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Revisional Bariatric Surgery

Revisional bariatric surgery refers to a secondary surgical procedure performed to modify or correct complications, inadequate weight loss, or unsatisfactory outcomes from a previous weight loss surgery.

As in almost every surgical procedure, the patient must meet certain conditions in order to be a suitable candidate for revisional bariatric surgery. The person;


  • Have previously undergone a primary weight loss surgery such as gastric bypass, sleeve gastrectomy, or adjustable gastric banding
  • Should have experienced complications or deficient weight loss following the initial surgery
  • Must commit to making lifestyle changes and adhering to the recommended dietary guidelines to achieve successful outcomes
  • Should have received a thorough evaluation and clearance from an experienced surgeon.


It is important to know that each case is unique, and a detailed consultation by a bariatric surgeon is necessary to determine if revisional surgery is the appropriate course of action.


Benefits of Revisional Bariatric Surgery


Revisional surgery can solve inadequate weight loss or weight regain following the initial procedure. By modifying the anatomy of the gastrointestinal tract, the surgeon can improve the patient's ability to lose weight effectively.

This surgery can help resolve complications or adverse effects that may have occurred after the primary weight loss surgery. This includes issues such as gastric pouch enlargement, gastroesophageal reflux disease (GERD), or other problems.

By involving complications or insufficient weight loss, revisional surgery can improve a person's overall quality of life. Achieving better weight loss outcomes can lead to increased mobility, improved self-respect, and enhanced physical and mental well-being.

Besides that, this practice also allows for a personalized approach based on the patient's specific needs and circumstances. The surgeon can prefer the most proper revisional procedure based on the previous surgery and the desired outcomes.


How is Revisional Bariatric Surgery Performed?


The specific approach to revisional bariatric surgery depends on the individual's unique circumstances and the nature of the complications or unsatisfactory outcomes from the previous weight loss surgery. It is a relatively short operation that takes between half an hour and 40 minutes.

In some cases, revisional surgery may involve converting the initial procedure to a different type of weight loss surgery. For example, converting a failed gastric banding procedure to a gastric bypass or sleeve gastrectomy.

This approach involves modifying the anatomy of the gastrointestinal tract to optimize weight loss outcomes. It may include resizing the gastric pouch, adjusting the gastric band, or revising the intestinal connections.

In certain cases, revisional procedures can be performed endoscopically, without the need for open surgery. Endoscopic interventions may involve suturing the gastric pouch or using endoscopic devices to reduce the size of the stomach.


Revisional Bariatric Surgery: Recovery Process


The recovery process following revisional bariatric surgery is similar to that of the initial weight loss surgery.

The length of the hospital stay may vary depending on the difficulty of the revisional procedure and the patient's general health status. In some cases, it may require an overnight stay, while others may be outpatient.

It is very important to eat in accordance with the recommendations of the surgeon and dietitian after the operation. Patients are mostly liquid feeding in the first weeks, then they can gradually consume solid foods.

Patients can do some activities without tiring themselves too much. For heavy exercises, it is recommended to wait until the doctor's approval is obtained.


Risks and Considerations of Revisional Bariatric Surgery


While revisional bariatric surgery can provide significant benefits, it is essential to be aware of the potential risks and considerations involved.

Revisional bariatric surgery is generally more complex than the initial weight loss operation. The presence of scar tissue, anatomical changes, and previous surgical alterations can make the procedure technically challenging. It is vital to choose a skilled and experienced surgeon who specializes in revisional procedures.

Undergoing revisional bariatric surgery can involve emotional and psychological challenges. It is common for patients to experience anxiety, frustration, or disappointment due to previous surgical outcomes. It is essential to address these concerns and seek support from mental health professionals to ensure holistic well-being.

Health International successfully handles the most challenging revisional bariatric surgery cases. If you have had an unsatisfactory initial operation and are looking for a solution, please reach us via our contact information.

Frequently Asked Questions