Overview of Revisional Bariatric Surgery


If you have already undergone a form of bariatric surgery and had complications or did not successfully lose weight, revisional bariatric surgery might be an option for you.
About Weight Loss Revision Surgery
Revisional weight loss surgery is beneficial for correcting complications from a previous weight loss procedure or for enhancing weight loss results.
At UPMC Bariatric Services, we will carefully evaluate you before considering revisional bariatric surgery for inadequate weight loss.
This evaluation typically involves:
  • An upper GI series to check the anatomy of your stomach or intestines
  • A nutritional assessment to review your eating habits and lifestyle
Risks of Revision Surgery
Revision surgery carries increased risks, such as the potential for bleeding, especially if you have scarring from your original bariatric procedure.
Your bariatric surgeon will review all potential risks and complications with you prior to revision surgery.
Bariatric Revisions Surgical Options
Recovery time for bariatric revision surgery is about two weeks, if the procedure is performed laparoscopically.
  • Gastric bypass surgery: Not reversible
  • Gastric sleeve surgery: Not reversible
  • Gastric (LAP) band surgery: Revision procedures available
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. In some cases, it is best to remove the band altogether. Vertical sleeve gastrectomy is a revision weight loss surgery option that can help promote weight loss in patients whose lap bands have been removed 
Vertical banded gastroplasty 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.
Treatment Reference

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