Bariatric Revision Surgery
Understanding Bariatric Revision Surgery
For some individuals bariatric surgery may not provide the desired long-term results. Whether due to insufficient weight loss, significant weight regain, or complications from an unsuitable procedure, revision bariatric surgery offers a solution.
Many patients who underwent weight loss surgery in the 1980s, 1990s, or more recently have found that their procedure did not deliver sustained success. In some cases, complications or side effects have made it difficult to maintain a healthy lifestyle. However, these challenges can often be addressed through revision bariatric surgery.
Why Does Weight Regain Happen After Bariatric Surgery?
Weight regain after bariatric surgery is common and can occur for several reasons:
Dietary Habits
Snacking, grazing, and consuming high-calorie liquids can lead to weight regain, even after a successful weight loss procedure.
Lack of Follow-Up Care
Patients who stop attending follow-up appointments or neglect essential post-surgery habits, such as taking vitamins and monitoring their diet, are more likely to experience weight regain.
Surgical Factors
In about 25% of cases, weight regain is due to anatomical or functional issues with the original procedure. If these problems are identified early, they can often be corrected with revision surgery.
When Is Revision Bariatric Surgery Needed?
If a previous bariatric surgery has resulted in complications, inadequate weight loss, or significant weight regain, revision surgery may be recommended. The goals of revision surgery include:
- Correcting complications from a prior operation
- Repairing or modifying a procedure that is no longer effective
- Converting one type of bariatric surgery to another (e.g., gastric band to sleeve gastrectomy or bypass)
- Reversing a procedure if necessary, with the option to reassess future treatment
How Is Revision Bariatric Surgery Performed?
In over 95% of cases, revision bariatric surgery is performed laparoscopically (keyhole surgery) or robotically, reducing recovery time and surgical risks. However, because revision procedures are typically more complex than the initial surgery, a thorough evaluation and cautious approach are required.
Assessment Before Revision Surgery
Before undergoing revision bariatric surgery, a comprehensive evaluation is conducted to determine the most suitable approach. This includes:
- Anatomical Assessment: Imaging tests such as X-rays, CT scans, or endoscopy to evaluate the structure of the previous surgery.
- Dietary and Behavioural Analysis: Identifying any eating behaviours that may contribute to weight regain, such as binge eating, grazing, or alcohol consumption.
- Functional Assessment: Understanding how the previous procedure has affected hunger, reflux, and food capacity.
Tailoring the Right Solution
Bariatric revision surgery is highly personalised. Each patient’s situation is unique, requiring a customised approach to achieve the best possible outcome. Some patients may need a corrective procedure, while others may benefit from a complete conversion to a different bariatric surgery type. In certain cases, reversing the original surgery may be the best course of action before deciding on further treatment.
FAQs
How much does revision surgery cost?
By making an appointment with one of the specialists here at UGIS, they can discuss your individual needs and provide an accurate quote of surgery costs (for both insured and uninsured patients).
Will my insurance cover the cost of revision surgery?
By making an appointment with one of the specialists here at UGIS, they can discuss your individual needs and provide an accurate quote of surgery costs (for both insured and uninsured patients).
Are there non-surgical options to address weight regain after bariatric surgery?
These medications are typically prescribed as part of a broader treatment plan, including diet, physical activity and support from your bariatric team. If you’ve noticed weight creeping back after surgery, it’s important to seek help early. Learn more in our blog: Weight Regain After Bariatric Surgery – Q&A.
Can I have revision surgery if my original surgery was done elsewhere?
Before proceeding, we’ll conduct a thorough assessment, including reviewing your surgical history, current health and reasons for revision, such as weight regain, unresolved symptoms, or complications.
How do I know if I need revision surgery?
At Upper GI Surgery, we offer comprehensive assessments to determine if revision surgery is appropriate. Our team will evaluate your medical history, conduct necessary tests, and discuss your goals to recommend the best course of action. Options may include revising your current procedure or considering alternative surgeries tailored to your situation.
Next Steps
If you have experienced weight regain or complications from previous bariatric surgery, a careful assessment can help determine the best course of action. Consultation with an experienced bariatric surgeon is essential to explore your options and develop a tailored plan to help you achieve sustainable weight loss and improved health.
Contact us if you are considering revision bariatric surgery, get in touch with our team to schedule a consultation. We are here to support you every step of the way on your weight loss journey.
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Why Choose Us
3 Years of Follow-up Appointments
Our patients benefit from having access to follow-up appointments with a Bariatric Specialist for up to 3 years after surgery, which is included in the clinic fee.
Over 20 Years of Experience
Our Bariatric surgery expertise is second to none. We have Australian-leading experience in many procedures, including the less commonly performed complex revision and robotic surgery.
Our Dedicated Support Team
Our welcoming and committed team is comprised of Nurses, Dietitian and Psychologist, as well as Admin support staff, making sure you are in the best hands for the duration of your treatment and the crucial aftercare period.
Ongoing Care Program (OCP)
Our Ongoing Care Program provides continuous support, offering access to helpful resources and expert guidance to ensure you stay on track and achieve lasting success in your weight loss journey.
Bariatric Centre of Excellence
Surgical Review Corporation (SRC) accreditation is achieved by providing the highest quality of care to patients as determined by an independent, external process of evaluation.
Bariatric Surgery Registry (BSR) Leading Contributors
We have contributed data since the BSR was first available in NSW and are pleased to report that our audit results are excellent. Audit is part of the “quality mindset” driving us towards excellence.