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Bariatric Revisional Surgery

Reoperative bariatric procedures aimed at correcting complications, weight regain or insufficient weight loss after primary surgery.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Genel Cerrahi department. Book Appointment →

What is Bariatric Revisional Surgery?

Bariatric revisional surgery encompasses reoperative procedures performed after a primary bariatric operation. Indications include inadequate weight loss, significant weight regain, recurrence of obesity-related comorbidities and mechanical or metabolic complications such as severe gastroesophageal reflux, anastomotic ulcers, hypoglycemia or strictures.

Common revisions include conversion of sleeve gastrectomy to Roux-en-Y gastric bypass, conversion of gastric bypass to one-anastomosis gastric bypass or duodenal switch, band removal with conversion to sleeve or bypass and stoma resizing. Procedure choice depends on initial anatomy, comorbidities, nutritional status and patient preference.

Revisional surgery carries a higher risk of complications than primary procedures, including leak, bleeding, internal hernia and nutritional deficiency. A multidisciplinary preoperative evaluation including dietetic, endocrine and psychologic assessment is essential.

Symptoms

Weight regain after primary surgery
Inadequate weight loss
Severe gastroesophageal reflux
Marginal ulcers
Postprandial hypoglycemia
Strictures or stenoses
Recurrent diabetes or hypertension

Risk Factors

Adjustable gastric banding history
Sleeve gastrectomy with severe reflux
Inadequate dietary adherence
Gastric pouch dilation
Anastomotic complications
Severe nutritional deficiency
Untreated endocrine causes of obesity

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Recurrent obesity-related comorbidities
  • Persistent severe reflux despite PPI
  • Recurrent marginal ulcer
  • Stricture symptoms
  • Significant weight regain
  • Nutritional or metabolic deterioration

Treatment Methods

01
Conversion to Roux-en-Y gastric bypass
02
Sleeve resleeve in select cases
03
Gastric band removal and conversion
04
Duodenal switch in super obesity
05
Endoscopic adjuncts (suturing, dilation)
06
Multidisciplinary metabolic optimization
07
Long-term nutritional supplementation

Which Department to Visit?

You can visit our Genel Cerrahi department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.