Revisional Bariatric Surgery

What is Revisional Bariatric Surgery?
While bariatric surgery provides excellent result for most patients, some patients -- particularly those who may have had an outmoded operation performed many years ago -- may not have had the positive outcome they expected. If you have had a bariatric operation in the past, but have not achieved successful weight loss, you may be a candidate for a revisional operation.

Can an Old Bariatric Operation be Converted to a More Modern One?
In the past, many patients underwent "stomach stapling," another term for the vertical banded gastroplasty, or VBG. Although this operation may work for some individuals, a large proportion of VBG patients are left with inadequate weight loss. Some VBG patients also experience unpleasant side effects such as excessive vomiting.

A VBG procedure may be converted to a gastric bypass or a BPD-DS (duodenal switch). It is important to understand that any revisional procedure is a very major operation, with risks that are greater than for a primary procedure. Nonetheless, many patients may benefit substantially from a conversion of their VBG.

FAQ

Q. Can revisional surgery be performed laparoscopically?

A. It is possible to do revisional surgery using the laparoscopic approach. However, there is a MUCH higher chance that the operation will need to be converted to an open operation. Ultimately, your surgeon will want to use the approach which results in the safest outcome.




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