Revision SurgeryPost Operative Bariatric Surgery patients are not
always successful in reaching their weight loss goals. This can be due to
Bariatric Surgery began in the 1950's. The operations were different than those
commonly done today. The procedures were often less successful, and more likely
to cause complications. Other reasons for weight loss failure include poor
technique. Bariatric surgery is specialized and complicated. Preventing
complications, managing complications and managing patients post operatively are
equally challenging aspects of care. Doing this well requires training and
experience. Research shows that many of the more serious complications
associated with bariatric surgery occur during a surgeon's first 75 operations.
Reasons for post operative weight loss failure include problems with the
original surgery, as well as patient inability to comply with necessary life
Coastal Center for Obesity offers revisions to patients with post surgery weight
loss failure. Patients may be candidates for Revision Surgery or Banded Revision
surgery (LAP-BAND® on top of Bypass).
Candidates must be screened carefully to determine cause of failure, and must
also be evaluated for appropriate correction, and receive education to insure
patient post surgical compliance.
Based on published experience
including St. Lukes University Health Network , the Revision of previous surgery
to Gastric Sleeve leak rate is ~ 3% .Dr. Owens ‘
Inverted Corner Gastric Sleeve
designed to reduce leak rates in primary sleeve surgery, is expected to also
lower leaks in this type of Revision surgery.
Revision to Sleeve may be preferable to Gastric Bypass for the following
- No anatomic re arrangement
- Lower risk for bowl obstruction
- Easier to evaluate Gallbladder and Bile ducts if necessary after surgery.
- Less malabsorption of iron, vitamin B12 and calcium
- May be converted to other weight loss operations.
- Removal of excess stomach part of the stomach removed in Sleeve surgery is
thought to produce the ‘hunger hormone’ grhelin, so long term hunger may be