Gastric Sleeve Revision in Mexico

Unfortunately, no bariatric surgery is 100% effective for all patients. Gastric sleeve surgery, or sleeve gastrectomy (VSG), is no exception. There are two major reasons to revise a gastric sleeve:

  1. Insufficient weight loss: Usually caused by improper diet, sleeve enlargement, hormonal factors, or a large pouch.
  2. High risks or post-op complications: Intractable gastroesophageal reflux, strictures, or gastric leak.

One of the advantages of choosing VSG as your initial procedure is the wide range of revision options available. Laparoscopic sleeve surgery can be easily adjusted to a re-sleeve or converted to gastric bypass, mini-gastric bypass, or duodenal switch surgery.

Mexico Bariatric Center® is the longest-running center for revising and correcting previous gastric sleeve surgeries in Tijuana, Mexico. MBC’s best weight loss surgeons have extensive experience rescuing failed bariatric surgeries and getting you back on track.

Mexico Bariatric Center Gastric Band Revision

What Does the Bariatric Revision Surgery Include?

The price of VSG revision procedures in the U.S. and Canada without insurance can easily set you back $18,000 to $28,000. Fortunately, we offer U.S.-quality weight loss surgery in Mexico at a fraction of the cost. We eliminate all of the planning and preparation by taking care of everything from the moment you arrive in San Diego to the moment you depart. Ground transportation, hotel stay, and everything in between are covered in our all-inclusive package.

  • Private Ground Transportation
  • Accredited Hospital with ICU
  • Board Certified Surgeons
  • Hospital Stay & Fees (2-3 nights)

  • Nutrition Program
  • 1-Month Supply of Vitamins*
  • Online Support Group

  • U.S. Surgeon Liaison

  • No Hidden Fees
Revision Option #1:

Gastric Sleeve to Gastric Bypass Surgery

Revising a gastric sleeve to bypass or mini-bypass is the most popular option. The gastric bypass procedure adds a malabsorptive component that bypasses a portion of the small intestine while forming a small stomach pouch.

  • Adds malabsorption, which limits food intake stored in fat cells
  • Relieve acid reflux and GERD that worsened with gastric sleeve

  • If the gastric sleeve is not effective, your body is more likely to favor the malabsorptive component of gastric bypass or mini bypass.

  • Effective in reducing rates of obesity-related health issues like type II diabetes and cardiovascular disease

Surgery Duration
1.5 – 2 hours

Hospital Stay
3 nights

Return to Work
2 – 4 weeks

Gastric Sleeve Revision to Gastric Bypass Surgery - Bariatric Surgery Revision
Revision Option #2:

Re-Sleeve Gastrectomy (Tightening)

Re-sleeve gastrectomy (ReSG) is a laparoscopic procedure designed to address weight regain after undergoing a sleeve gastrectomy. It involves trimming the stretched stomach back into a smaller sleeve, similar to the original gastric sleeve surgery. Revision re-sleeve gastrectomy (ReSG) might be an option for you if:

  • Your initial sleeve wasn’t performed optimally.
  • Your stomach pouch has stretched larger than expected.

Generally, the patient can tell if the restriction they felt earlier is gone and not feel it anymore. Research shows that two years after the sleeve operation, the volume of the stomach can double. A loss of the initial restriction you felt after the sleeve surgery may make the re-sleeve a viable option if the pouch is too large and/or the upper part of the gastric tube is dilated.

  • A good candidate for laparoscopic re-sleeve is a patient with correctable defects such as leaks and poor weight loss results.
  • With the revision, thicker tissues are anticipated along the initial staple line from the original surgery.
  • Use a smaller bougie size.

  • Avoid creating an ischemic zone (the new staple line should be inside the old one).

Surgery Duration
1 – 2 hours

Hospital Stay
2 nights

Return to Work
1 – 3 weeks

Gastric Re-Sleeve Surgery - Revising Sleeve Gastrectomy Surgery
Revision Option #3:

Gastric Sleeve to Duodenal Switch Surgery

If you’ve undergone sleeve gastrectomy but haven’t achieved your desired weight loss, a duodenal switch might be a solution. While a more complex and aggressive procedure, it builds upon your existing sleeve. One perk of revising the gastric sleeve to DS is that the first part of the DS is already completed with gastric sleeve surgery as the sleeve-shaped stomach is already in place. The next step involves the surgeon performing a significant reroute portion of the small intestine to absorb fewer calories while eating and digesting food. Mexico bariatric surgeon also looks to tighten the original sleeved stomach if it is stretched and needs to be re-sleeved.

  • Leverages Existing Sleeve: Since the sleeve-shaped stomach is already created, it becomes the starting point for the duodenal switch.

  • Enhanced Malabsorption: The surgeon reroutes a significant portion of the small intestine, dramatically reducing calorie absorption from food.

  • Potential Resleeve: If your original sleeve has stretched, the surgeon can tighten it during the conversion, maximizing effectiveness.

