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From Vertical Sleeve to Mini Gastric Bypass – Bariatric Edition

Embarking on a bariatric journey is a life-changing decision for individuals struggling with obesity. While vertical sleeve gastrectomy (VSG) has shown remarkable success, some individuals opt for revision surgery, transitioning to the mini gastric bypass (MGB).


In this blog, we will explore the reasons behind this choice and how revision surgery can offer renewed hope for lasting weight loss.


Vertical Sleeve Gastrectomy (VSG):

Vertical sleeve gastrectomy, commonly known as VSG or gastric sleeve surgery, involves removing a significant portion of the stomach to create a smaller pouch. This restrictive procedure limits food intake and reduces hunger hormones, leading to substantial weight loss. Many patients experience positive results, improved health, and an enhanced quality of life following VSG.


The Decision for Revision Surgery:

Despite the success of VSG, some individuals may find that their weight loss plateaus or regains over time. Others might experience complications or unresolved health issues. In such cases, patients may consider revision surgery to address these concerns effectively.


One common revision option is the mini gastric bypass (MGB), also known as the single-anastomosis gastric bypass. This procedure combines restrictive and malabsorptive elements. It involves creating a smaller stomach pouch and rerouting the small intestine to limit nutrient absorption further. The MGB aims to offer enhanced weight loss results compared to VSG alone.


Reasons to Opt for Mini Gastric Bypass:

  1. Increased Weight Loss Potential: Individuals who experience inadequate weight loss or weight regain after VSG may choose revision surgery to overcome these challenges. The MGB’s combined restrictive and malabsorptive components can promote greater weight loss by further limiting food intake and calorie absorption.

  2. Resolving Health Complications:For some patients, VSG might not effectively address pre-existing health conditions related to obesity, such as type 2 diabetes or high blood pressure. By transitioning to MGB, patients may experience better control of these conditions and an overall improvement in their health.

  3. Long-Term Sustainability:The decision to undergo bariatric surgery is a commitment to lifelong changes. MGB has shown promising long-term results, offering patients renewed hope for sustained weight loss and better health outcomes.

  4. Addressing Gastroesophageal Reflux Disease (GERD): In some cases, VSG may lead to an increased incidence of GERD or worsen pre-existing reflux symptoms. Revision to MGB can alleviate these issues, as the bypassed segment reduces gastric acid exposure to the esophagus.


Considerations and Risks:

Opting for revision surgery from VSG to MGB is a significant decision that requires thorough evaluation and discussion with experienced bariatric specialists. While MGB offers advantages, it also carries risks like any surgical procedure. Patients must understand the potential complications and the importance of post-operative lifestyle changes to ensure successful outcomes.


For individuals who have undergone vertical sleeve gastrectomy and are facing challenges in their weight loss journey, revision surgery to mini gastric bypass can be a transformative option. With careful consideration, guidance from healthcare professionals, and dedication to lifestyle changes, the transition to MGB can offer renewed hope for achieving sustained weight loss and improved well-being.


If you have questions regarding revision surgery, reach out to me for assistance and guidance.  You can also complete the health form in order to ensure that you qualify for revision surgery: Click Here


Healthy Hugs,


Sheri Burke

About the Author: Sheri Burke is a Registered Holistic Nutritionist and Bariatric Surgery Coordinator at International Patient Facilitators in Tijuana and Cancun, Mexico. She has worked with bariatric surgery clients for over 10 years and especially enjoys providing nutritional guidance to pre and post bariatric clients.  In her free time, she enjoys spending time with her husband and two teens and cooking up a nutritional storm in the kitchen.

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  1. Linda says

    What is the cost of this revision surgery and how long would I be off work?

    1. Admin says

      Hi Linda. Revision surgery from VSG to MGB requires 3 nights total in Mexico. If you have a sedentary job, you can return to work right away. You will have a lifting restriction of 20 pounds for 20 days. Complete this medical form to ensure you are a good candidate for revision surgery… HERE

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