Revision Bariatric Surgery
Revisional bariatric surgery refers to a follow-up surgical procedure performed on individuals who have previously undergone a weight-loss (bariatric) surgery but may need further alterations or corrections due to various reasons which could be
- Inadequate Weight Loss: Sometimes, the initial bariatric surgery might not result in the desired weight loss, or a weight regain occurs over time.
- Complications: Complications from the initial surgery, such as leaks, strictures, or other issues, might necessitate corrective procedures.
- Malnutrition: Certain medical conditions or complications arising after the initial surgery might require surgical intervention or reversal of the previous surgery.
- Changing Anatomy: Over time, the stomach pouch may enlarge or the gastro-jejunal anastomosis might enlarge allowing more food consumption. These anatomical distortions might need corrective surgery.
Types of revisional surgeries:
- Conversion Surgery: In cases where there is inadequate weight loss, significant weight regain, or a resurgence of type 2 diabetes, we change one type of bariatric procedure to another. For instance, we convert a gastric band to a sleeve gastrectomy or a sleeve gastrectomy to a gastric bypass. The revision procedure is more malabsorptive than the previous one. Certain procedures like the distal gastric bypass, long limb OAGB, Biliopancreatic diversion, and Single anastomosis duodeno-ileal bypass are generally reserved as revision procedures.
- Reversal: Reversing the initial procedure might be considered in case the patient suffers from malnutrition and is unable to keep up with the nutritional needs.
- Corrective Surgery: Repairing or adjusting the anatomy or addressing complications from the initial surgery. In conditions like GERD, anastomotic ulcers, structures, leaks, and other such conditions.
Revisional bariatric surgery is often more complex than the initial surgery and requires careful evaluation by a multidisciplinary team of healthcare professionals. The decision for revisional surgery depends on the individual’s health condition, previous surgeries, risks, benefits, and the specific reason for needing the revision.
It’s crucial for individuals considering revisional bariatric surgery to discuss their situation thoroughly with a bariatric surgeon and other specialists to understand the potential risks, benefits, and expected outcomes of the procedure.
FAQ & Info
The ethos of MetaBariatric Clinic lies in its dedication to empowering individuals to reclaim their health and vitality. With a blend of expertise, empathy, and innovation, the clinic remains a trusted haven for those embarking on their transformative weight loss journey.
Revisonal surgery is a weight loss treatment that follows a previous weight loss surgery that did not lead to as much weight loss as the surgeon and patient hope for. Revisional surgery can also be used when a patient regains significant weight after initially losing weight.
Patients who have had a gastric bypass surgery may be eligible for either a gastric bypass revision (typically making an enlarged stomach pouch smaller), or placement of a gastric band around the pouch to help with better restriction.
Historically, revisional bariatric surgery has been high-risk. Two decades ago, the overall complication rate approached 50% with a mortality rate as high as 5-10% in some published reports.
Reasons for revision surgery can include: -Limited weight loss after the initial procedure. -Regaining a significant amount of weight post-surgery. -Complications like hernias, ulcers, or nutritional deficiencies.