Obesity Surgery Revision
Even the most successful gastric bypass, gastric sleeve, and gastric band patients occasionally regain weight
Bariatric revision surgery is a second chance at weight loss for people experiencing weight gain after obesity surgery.
Revision surgery is a second bariatric procedure performed after an original procedure has not performed as well as expected.
The need for a bariatric surgery revision occurs for many reasons. Inadequate weight loss from bariatric surgery because of a complication or your body adapting to surgical changes is the most common.
Dr. Bagnato may consider revision surgery for bariatric patients for the following reasons:
- Band erosion
- Difficulty swallowing
- Inability to tolerate band (vomiting)
- Stretched stomach pouch
- Stretching of the stomach opening
Are you a candidate for revision surgery?
The first step toward determining if you are a candidate for bariatric revision surgery is to identify the reasons for weight gain using detailed medical history and medical testing.
Dr. Bagnato will perform an upper endoscopy to visualize the stomach opening and internal stomach. It may also be necessary to review internal anatomy with a CT scan or barium study.
He will then discuss options with you, which may include a revision surgery.
Who is eligible?
Patients who initially lost weight following bariatric surgery but now find themselves regaining weight may be ideal candidates for revision.
In general,coverage by insurance providers for revisional bariatric surgery mirrors that of the the primary procedure, e.g., if you’re 100 pounds over your ideal weight (BMI of 40) or you have significant obesity-related health problems in combination with a BMI of 35.