Surgery Duration
2 – 4 hours

Hospital Stay
3 nights

Return to Work
2 – 6 weeks

Gastric Sleeve to Duodenal Switch Revision Surgery - Revising VSG to DS
Revision Option #4:

Gastric Sleeve to ESG (Endoscopic Sleeve Gastroplasty)

If you’re battling weight regain after sleeve gastrectomy you may be a candidate for a mini ESG, known medically as the miniature Endoscopic Sleeve Gastroplasty revision. You may be eligible for a mini-ESG revision if:

  • Dilated Pouch: If your stomach pouch has stretched after sleeve gastrectomy, a mini ESG can effectively shrink it back to its prior size.
  • No Reflux/GERD: Patients without pre-existing acid reflux or GERD symptoms are generally good candidates.

This endoscopic, non-surgical procedure has the potential to help propel weight loss while following a strict diet and exercise regime. Benefits include:

  • Outpatient Procedure*: No hospital stay is required, however we keep patients overnight to help allow a faster recovery.

  • Minimally Invasive: Performed with an endoscope, minimizing discomfort and scarring.

  • Restores Satiety: Shrinks the stomach pouch to promote earlier feelings of fullness and reduce calorie intake.

  • Renewed Weight Loss: Helps you get back on track with your weight loss journey.

Surgery Duration
30 – 90 minutes

Hospital Stay
1 night

Return to Work
1 – 2 weeks

Gastric Re-Sleeve Surgery - Revising Sleeve Gastrectomy Surgery
Revision Option #5:

Gastric Sleeve with Adjustable Gastric Band

Adjustable gastric banding over a “failed” sleeve gastrectomy is an alternative but not recommended.

Banded sleeve gastrectomy using the GaBP Ring Autolock™ System to restore the sleeve restriction and prevent distal sleeve dilatation. The ring is only 1 cm, is not adjustable, and can cause erosion. GaBP system has not shown sustainable weight loss.

  • Adding a lap band to an existing gastric sleeve is an option but rarely performed by most bariatric surgeons.
  • The lap Band procedure used to be popular, but now it is known for its complications, risks, and failure.

Surgery Duration
1.5 – 2 hours

Hospital Stay
3 nights

Return to Work
2 – 3 weeks

Gastric Re-Sleeve Surgery - Revising Sleeve Gastrectomy Surgery
Andi Mini Gastric Bypass Surgery Before and After

Is Revision Surgery Right for Me?

The gastric sleeve procedure is an acquired tool to help you lose weight; however, diet and exercise are equally important. If you have not been successful in losing all the weight, the lifestyle choice is normally impactful when it comes to weight loss surgery results. Here are things to consider:

Your Diet 

Keep track of your daily diet as accurately as you can in a food diary. This would help your doctor and nutritionist to analyze your progress and find the right solution. If your diet is to be blamed, modifying that helps you avoid an unnecessary procedure. Try out the 5-day pouch reset diet.


Eating less and eating healthier isn’t enough to lose excess weight and keep it off. Part of your post-surgery instruction is to get a moderate amount of activity as soon as your body has healed. Mexico Bariatric Center supports post-bariatric patients’ weight loss efforts by offering Nutritional Bootcamps.

How Revision Surgery Works

Gastric sleeve revision surgery starting at $5,795 $5,090*

Bariatric Surgery Revision Before and After Photos

Heather M Before
Heather M After
Andrea C Before Revision
Andrea C After Revision
Amy H Before Revision
Amy H After Revision
Jessica H Before Revision Surgery
Jessica H After Revision Surgery
Shiann C Before Revision
Shiann C After Revision
Jennifer before Revision Gastric Sleeve to Gastric Bypass_Mexico Bariatric Center
Jennifer After Revision Gastric Sleeve to Gastric Bypass_Mexico Bariatric Center
Jennifer S
Kimberlin before revision surgery
Kimberlin after revision surgery
Joy before revision surgery
Joy after revisions surgery
Mark before revision surgery
Mark after revision surgery
Arlene before revision surgery
Arlene after revision surgery
Bailey before revision surgery
Bailey after revisions surgery
Tiffany before revision surgery
Tiffany After revision Surgery
Deena Before
Deena After
Kimberly H VSG to RNY before
Kimberly H VSG to RNY after
Brenda Sleeve to Bypass before
Brenda Sleeve to Bypass after
Adriana sleeve to mini before
Adriana After
Autumn before revision surgery
Autumn After revision surgery
Arethza - Bariatric Surgery Revision Before Picture
Arethza - Bariatric Surgery Revision After Picture
Julie - Gastric Sleeve to Mini Gastric Bypass Revision Before Picture
Julie - Gastric Sleeve to Mini Gastric Bypass Revision After Picture
Karla - Gastric Bypass Revision Before Picture
Karla - Gastric Bypass Revision After Picture
Leoni - Lap Band to Gastric Sleeve Revision Before Picture
Leoni - Lap Band to Gastric Sleeve Revision After Picture
Patient of Bariatric Surgery Revision Before Picture
Patient of Bariatric Surgery Revision After Picture

Success Rate of Gastric Sleeve Revision

Patients who had sleeve revision surgery due to inadequate weight loss experienced a significant decrease in body mass index (BMI), from 55.4 to an average of 35, and an average loss of 68.9 percent of excess body weight.[5] The outcome depends entirely on the revision surgery option and its effectiveness on the patient.

At Mexico Bariatric Center®, less than 5% of sleeve patients need a second surgery to reach their ideal weight. The most effective revision option has been converting gastric sleeves to mini bypass at MBC Tijuana surgical center.