Revisional bariatric surgery refers to a secondary operation performed after a previous weight-loss procedure. It may involve anatomic correction, conversion to a different procedure, or management of a complication.
Why revision is considered
- Inadequate weight loss after the original procedure.
- Weight regain after initial success.
- Severe reflux after sleeve gastrectomy.
- Recurrence of type 2 diabetes or other metabolic disease.
- Complications such as fistula, stricture, or band-related issues.
How candidacy is evaluated
Evaluation includes detailed history, imaging, endoscopy, laboratory studies, nutritional and behavioral assessment, and review of medications. Decision-making weighs potential benefits against revision-specific risks.
Categories of revision
- Endoscopic revision (incisionless techniques performed via upper endoscopy).
- Re-sleeve or sleeve-based revisional procedures.
- Conversion to gastric bypass or one-anastomosis (mini) gastric bypass.
- Program-defined approaches addressing metabolic disease.
Goal
The goal is not to push surgery. It is to help patients understand what options may be appropriate to discuss with a qualified team.