Revision Weight Loss Surgery

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Revision weight loss surgery may be considered if you:

  • Did not achieve adequate weight loss or are regaining weight despite following recommended lifestyle changes.
  • Have medical conditions such as diabetes that did not improve or returned.
  • Have complications following bariatric surgery that require corrective surgery.

If you have one of these concerns, having an experienced surgeon evaluate your condition is very important, as revision weight loss surgery can be challenging and requires advanced skills and techniques. Our experience using different revision surgeries to treat all types of complications associated with weight loss surgeries is well known. In fact, other physician practices often refer their people to us when complications occur.

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The Process Leading to Weight Loss Revisional Surgery

First Step
Before we consider revision weight loss surgery, one of our weight loss surgeons will meet with you either through a video or in-person visit to review your medical history, your records, and understand your concerns. We take a close look at your eating and exercise habits and perform a behavioral assessment to identify a possible cause. We also take into consideration which procedure you already had, as well as your current medical condition.

Physical Exam and Endoscopic Testing
You then undergo a physical examination, and an endoscopic diagnostic procedure to evaluate your anatomy to determine if there is a physical problem.

Understanding Your Options
If revision weight loss surgery is the right next step, we offer you a list of possible options based on your condition. You are encouraged to research these options and bring your questions to an in-person or virtual class where we review those options and determine which revision weight loss surgery is right for you. This is a crucially important step to optimize you for success and ensure your insurance company approves your weight loss revisional surgery. Because these procedures are considered high risk, we want you to understand the benefits and risks of each procedure, and the lifestyle changes you need to make to ensure your surgery is successful.

If You Are Experiencing Serious Complications
If you have an urgent need for revision surgery because you are suffering serious complications, we will ensure you get the care you need as quickly as possible.

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Types of Weight Loss Surgery Revisions

There are three basic types of weight loss surgery revisions.

  • Conversion procedures convert from one procedure to another.
  • Corrective procedures address a complication or an incomplete bariatric treatment that requires correction.
  • Reversals restore your anatomy to normal.
Our Locations

Attend your pre-surgical evaluation, doctor appointments, and monthly support meetings near where you work or live. Attend a free information session to learn more about obesity and weight loss surgery.

Reasons for a Weight Loss Surgery Revision

Insufficient Weight Loss, Weight Regain, or Unresolved/Return of Medical Conditions
While most people have success following weight loss surgery, a small group of people may require additional intervention, and possibly additional surgery, to help them reach their goal. The first step is a comprehensive evaluation of your anatomy and a detailed nutritional and behavioral assessment to identify a possible cause. Depending on your original procedure, we may recommend conversion to another weight loss procedure or corrective surgery.

Complications that Require Corrective Treatment
In some cases, a corrective procedure may be necessary to control or close a leak, fix an obstruction, repair an ulcer, or control bleeding. These conditions are rare but can occur in a small percentage of patients.

Gastric Band Revision Surgery Following Lap-Band Surgery
People who underwent lap-band surgery in the past and are now experiencing chronic complications related to the band or the port may require medical or surgical intervention. Reversing the procedure by removing the band is one option. Converting to a different weight loss procedure is another option. We will review your individual condition and recommend the gastric band revision that's best for you. 

Endoscopic Gastric Bypass Revision
There are times when people experience trouble reaching their weight loss goals, or even weight gain after gastric bypass, because of stretching that may occur in the stomach and the connection between the stomach and small intestine. In this case, we may recommend an endoscopic gastric bypass revision, which is performed by inserting a tube into your mouth to reach the stomach. Endoscopic instruments passed through the tube are used by your surgeon to place stitches in your stomach to reduce its size or the size of the outlet to the small intestine. 

Correcting Complications from Older Weight Loss Surgeries
People who underwent older weight loss surgeries such as stomach stapling (vertical banded gastroplasty or VBG) and jejunoileal bypass may have complications that require evaluation and possible reversal or conversion to a different procedure. If you are having complications, we can diagnose your concerns and offer you solutions. 

A badge from the American College of Surgeons and American Society for Metabolic and Bariatric Surgery for an Accredited Center Quality Program
Bariatric Center of Excellence

Duke Regional Hospital is accredited by the American Society for Metabolic and Bariatric Surgery for its high standards of care in weight loss surgery. 

This page was medically reviewed on 02/01/2022 by