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Revisional Surgery

From time to time it may be necessary to convert previously performed weight loss procedures to other weight loss procedures. Although this is only necessary in a few percentages of cases, it is important to be associated with a program that has a broad experience in dealing with these complex cases. At Live Healthy MD, we are skilled in performing the most complex revisions in the region. 

Types of Revisions

The types of procedures that can be revised are: 
  • The gastric bypass to a duodenal switch
  • Gastric sleeve to a gastric bypass or duodenal switch
  • Gastric band to a bypass, sleeve, or duodenal switch
  • Gastric balloon to a bypass, sleeve, or duodenal switch
Only in rare cases do we revise the bypass to a duodenal switch due to the risk associated with this procedure. Instead, we work with our patients to get them back on track and help them lose the weight again. We may place them on a medically supervised diet as well as give them the resources to make healthier habits everyday.

It is important to note that the gastric balloon can not be used as an adjunct to other weight loss procedures. Meaning we can not place a balloon in an individual who has had weight loss surgery (gastric bypass, gastric sleeve, or duodenal switch) in the past.  

Reasons for Revisions

Most patients seek a revision because they have regained their weight. In some cases, a revision may be medically necessary if the patient experiences complications or other unwanted side effects.  
Inadequate weight loss or weight regain
Complications from the prior procedure

Risks

Before considering any surgical procedure, you should be familiar with the potential risks. Revision surgery carries the same risk that all other bariatric procedures have. 
Minor complications that uncommon and can be managed fairly easily:
  • Minor wound or skin infection
  • Loose/excess skin
  • Vomiting or nausea
  • Acid reflux (heartburn)
  • Changes in bowel habits like constipation, diarrhea, bloating, cramping, or gas
  • Development of gallstones or gallbladder disease
  • Nutritional deficiencies as a result of food bypassing the stomach
Major complications, that could result in re-operation:
  • Internal Bleeding
  • Infection Bowel leaks or obstruction
  • Blood clots in the legs or lungs
  • Internal hernia
  • Perforation of stomach/intestine or leakage