Revision Weight Loss Surgery

  • One of the most common complaints that leads to revision weight loss surgery is heartburn - reflux. The symptoms may be caused by many reasons. The heartburn and reflux can be caused by an obstruction, or bile reflux (bile irritating the esophagus and stomach) disguising itself as acid heartburn and reflux. To determine the cause of the symptoms an Upper Endoscopy (scoping of the stomach/esophagus) and UGI is often performed.

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  • The most common reason a patient may want/need a revision of their Sleeve Gastrectomy operation is for:

    •Heartburn / reflux not responding to medical therapy

    •Incarcerated / Herniated sleeve (sleeve trapped/herniated into the chest)

    • Stricture / Torsion of sleeve (narrowed or twisted causing obstructive problems)

    • Biliary reflux/gastritis/esophagitis (bile causing irritation of stomach and esophagus)

    • Large Sleeve

    • Incomplete Sleeve

    • Weight gain / Not enough weight loss

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  • The most common reason a patient may want/need a revision of their Sleeve Gastrectomy operation is for:

    • Heartburn / reflux not responding to medical therapy

    • Incarcerated / Herniated sleeve (sleeve trapped/herniated into the chest)

    • Stricture / Torsion of sleeve (narrowed or twisted causing obstructive problems)

    • Biliary reflux/gastritis/esophagitis (bile causing irritation of stomach and esophagus)

    • Large Sleeve

    • Incomplete Sleeve

    • Weight gain / Not enough weight loss

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  • Item descripThe most common reason a patient may want/need a revision of their Gastric Bypass operation is for:

    • No weight loss / Regaining weight

    • Gastro-Gastric Fistula (pouch has reconnected itself to the old, remaining stomach)

    • Large gastric pouch / horizontal gastric pouch

    • Marginal ulcer at the gastro-jejunal anastomosis

    • Stricture at the gastro-jejunal anastomosis

    • Obstruction

    • Heartburn / reflux not responding to medical therapy

    • Incarcerated / Herniated stomach (pouch trapped in the chest)

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Revision Weight Loss Surgery is the repair/modification of a weight loss operation, or the conversion of one weight loss operation to another. Revision surgery is no longer just repairing a weight loss surgery complication. Revision surgery has evolved to include the correction, the modification or conversion of a weight loss operation to another weight loss operation. The goal of revision surgery is to correct complications and to help further patient weight loss goals, and often give a patient a second chance at weight loss.

The most common operations undergoing revision or conversion surgery are the Lap-Band and Sleeve Gastrectomy.

The most common reasons for lap-band revision surgery are heartburn/reflux, and Lap-Band complications.