Revisional bariatric surgery is performed to alter or repair one of the many types of weight loss surgery for the treatment of morbid obesity.
The Need For Revisional Surgery
The concept of revisional bariatric surgery is not new. In fact, the first two operations that were widely performed for treatment of morbid obesity were associated with a high rate of revision.
The first, jejunoileal (intestinal) bypass, was associated with a large number of severe and unpredictable nutritional problems and diarrhea. Consequently, many of these procedures were revised or reversed.
The second operation, stapled gastroplasty (stomach stapling), was associated with many weight loss failures due to both poor design of the earliest procedures and the fact that the staples frequently “popped,” thus ruining the operation.
Are You in Need of a Revision?
The two currently popular procedures, Roux-en-Y gastric bypass and LAP-BAND®, while successful, also require occasional revision. In fact, the revision rate for the LAP-BAND® is more than 10% during the first two years for either device-related problems or unsatisfactory weight loss. Likewise, the revision rate for gastric bypass is roughly 5%-10% after 5 years for either troublesome complications, (e.g., ulcer, etc.) or for unsatisfactory weight loss.
If you’ve had poor weight loss/weight regain or complications of the original procedure, e.g., ulcers for RY gastric bypass or slippage of the LAP-BAND®, you may qualify for revisional bariatric surgery.