What is a Revision Bariatric surgery?
A revision bariatric surgery is a second weight loss surgical procedure that a doctor will perform when the patient’s initial weight loss surgery fails to address the obesity problem. In case the patient feels that the first weight loss surgery has failed to result in sufficient weight loss the doctor will suggest another bariatric surgery
. A revision bariatric surgery is also required when the initial surgical procedure for weight loss results in any kind of complication or discomfort to the patient that is considered to be abnormal.
What are the reasons for a Revision Bariatric surgery?
Unsatisfactory rate of weight loss after an initial bariatric surgery is the main reason that a patient would have to undergo a revision (second) weight loss surgical procedure. Also any kind of complication that is associated with the initial bariatric surgery can also result in undergoing a revision bariatric surgery.
These are some of the reason that a person would have to undergo a revision bariatric surgery:
- Weight loss failure – In this case the patient might feel hungry despite undergoing various band fills which results in unsatisfactory weight loss.
- Problematic swallowing – This is a result of the band around the stomach being too tight or too loose. Excessive tight banding can cause the patient to vomit or choke while eating while a looser than required band might cause the patient to eat more than is required which results in weight gain.
- Limited diet – After a bariatric surgery the doctor suggests a diet of carbohydrate-rich diet that consists of soft-textured food, but if the person tries to eat beef or chicken (protein-rich food) they may experience a choking sensation or nausea. This often happens as the patient might not be satisfied psychologically about the kind of diet he is on.
- Slipped Lap-Band – At times the lap band around the stomach often slips out of place resulting in a constricted pouch forming in the stomach or a bigger than required pouch. A too small pouch can result in dangerous side-effects if the complication is not addressed quickly.
- Erosion of Lap-Band – This is caused when over time the band itself gets covered by the tissue of the stomach which starts to cover it and eventually the band sinks deeper into the stomach itself due to being buried under the new tissues being formed over it.
- Lap-Band failure – This is seen often when there is any malfunction in the port, tube or the band.
What are the options for a Revision Bariatric surgery?
To remedy a previously failed gastric weight loss procedure the doctor may choose a more viable alternative procedure, such as:
Adjustable Gastric Banding
In this procedure the doctor will remedy the previous failed surgery with an artificial inflatable silicone device which is placed on the upper portion of the stomach to create a smaller pouch. This surgery is a revision option for other weight loss surgical procedures such as stomach stapling, gastroplasty or a gastric bypass surgery
. This procedure is performed using a laparoscope and is a minimally invasive form of gastric surgery.
Roux-en-Y Gastric Bypass
This is the most widely used revision bariatric surgical procedure to correct a previously unsuccessful stomach stapling, adjustable gastric banding or gastroplasty procedure. This procedure can be performed using a laparoscope or as an open type of surgery. The recovery time is faster in the laparoscopic Roux-en-Y gastric bypass surgical procedure. This procedure has been found to be more effective in causing weight loss than the other types of weight loss surgeries.
This surgical procedure requires the doctor to remove the larger portion of the total stomach from the lower part and the remaining narrow upper portion is formed into a tube shape. This is a minimally invasive procedure and has the lowest risk for causing any further complications.
This is an endoscopic (minimally invasive) surgical procedure and requires the doctor to tighten the gastric pouch with the use of internal fasteners or sutures. This procedure is excellent to revise a previous unsuccessful Roux-en-Y gastric bypass surgery.
A revision bariatric surgery can help you correct an unsuccessful previous weight loss procedure. The doctor will review the initial surgery and check for inconsistencies to decide on the best option that will remedy the complications arising from the previous surgery and also ensure that the latter surgery will result in satisfactory weight loss