to gastric bypass, or duodenal switch.

Does insurance cover gastric sleeve revision?

Coverage varies by provider and plan. It often requires proof of medical necessity, so check with your insurance for specifics.

Can a gastric sleeve be revised?

Yes, a gastric sleeve can be revised if the initial surgery didn't yield the desired results or if complications occurred.

How much is a gastric sleeve revision?

Costs vary widely based on location, facility, and specific procedure but can range from $20,000 to $30,000 without insurance.

Is a gastric sleeve revision worth it?

It can be worth it for individuals who didn't achieve the desired results from the initial surgery and are experiencing health issues or insufficient weight loss.

How to get approved for gastric sleeve revision?

Approval generally requires documentation of the necessity for revision, such as insufficient weight loss, medical complications, or nutritional issues.

Why would you need a revision after gastric sleeve?

Reasons include inadequate weight loss, weight regain, complications like acid reflux or stomach stretching, or worsened obesity-related health conditions.

Can you do a revision on a gastric sleeve?

Yes, revisions are possible and involve procedures like re-sleeving, conversion to gastric bypass, or duodenal switch.

Can you have gastric sleeve surgery twice?

A direct repeat of a gastric sleeve is uncommon, but you can have a second surgery as a revision or conversion to another type of bariatric surgery.

Can I shrink my gastric sleeve again?

Directly shrinking the sleeve again (re-sleeving) is a form of revision surgery, typically done if the stomach has stretched or if the initial surgery didn't result in sufficient weight loss.

Will I lose weight with a revision from sleeve to bypass?

Many patients lose weight after converting to gastric bypass, especially if the revision addresses issues from the initial sleeve surgery.

Do you lose weight after sleeve revision?

Weight loss is a common outcome after sleeve revision, especially if the revision addresses the specific reasons the initial surgery was not fully successful.

What are the risks of gastric sleeve revision?

Risks include bleeding, infection, leaks from staple lines, nutritional deficiencies, and the general risks associated with anesthesia and surgery.

How much weight can you lose with a revision?

Weight loss varies but can be substantial, especially if the revision effectively addresses the issues from the initial surgery and is accompanied by lifestyle changes.

What is the recovery time for gastric sleeve revision?

Recovery can take several weeks to a few months, depending on the individual and the specific type of revision performed.

Why didn't my gastric sleeve work?

Reasons may include inadequate diet and lifestyle changes, anatomical changes like stomach stretching, or metabolic factors.

What are the options for a failed gastric sleeve?

Options include re-sleeving, conversion to gastric bypass or duodenal switch, or addressing specific complications through medical or surgical interventions.

How do I know if I need a gastric sleeve revision?

Indicators include insufficient weight loss, significant weight regain, or the development of complications like severe GERD or a stretched stomach.

Why did my gastric sleeve fail?

Failure can be due to anatomical changes, inadequate lifestyle modifications, or individual metabolic factors.

Can a gastric sleeve be tightened?

The stomach can be made smaller again through a procedure known as re-sleeving, but this depends on individual circumstances.

How much weight can I lose after a revision?

Weight loss varies widely but can be significant if the revision effectively addresses the initial surgery's shortcomings and is supported by lifestyle changes.

What is the best revision surgery for gastric sleeve?

The best revision surgery depends on individual needs but often includes conversion to gastric bypass, duodenal switch, or re-sleeving.

How do you tell if you stretched your pouch?

Symptoms may include not feeling full, significant increases in the amount of food you can eat, or rapid weight regain.

How much weight can you lose after bariatric revision?

Weight loss varies but can be substantial, particularly if the revision addresses the specific reasons for the failure of the initial surgery.

What happens during a gastric sleeve revision?

The procedure varies but may involve re-sleeving, converting to another bariatric surgery, or addressing specific complications.

What is the hardest thing about gastric sleeve surgery?

Challenges often include adhering to a strict diet post-surgery, managing potential side effects, and making permanent lifestyle changes.

What to do after failed gastric sleeve?

Consult with a bariatric specialist to understand the reasons for failure and discuss potential revision options or other interventions.

Which bariatric surgery has the highest failure rate?

Failure rates vary by individual circumstances, but gastric banding generally has higher rates of failure or complication.

What are the different types of gastric sleeve revisions?

Types include re-sleeving, conversion to gastric bypass or duodenal switch, or other interventions to address specific complications.

How do you reset a pouch after gastric sleeve?

A pouch reset involves following a structured diet plan for a few days to weeks to shrink your stomach slightly and return to the post-surgery diet progression.