Revision Surgery

Revision surgery after a weight loss surgery procedure is not uncommon. Approximately 10-25% of all bariatric patients will require a revisional procedure due to weight regain or surgical complications (such as vomiting, reflux, stricture or blockage, fistula, marginal ulcer, or excessive weight loss/malnutrition) or a device malfunction (such as band erosion, band prolapse/ chronic pouch dilation). In fact, nearly half of all patients Dr. Provost sees are requesting a revisional procedure, having experienced some form of complications from a previous weight loss surgery or due to significant weight regain.

We typically evaluate all patients requesting a revision with an Upper GI, performed on the same day as your revisional surgical consult. This exam will tell us about your pouch, esophagus, and stoma size, and rule out hiatal hernia or device malfunction. Occasionally, we may require an endoscopy (EGD) to rule out marginal ulcer, stricture, fistula, or band erosion.

Patients with mechanical failures (such as surgical complication or device malfunction) may require re-operation. Patients with mechanically intact procedures may be offered mandatory monthly dietary behavior modification for 3-6 months and then re-evaluation. Of course, a mechanical solution (i.e., a revisional procedure) will fail unless the patient modifies his or her dietary and exercise behaviors appropriately.

Dr. Provost offers the following revision surgery procedures:

  • Lap-Band reposition or removal and replacement with or without hiatal hernia repair
  • Lap-Band-on-Gastric Bypass
  • Reversal of Gastroplasty (Stomach Stapling) and revision to Gastric Bypass
  • Removal of Lap-Band System and revision to Gastric Bypass, BPD-DS, or Sleeve Gastrectomy
  • Removal of Molina Band and revision to Gastric Bypass, BPD-DS, or Sleeve Gastrectomy
  • Reversal of Gastric Bypass or BPD-DS
  • Revision of Sleeve Gastrectomy to Gastric Bypass
  • Revision to distal gastric bypass
  • Revision or correction of complications

If you believe you would benefit from revision surgery, please call the office at 940-323-3450 and schedule an appointment for a consult. Dr. Provost can advise you on what your surgical options are appropriate for your individual situation.

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