For some patients, one weight loss surgery may not be enough to provide satisfactory long-term weight loss and a revision may be necessary. Revision options will depend on the type of initial bariatric surgery that was performed and will be determined after a comprehensive evaluation of the patient, including an upper gastrointestinal endoscopy and other diagnostic studies.
Most revision operations are performed laparoscopically or robotically, but open surgery may be required depending on the amount of scarring from the prior surgery. This will be determined during your one-on-one consultation with the surgeon.
Revision options may include:
- Adjustable gastric band (AGB) to sleeve gastrectomy, duodenal switch or gastric bypass
- Sleeve gastrectomy to duodenal switch (for some patients with a very high starting BMI, the DS is performed as a two-stage procedure, with the sleeve gastrectomy first to jump-start weight loss.)
- Revision of prior gastric bypass (proximal to a more malabsorptive gastric bypass or duodenal switch)
- Conversion from prior anti-reflux operation to sleeve gastrectomy, duodenal switch or gastric bypass
To learn more about your revision options, please contact our office to set up a consultation with Dr. Srikanth.
Johnna, Anti-Reflux Surgery to Proximal Gastric Bypass