Revisional Surgery

Will I Need Additional Surgery?

Most bariatric surgeries are intended to be a single surgery. Occasionally, however, a revisional bariatric surgery may be necessary. Revisional bariatric surgery is usually performed either for inadequate weight loss or a complication of the initial bariatric procedure.

After gastric band surgery:

These patients may need revisional surgery to another bariatric procedure for a number of reasons

  • Band slippage/ gastric prolapse – whether it is a chronic or acute condition, the result will be surgery to remove the band, leaving the patient with the potential to regain their weight
  • Band erosion – where the band wears into the lining of the stomach, the result being surgical removal of the band, leaving the patient with the potential to regain their weight
  • The band failed to produce the desired weight loss, possibly due to the fact that some patients may not have the metabolism needed to lose weight with just the gastric band

These patients may be converted to either a sleeve gastrectomy, gastric bypass or duodenal switch.

After gastric bypass surgery:

These patients generally seek revisional weight loss surgery for a number of reasons:

1. Failure to lose adequate weight or weight gain
2. Mechanical complications

These patients may be revised by downsizing the gastric pouch or lengthening the Roux limb to provide more absorption. Each patient would be assessed individually by the surgeon to determine whether or not that patient would be a candidate for revisional surgery, and whether it would be beneficial or not.

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