Revisional surgery constitutes 13.6% of all bariatric procedures performed and is the fastest growing area in bariatric surgery. If you have previously had bariatric surgery such as gastric band, gastric sleeve, vertical banded gastroplasty or even the roux-en-y gastric bypass and did not lose the amount of weight you wanted after your primary procedure, revisional bariatric surgery may be right for you. Even if you initially lost weight after obesity surgery but then regained it, don’t worry… it’s possible we have a solution for you!
Revisional Weight Loss Procedures
Revisional bariatric procedures are intended to change or improve the outcome of a previous weight loss surgery.2 Most patients who undergo bariatric surgery achieve long-term weight loss resulting from their procedure. However, some individuals develop weight regain issues or other gastrointestinal medical conditions such as reflux, nutritional problems, or surgical complications like staple line leakage. Others develop conditions that can affect their quality of life after their initial surgery. A revision procedure can resolve these issues. We specialize in a variety of revision surgeries and will determine the right one for you based on the type of weight loss surgery you originally had.
Lose Weight and Keep It Off In New Jersey
The team at Garden State Bariatrics has a great deal of experience with revisional bariatric surgery—also referred to as reoperative bariatric surgery. Whether you’ve had a laparoscopic or open procedure, revisional surgery can be quite challenging and takes highly developed expertise to perform safely. However, it can be an efficacious procedure that provides satisfactory results and additional weight loss for appropriately selected candidates.3 If you are interested in learning more about our revisional weight loss procedures, we invite you to come in for a consultation with one of our esteemed bariatric surgeons.
Common Bariatric Revision Surgeries
Gastric Sleeve Revision
Gastric sleeve surgery, also referred to as sleeve gastrectomy, can be revised to either a gastric bypass or duodenal switch. There are advantages and disadvantages to each and our surgeons will, of course, take the time to thoroughly discuss this with you.
Gastric Band Revision
The most common revisional surgical procedure is for the patient who had an adjustable gastric band, also referred to as a lap band, performed any number of years previously (because it was “safer” or “less invasive”) and has not achieved good results. If you are in that situation, please don’t beat yourself up! The results over time have not been as good as we would have liked for many patients. Today, there are more (and better) options than the band. The band can be revised in a laparoscopic sleeve gastrectomy, gastric bypass surgery, or duodenal switch surgery.
Gastric Bypass Revision
If you had a gastric bypass in the past and have concerns about inadequate weight loss or weight gain following your procedure there are still surgical options for you. We offer innovative bariatric operations that allow us to convert a previous gastric bypass to a duodenal switch! If you have had a previous gastric bypass and your body mass index (BMI) is still greater than 40 this may be an option to consider. Given the technical challenges with this particular surgery you will need a complete work up to determine if you are indeed an appropriate candidate. You should also obtain a copy of the original operative report for our surgeons to review.
Risks & Other Considerations Associated With Revisional Bariatric Surgery
While considered safe when performed by a board-certified bariatric surgeon, the risk of complications associated with revisional weight loss surgery can be higher than primary surgery.4 While revisional surgery can be an effective way to achieve long-term weight loss, obesity is considered a chronic condition and patients should take into account the required follow-up visits for continued behavioral support and lifelong nutritional supplementation.
Schedule Your Consultation For Revisional Bariatric Surgery
If you are contemplating any type of revisional surgery, the first step is scheduling your personal consultation. For that appointment we will need the records from the original operation and any recent endoscopy appointments to help us determine what type of revisional surgery would be best for you. If you are having trouble getting those records our office staff may be able to assist you. Please visit our contact page here to quickly fill out your info or give us a call to schedule your consultation today!
1 Obesity Surgery. Revisional Bariatric Surgery for Weight Regain and Refractory Complications in a Single MBSAQIP Accredited Center: What Are We Dealing with? Available: https://pubmed.ncbi.nlm.nih.gov/29679337/. Accessed November 10, 2021.
2 UCSF. Revisional Bariatric Surgery. Available: https://surgery.ucsf.edu/conditions–procedures/revisional-bariatric-surgery.aspx. Accessed November 10, 2021.
3 Obesity Surgery. Revisional bariatric surgery for unsuccessful weight loss and complications. Available: https://pubmed.ncbi.nlm.nih.gov/23828032/. Accessed November 10, 2021.
4 Obesity Surgery. Revisional bariatric surgery–safe and effective. Available: https://pubmed.ncbi.nlm.nih.gov/11355024/. Accessed November 10, 2021.