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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