REVISION WEIGHT LOSS SURGERY

Revision (or corrective) weight loss surgery is a procedure to help correct problems associated with weight loss (bariatric) surgery.
The most common reason for revision weight loss surgery is insufficient weight loss after the initial weight loss surgical procedure. But patients also might need corrective weight loss surgery because they have gained weight or have complications from a first-time weight loss surgery.

REASONS FOR REVISION WEIGHT LOSS SURGERY INCLUDE:

Problems with anatomic changes of weight loss surgery, including:
·         An enlarged gastric pouch opening, which can prevent weight loss and promote weight gain
·         A large gastric pouch, which can prevent weight loss and promote weight gain
·         Leaking staple lines, which can cause abdominal pain, back pain, pelvic pressure, hiccups, fever, and a rapid heart rate
 
Medical complications, including:
·         Ulcers, which can cause pain, blood loss, nausea, and vomiting
·         The inability to absorb vitamins and minerals (malabsorption), especially vitamin D, vitamin B12, and thiamine needed for good health (malnutrition)
·         The inability to absorb enough iron for good health (iron deficiency or anemia)
TYPES OF REVISION WEIGHT LOSS SURGERIES INCLUDE:
Gastric bypass revision surgery
If you have had gastric bypass surgery and you are not losing weight, you are gaining weight, or you are having medical complications, your bariatric surgeon will first ask you to keep a food diary to ensure that the number of calories you are eating can help promote weight loss. 
Lap band revision surgery
Lap bands that have slipped, eroded, or failed for any other reason require revision weight loss surgery.  
Vertical banded gastroplasty (or stomach stapling) revision surgery
If you have had vertical banded gastroplasty and are not losing or are gaining weight, your procedure might need to be revised with newly placed staples and / or revised banding.
RISKS OF REVISION WEIGHT LOSS SURGERY CAN INCLUDE:
  • Longer surgery time
  • Open incisions
  • Blood loss
  • Infection
  • Leaks
In addition, revision weight loss surgery does not guarantee you will lose as much weight as you lost after a first-time weight loss surgery. For these reasons, it is important to balance benefits of revision weight loss surgery with its risks.




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