Revision of a Bariatric Procedure

Patients might infrequently require further surgery after undergoing any type of bariatric operation. Causes for a second operation may range from a mechanical problem with the first operation that have resulted in long term problems such as persistent vomiting and, or worsening acid reflux. Weight loss failure or early weight loss plateau may also be due to a mechanical problem with the first operation or inability to be compliant with lifestyle changes with the first operation. With weight loss failure, early plateau or weight regain, the initial steps would be to restart the appropriate diet and follow all the post-operative rules. Investigating the first operation with an upper GI x-ray and, or upper endoscopy will also be required. Your bariatric surgeon will determine if revisional surgery or converting to a second procedure is indicated.

Examples of revision surgery would include:

-Removing a Lap-Band and performing a sleeve gastrectomy, gastric bypass or duodenal switch.

-Revising a gastric bypass by re-dividing the bypassed stomach from the original stomach or making the pouch smaller.

- Adding a long intestinal bypass to a sleeve gastrectomy which basically completes the duodenal switch operation

-Others such as converting an older type of operation like a vertical banded gastroplasty to a gastric bypass can also be performed.

It should be noted the risk of any second operation will always be greater than for the original operation because of varying degree of scarring from the first one.

Before any revisional bariatric procedure at AtlantiCare Regional Medical Center, you will need to:

  • Attend a seminar or webinar
  • Meet with a surgeon 
  • Meet with dietician
  • Meet with psychologist
  • Undergo the testing mentioned above

 

Come to the office prepared with a journal detailing meals, exercise and any other attempts at weight loss. If another surgeon performed the original operation, please obtain the operative report from the original surgeon’s office to allow us to determine exactly what the first operation was and how it was performed. If, after evaluation revisional surgery is not an option AtlantiCare offers a comprehensive medical maangement weight loss program that can help in acheiving and meeting weight loss goals.

Revisional surgery should only be considered when all other options are exhausted, because there is a greater risk of complications. Please complete the webinar seminar or contact the AtlantiCare Access Center at 1-888-569-1000 to schedule and attend a live seminar with a surgeon.