Training Program

Revisional Bariatric Surgery

Revision bariatric surgery has become increasingly common these days since more primary procedures are performed in order to manage obesity and its complications. In revisional bariatric surgery the surgeons usually modify or repair an earlier failed bariatric operation. Gastroenterologists usually go for thorough review of the case and try to find out why the previous operation failed. Revision bariatric surgery is generally a more risky and complex procedure then the initial operation. Therefore, only an expert gastroenterologist or surgeon can perform revisional surgery to correct the ill effects of the prior operation. Our team of multi disciplinary experts evaluates each patient individually before operation and during the procedure.

Why is it required?

A revisional bariatric surgery is required specifically for individuals who had gastric bypass surgery, sleeve gastrectomy or adjustable gastric band surgery before and have complications or undesirable results from it. Generally, it is seen that 5% to 8% of bariatric procedures fail, for which the patient requires a revisional bariatric surgical operation. Inadequate weight loss or weight recidivism, specific complications and generally indications for revisional surgery where people either gain weight despite the surgery or do not lose enough weight to stay healthy. It is seen that patients who undergo intestinal bypass often suffer from chronic diarrhea and severe malnutrition problems for which revised bariatric surgery is advised. Also, there are many cases in which staple gastroplasty results in failure, complications and failed weight loss results. Also, the condition in which the stomach becomes enlarged after original bypass surgery if the individual is eating more than required.

Reasons of failed bariatric surgery:

There may be several reasons for which one may require revisional bariatric surgery. Also, not everyone is a good candidate for the revision procedure due to their medical condition. Generally, people who do not get desired weight loss results ask for a revision surgery. But it is not advisable by the doctor as gaining a significant amount of body weight is normal. And one has to stick strictly to the recommended diet plan in order to maintain the same body weight. But there are few challenges that comes with failed bariatric surgery; some of the reasons may include:

  • Ruptured bands
  • Displaced port with the lap band
  • Description of staples
  • Stretched pouch due gastric bypass surgery
  • Failure to lose weight despite surgery
  • BMI is 40 or above
  • Regaining of weight
  • Recurrence of medical problems that are related to excess weight such as diabetes
  • Post-operative complications