Everything You Need To Know About Revision Weight Loss Surgery

Revision weight loss surgery, as the name suggests, is helpful when one starts to regain weight after the initial bariatric procedure. There could be various reasons for weight loss surgery to not result in expected weight loss.

What is revision surgery?

Revision weight loss surgery is the procedure to help correct the problems associated with the previous bariatric surgery. It is particularly helpful in case of insufficient weight-loss from the first bariatric procedure, or someone regains weight after the bariatric surgery.

Reasons for revisional weight loss surgery

There could be two reasons for someone to consider revisional weight loss surgery, i.e.,

– Issues with the anatomic changes that were done during the bariatric procedure. For example:

  • an enlarged gastric pouch opening
  • the larger size of the gastric pouch making the surgery ineffective
  • leaking staple lines causing abdominal and back pain, pressure in the pelvis, fever, and rapid heart rate
  • loosened gastric band, etc.

– Medical complications due to the bariatric procedure, i.e.,

  • Ulcers
  • Malabsorption of Vitamins and Minerals
  • Anaemia or Iron deficiency

– Weight regain due to non-adherence to required lifestyle after surgery

  • Stop exercising
  • Not following dietary suggestions and restrictions
  • Falling back to over-eating

Types of revision weight loss surgery

There are different types of revision weight loss surgery and you can undergo one depending on the type of initial weight loss surgery.

Gastric Bypass Revision– If you did not lose weight after the gastric bypass procedure, or gained weight again, then you can consider gastric bypass revision. In the above cases, the surgeon will ask you to maintain a food journal to know the reason behind failing of gastric bypass.

Lap Band Revision Surgery – If your lap band is slipped, eroded, or failed, then you will have to undergo a lap band revision surgery to restart your weight loss journey.

Vertical Banded Gastroplasty Revision Surgery – A failed vertical banded gastroplasty will need revision with help of newly place staples or revised banding

Revision surgery will not lead to as much weight loss as the initial procedure and also has some risks associated with it, such as longer surgery time, blood loss, increased probability of infections, leaks, and open incisions. Therefore, it is advised to only consult expert surgeons for a revision weight loss surgery.

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