Sleeve dilation with regain, 6 years post-op
A patient with documented sleeve dilation on imaging, gradual regain over multiple years, and no significant reflux. Evaluation explored behavioral, medical, and surgical pathways. Decision-making weighed restriction-focused revision against conversion to bypass.
Severe reflux after sleeve, 4 years post-op
A patient with persistent reflux despite medical therapy after sleeve gastrectomy. Endoscopy and imaging informed evaluation. Conversion to Roux-en-Y gastric bypass was discussed as a recognized approach for severe post-sleeve GERD.
Type 2 diabetes recurrence after initial remission
A patient who achieved diabetes remission post-bariatric surgery and later experienced recurrence with weight regain. Evaluation discussed combined medical management, GLP-1 therapy, and metabolic revision options.
Inadequate initial weight loss after sleeve
A patient whose initial weight loss did not reach expected thresholds. Workup included anatomic assessment, behavioral review, and discussion of additional interventions.
Long-term weight maintenance with structured follow-up
A patient who maintained meaningful long-term weight loss after revision with structured nutritional and behavioral follow-up. Illustrates the role of ongoing support, not a guaranteed outcome.
Important note
These cases are de-identified educational summaries. They do not represent specific patients, do not guarantee outcomes, and are not a substitute for individual medical evaluation.