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SURGERY
REVISIONS
 Weight loss surgery is not a miracle cure, and while most patients
are successful after weight loss surgery, some patients may
experience problems with the surgery or not succeed in losing the
expected amount of excess weight. In these situations, a follow-up
bariatric procedure, known as a bariatric surgery revision, may be
necessary to alter or repair the initial surgery. Revision weight
loss surgery is a procedure that repairs or revises a prior weight
loss surgery.
Although it can be an emotional setback when weight loss surgery
does not lead to the expected amount of weight loss, the only
failure is in giving up. Obesity is a chronic disease and not easily
treated. As with any serious health condition, if the first
treatment is not effective, then the doctor will recommend
additional treatment options. With weight loss surgery, a revision
surgery may be necessary as an additional treatment for obesity.
Most revision surgeries can be done laparoscopically and are
frequently covered by medical insurance. You will be discharged from
the hospital within one to two days. It is important to understand
that while revision surgery is slightly higher-risk than a
first-time operation, it is still lower-risk than remaining morbidly
obese.
Patient Criteria for Revisional Bariatric Surgery
Before a revisional procedure is performed, you will need to attend
a consultation to determine the cause of failure as well as evaluate
your case for the appropriate treatment options. Bariatric surgery
is a very specialized and complicated treatment process. Great care
is given to maximizing weight loss success while minimizing risks
and complications.
During the consultation, we will need to determine if postoperative
weight loss failure is due to a problem with the original surgery or
the patient’s inability to follow the necessary lifestyle changes.
We will want to discuss the options and what you should expect with
the revision.
Results with a Bariatric Revision
Although the results can vary widely depending on the original
procedure and the reason for the revision, the revisional surgery is
usually successful in resolving the associated problems and
promoting further weight loss. Weight loss following a revision is
usually not as dramatic as the initial bariatric procedure, but it
can be substantial over time. As revision surgery can be more
complex and involve more risks than general weight loss surgery, it
is important to choose a bariatric surgeon that is experienced and
skilled in performing revision surgery.
As with all bariatric procedures, the best weight loss results are
achieved by patients who are able to comply with the diet and
exercise recommendations of their surgeon. The post operative
process can be a struggle and you will benefit in your weight loss
efforts by attending support groups, talking to a nutritionist for
dietary advice, working out with a exercise program, and, if needed,
talking to a psychologist to help deal with the emotional aspect of
obesity and weight loss surgery.
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