Revisional Bariatric Surgery


In revisional bariatric surgery, surgeons modify  or repair an earlier operation. Patients whose previous bariatric  surgery produced undesirable or disappointing outcomes are possible candidates for revisional surgery.

Background

Many older weight loss surgeries have been associated with a high rate of revision. Patients undergoing a  jejunoileal (intestinal) bypass often suffer from chronic diarrhea and severe nutritional problems.
Complications with Newer Procedures 
Today, surgeons rely on newer and more effective techniques for performing weight-loss surgery such as the Roux-en-Y gastric bypass and the Lap-Band. Gastric bypass has a 5-10% rate of complication during the five-year period after surgery including ulcers and unsatisfactory weight loss.
The UCSF Approach
In cases where patients fail to lose weight despite an apparently "successful" operation, a new approach is needed.
Revisional bariatric surgery is generally more complex and has more risk than the initial operation. However, in the hands of a skilled and experienced bariatric surgeon, revisional surgery can improve the outcome and reverse the ill effects of prior operations. 
Our multidisciplinary team carefully evaluates each patient utilizing the full array of radiologic and endoscopic tools.


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