Revision Surgery


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Revision Surgery

Secondary procedure is considered when a patient has already had a procedure


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Revision Surgery

Bariatric surgery has been evolving over the past 60 years as the numbers of procedures carried out has increased, the catalyst for this was the introduction of key hole surgery making these procedures less invasive.  Along with the increased volume of patient’s, accumulation of clinical data and experience, this has lead to improvements in surgical techniques and technology making these procedures more effective, less invasive and lowering complication risk.

The newer procedures have a very low revision rate of between 2 to 5%. However, the older procedures performed many years ago can have a revision rate of up to 90%.

Revision surgery is a term used when referring to a procedure that either corrects an issue with the first (primary) procedure or converts the primary procedure into something more powerful.

Most patients achieve their weight loss goals when they undergo a surgical intervention for weight loss. However, patients vary in their response to surgery and even a technically correct primary procedure may not give the expected results. A second procedure may be offered to overcome those limitations.

This can be due to several factors,

  • Intolerant of the procedure
  • Inability to adjust lifestyle and diet with the chosen procedure
  • Complications
  • Non-achievement of expected weight loss
  • Weight regain post procedure
  • Mechanical failure

Reason for Revision Surgery

For Example

Primary Procedure Gastric Band:  when results of this procedure are unsatisfactory or the Gastric Band is poorly tolerated, the band can be removed and Gastric Bypass ( Roux en Y), Mini Bypass OAGB or Sleeve Gastrectomy (Gastric Sleeve ) surgery can be performed.

Primary Procedure Gastric Sleeve:  when the results of this procedure are unsatisfactory, or patient has experienced weight re gain, the sleeve can be converted to a Gastric Bypass or the Gastric Sleeve may be banded. In some instances, the Gastric Sleeve is carried out as a 1st stage procedure then when a patient has lost a pre-determined amount of weight the malabsorptive element is added to the procedure.

Primary Procedure Gastric Bypass: when weight regain in experienced the bypass may be revised or a Gastric Band placed around the bypass pouch.

All patients are considered on an individual basis for a secondary procedure.

For patients with an inability or unwillingness to change their diet / lifestyle, substance / alcohol abuse, after surgery it is unlikely that a secondary procedure would improve the outcome, so a revision procedure may not be considered.

Revision Surgery FAQs

Q: Who is suitable for revision surgery?

A: Patients with a BMI over 35kg/m2

Patients are considered for revision surgery on an individual basis

Revision surgery may require medical assessment prior to consideration which can include an x-ray barium swallow.