Bariatric Revisional Surgery

Bariatric Revisional Surgery

Bariatric Revisional SurgeryWeight loss surgery is one of the most effective long term weight loss solutions for obese and morbidly obese patients. One of the most frustrating experiences for obesity surgery patients is inadequate weight loss or weight regain after the procedure. Often, this is a result of the patient having trouble transitioning into the required new lifestyle and following strict diet regimen.

Bariatric revisional surgery is performed most commonly for the correction of weight regain or inadequate weight loss after the surgery due to inability of the patient to maintain their newfound lifestyle and eating habits. Less commonly, bariatric revisional surgery is performed due to mechanical breakdown of one of the original procedures.

Bariatric revisional surgery is always challenging for a surgeon, regardless of the previous surgery. These procedures require great expertise and experience to achieve desired results. Bariatric Centers of Excellence certified by the American Society for Bariatric Surgery provide a multi disciplinary team and facilities for managing patients requiring revision of their surgery.

Gastric Bypass Revision

Gastric bypass revision is one type of the bariatric revisional surgery. Inadequate weight loss after a gastric bypass may be due to a physical problem with the procedure, continued overeating, or a combination of both. If the problem is solely due to improper eating and the patient is able to modify his or her habits, the problem can be rectified without additional surgery using our multi disciplinary approach.

However, if the stomach pouch or the opening between the stomach pouch and intestine have become stretched, or if the stomach pouch has reconnected with the bypassed portion of the stomach (known as a gastro-gastric fistula), surgery is necessary to correct the problem.

Bariatric revision surgery may also be indicated if the patient is suffering from either too much or too little malabsorption, in which case the surgeon will convert the gastric bypass to another type of bariatric procedure or in some cases will perform a full gastric bypass reversal.

Gastric Banding Revision

Gastric Band Slippage

Gastric Band Slippage

One of the major benefits of the LAP-BAND® surgery is the ease with which the results can be adjusted. If the patient is still able to eat too much, the band can be tightened by increasing the amount of saline solution, thereby increasing restriction.

If the band is too tight and the patient is not able to hold the necessary amount of food for proper nutrition, the amount of saline can be reduced. All of these adjustments can be made using the access port that is attached to the gastric band.

In some cases, even with the gastric band adequately tight, the patient is still able to eat too much or consistently overeats and stretches the stomach pouch. For these patients, a conversion to gastric bypass or sleeve gastrectomy may be necessary to reach the desired outcome. On occasion, complications like band slippage, erosion or infection may require the gastric band to be removed. This can often be accomplished laparoscopically, but as with all bariatric revisional surgery, complete reversal of the procedure without conversion to another type of procedure will most likely result in the regaining of lost weight.

What Is My Next Step?

If you have been struggling with losing weight or regaining weight after your bariatric surgery simply make an appointment. You will most likely have to do some blood work and / or Upper Endoscopy so that Dr. Wizman can evaluate if the problem is nutrition or mechanical failure of the previous bariatric procedure.

Will My Insurance Cover It?

This will depend on what insurance plan you are on and what your benefits are. Health insurance plans with bariatric surgery benefits will cover the revisional bariatric surgery and there most likely be some criteria that you will have to do in order to get the procedure approved. However, call your health insurance and specifically ask if you have “once per lifetime bariatric procedure” or if there is a maximum dollar amount associated with bariatric procedure. These two restrictions will likely make your out of pocket expense higher than the self pay package option.

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