Revisional Bariatric Surgery

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Dr. Provost explains when revision surgery might be needed and the available treatment options.

After weight loss surgery, some patients may experience complications that require revisional surgery. This type of surgery involves going back in and revising a previous weight loss surgical procedure, so as to achieve the anticipated results of the original surgery. The most common reasons for having revision surgery involve complications, although weight gain may be another reason to revise a previous bariatric procedure.

Complications vary depending on the original type of weight loss surgery. For example, a patient who had Lap-Band surgery could experience a slipped or prolapsed band, band erosion, pouch dilation, or the band may simply not be working properly. Gastric bypass patients may experience strictures or ulcers, fistulas, pain or infection. Vertical sleeve gastrectomy patients may have to deal with fistulas, stenosis, vomiting, or a blockage. In all of these cases, revisional surgery can be used to correct the problem or revise the original weight loss surgery to ease these complications.

Another issue that may arise after weight loss surgery is weight gain. If this occurs after a vertical sleeve gastrectomy, the patient may have revisional surgery to either reverse the original procedure, or the surgeon may opt to perform a gastric bypass operation. If a patient is gaining weight after the lap band procedure, the surgeon may elect to revise the original procedure by doing a gastric bypass surgery or a vertical sleeve gastrectomy. If an adjustable gastric band experiences a mechanical complication, such as a prolapsed band or pouch dilation, the surgeon can go in and revise the band or replace it. If a patient with gastric bypass surgery is gaining weight, the surgeon can place a Lap-Band on the bypassed stomach to promote rapid weight loss.

There are other, nonsurgical options that can help a patient with post-surgical complications or weight gain. Taking medications as prescribed can help prevent complications and promote weight loss. It’s also crucial to adhere to a proper diet after surgery, as following the right eating plan can help patients lose weight rapidly and avoid post-surgical complications. Participating in a support group regularly can also significantly increase your chances of long-term success after weight loss surgery.

If you are taking your medications as prescribed by your original surgeon and strictly observing your post-surgery diet, yet you still have complications, we invite you to consult with Dr. Provost about what types of revisional surgery are best for your needs. He can work with you to formulate a plan, choosing what kind of surgery may work best to promote rapid weight loss and ease any complications you may be experiencing. To see the types of revision surgery that Dr. Provost offers, click here. To schedule a consultation, call our office at 254.724.2397.

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