Revisional Surgery
Revision surgery
Revision surgery is the name given to surgery performed after an initial bariatric or metabolic surgery. The most common cause of revision surgery is patients who have gained weight again after an initial bariatric surgery, however there are other causes of revision surgery such as scheduled or second-time revision surgery, increased glucose levels, insufficient weight loss, excessive weight loss, removal of a gastric band or some complication associated with the surgery. The following list names the most common causes of revision surgery: 1.- Weight re-gain: This occurs when a patient underwent surgery, such as Gastric Band, Gastric Sleeve or Gastric Bypass, managed to lose weight adequately but over the years has gained weight again. One of the most common revision surgeries in this area is when a patient has had a gastric band or gastric sleeve and has gained weight again. In these cases, a revision surgery is considered so that the patient can lose the weight gained again. 2.- Second-stage surgery: This occurs when the patient is very obese, generally super-obese. In these cases, and depending on each case, the surgeon may propose performing a gastric sleeve as a first step, which will help the patient lose around 40% of the excess weight and after a year, convert to some type of Gastric Bypass to lose another 30-40% of the excess weight. This is a scheduled revision surgery. 3.- Revision surgery due to a complication of the surgery: This occurs in very rare cases, however, it is possible that a complication such as a leak or obstruction from the initial surgery requires a timely review and resolution of the complication.
