WEIGHT LOSS REVISION SURGERY IN SEATTLE

Revisions After Weight Loss Surgery

For some, the initial weight loss surgery may not be enough to provide satisfactory long-term weight loss, and for these patients, a revision weight loss surgery may be necessary. In others, revision surgery may be needed to address problems such as reflux or GERD. Revision options, whether sleeve to gastric bypass, sleeve to duodenal switch or lap band revision, 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 gastric revision surgery procedures can be performed laparoscopically or robotically.

WHAT FACTORS MAKE SOMEONE A CANDIDATE FOR REVISION SURGERY?

Before you could undergo your initial weight loss surgery, you had to MEET CERTAIN CRITERIA — and the same goes for a revision surgery as well. Factors that may necessitate a gastric bypass or sleeve gastrectomy revision surgery may include the following:

  • Medical or surgical complications from gastric bypass surgery
  • Symptoms such as diarrhea, constipation, ulcers, solid food intolerance, anemia, etc.
  • Stomach stretching out over time after initial surgery, causing weight gain
  • A thorough evaluation by a bariatric surgeon, indicating need for revision

REVISION SURGERY OPTIONS

Several types of operations are possible, including gastric bypass revision surgery, gastric sleeve revision surgery and lap band revision.

  • Sleeve gastrectomy to duodenal switch (DS) — for some patients with a high initial BMI, the DS is performed as a two-stage procedure, with the sleeve gastrectomy performed first to jump-start weight loss.
  • Sleeve to duodenal switch with single anastomosis (also known as SIPS, DS-SA, SADI. This may be used to enhance the weight loss effects of a sleeve gastrectomy, also referred to as a Sleeve Enhancement procedure
  • Adjustable gastric band (AGB) to sleeve gastrectomy, duodenal switch or gastric bypass
  • Revision of prior gastric bypass to a more malabsorptive gastric bypass or duodenal switch
  • Conversion from prior anti-reflux operation to sleeve gastrectomy revision, duodenal switch or gastric bypass

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