REVISIONS OF PREVIOUS WEIGHT LOSS SURGERY

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Revision bariatric surgery is the repair, modification, or conversion of a previous weight loss operation.  Revision surgery started as surgery for the later complications that can develop with weight loss operations.  As more and more people are undergoing weight loss surgery, and as we learn more about it revision surgery has become a second chance at weight loss

The most common operation undergoing revision surgery is the lap-Band operation.   The most common revision operation performed is the conversion of the Lap-band operation to a sleeve or bypass operation. The most common reasons for the conversion are:

  •     band intolerance (inability to eat solid food)

  •     esophageal dilatation,

  •     obstructing Lap-band

  •     Lap-band slippage (pouch enlargement)

The second most common revision operation is the conversion of a sleeve gastrectomy to a gastric bypass for:

  • intractable heartburn/reflux

  • stricture / torsion of sleeve

The most common complications requiring revision are:

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  •    No weight loss / regaining weight

  •      Gastro-Gastric Fistula

  •      Large bypass/BPD pouches

  •      Marginal ulcer at the gastro-jejunal anastomosis

  •      Large sleeve

  •      obstructions