Bariatric Revision Surgery
Patients who have had bariatric surgery previously may have to undergo a repeat operation for several reasons:
- If there is a complication of the initial surgery this may have to be fixed with a second operation. Examples of this are a gastric band, which moves or slips out of position or erodes into the stomach. The gastric band may then need to be repositioned, replaced or even removed.
- Intolerance of the original operation. It is impossible to predict with accuracy how successful an individual patient will be with any bariatric surgery. In rare circumstances, patients can find living with a band too difficult, or weight loss inadequate and elect to convert to an alternative procedure such as gastric bypass.
- After any bariatric surgery, if the patient eats too much at once and stretches the remnant/upper part of the stomach then the patient may stop losing weight or regain the lost weight as the restriction on the amount eaten is less. To try and improve the weight loss again the operation may need to be redone or changed to another operation.
Bariatric Surgery Revisions
Dr. Alberto Carlos Rivas has been performing revisional surgery for failed weight loss procedures at his private practice in Tijuana, Mexico.
- Lap band procedure has a long term failure rate of over 40%. Lap band surgery which has the highest percentage of failure can be converted to sleeve, Roux-En-Y gastric bypass or duodenal switch.
- Gastric sleeve can be ‘resleeved”; or it can be converted to gastric bypass for intractable acid reflux (GERD -Heartburn). It can be converted to duodenal switch for more weight loss.
- Even the best operation namely Roux-en-y Gastric Bypass has a 10% to 15% chance of failure. Gastric bypass can also be revised or converted to Duodenal switch for weight loss failure.
These are complex procedures which requires comprehensive evaluation to determine whether this may be beneficial to you.
Bariatric revision operations are more complex and involve more risk than the initial surgery. Surgeon skill and experience is one of the most important factors in patient outcomes and not every surgeon is qualified to perform these type of surgeries. For the best results, select a bariatric surgeon who has expertise in performing bariatric revision surgery.