Revision Bariatric Surgery
What is it?
Revision Bariatric Surgery is performed to alter or repair one of the many types of weight loss surgery for the treatment of morbid obesity. The two currently popular procedures, Roux-en-Y gastric bypass and Mini Gastric Bypass, while successful, also require occasional revision. In fact the revision rate for the Gastric Banding Surgery is more than 10% during the first two years for either device-related problems or unsatisfactory weight loss. Likewise, the revision rate for gastric bypass is roughly 5-10% after 5 years for either troublesome complications, (e.g., ulcer, etc.) or for unsatisfactory weight loss.
The sleeve gastrectomy, though technically an irreversible procedure, can be revised to a roux-en-y gastric bypass, mini gastric bypass, or a duodenal-jejunal bypass, depending on the indication, anatomy and various patient-related factors.
Who requires a revision surgery?
If you have any of the following conditions, you are a candidate for revision bariatric surgery:
- Excessive weight loss
- Inability to eat adequate amounts of food
- Complications of previous surgery
- Excessive nausea and vomiting
- Markedly increased frequency of loose stools, disrupting daily activities
- Dumping syndrome
- Marginal ulceration
How are these weight loss surgeries revised?
Revision Bariatric Surgery can be performed by a minimally invasive surgical method. Usually 4-5 small cuts of 0.5 – 1 cm are made on the abdomen. The surgery is then performed Laparoscopically or Robotically, using highly advanced technology to make it safe.
Depending upon the indication for surgery, the surgery can be revised in 1 of 2 ways:
• Conversion to normal anatomy
• Conversion to another weight loss surgery
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