Understanding Revision Surgery
When your initial weight loss surgery doesn’t deliver the results you hoped for, revision surgery offers an opportunity to restore or enhance outcomes. Your first procedure might underperform due to insufficient weight loss, weight regain, or complications.
When Revision Surgery May Be Needed
You might benefit from revision surgery if you experience:
- Improperly sized gastric sleeve
- Gastric band slippage
- Leaking gastric contents
- Small bowel blockage
- Dumping syndrome
- Stomach ulcer development
- Medical complications from weight regain
Assessment Process
Before recommending revision surgery, your medical team will conduct a thorough evaluation, including:
- Detailed symptom review
- Diagnostic imaging (X‑ray, endoscopy, or CT scan) to examine your current surgical anatomy
- Analysis of eating behaviors and patterns
- Assessment of your gastrointestinal system function
This comprehensive approach ensures the most appropriate revision recommendation for your specific situation.
Revision Surgeries Offered at Duly Health and Care
- Sleeve to Duodenal Switch Revision
- Sleeve to Bypass Revision
- Sleeve Gastrectomy
- Band to Bypass Revision
- Band to Sleeve Revision
- Single Anastomosis Duodenal Switch
- Gastric Bypass
- Gastric Band Removal
- Robotic Bariatric Surgery
Preparing for Your Surgery
Your surgeon will provide personalized preparation instructions, but generally you should:
- Discontinue smoking, as it significantly impairs healing
- Provide complete information about all health conditions, allergies, and medications
- You may need to follow a preoperative diet to reduce liver size and facilitate surgery.
- Follow fasting guidelines (typically 8 – 12 hours before your procedure)
The Revision Procedure
Your revision surgery will be performed under general anesthesia, typically using minimally invasive laparoscopic or robotic techniques through small keyhole incisions. The specific approach will be tailored to address:
- Complications from your initial weight loss surgery
- Repairs needed for poorly functioning gastric sleeves, bands, or bypasses
- Conversion to a different surgical approach when necessary (such as converting a sleeve to bypass for improved results)
Recovery Expectations
Following revision surgery, expect:
- A hospital stay of 1 to 2 days to monitor for complications
- Recovery timeframes that vary based on your age, overall health, and specific revision type
Success depends on maintaining the recommended dietary and lifestyle modifications from your initial surgery plan.
Understanding the Risks
Like all surgical procedures, revision surgery carries some risks, including:
Infection at incision sites
- Bleeding during or after surgery
- Respiratory complications
- Delayed wound healing or healing complications
- Anastomotic leaks or strictures
- Nutritional deficiencies requiring lifelong supplements
The Reward: A Fresh Start
Revision surgery offers a valuable opportunity to optimize outcomes and restore confidence in your weight-loss journey to reclaim your health journey and achieve the weight loss goals that initially motivated you. With proper support and commitment, this fresh approach can help overcome the obstacles encountered after your first procedure.