Revisional Surgery

Revisional Surgery Facts:
  • Higher risk than first time bariatric procedures
  • Varied weight loss results
  • Subsequent weight loss is more difficult

In the world of weight loss surgery, we often see patients who have had failed surgical procedures in the past or surgeries that have not allowed them to reach their particular weight loss goals. In some cases, a particular procedure may result in inadequate weight loss and, as a result, the inability to resolve conditions connected to obesity. In other cases, failed weight loss surgery may result in medical and physical conditions that need to be addressed.

Regardless of the reasons, the decision to pursue revisional bariatric surgery is a big decision and must be addressed with a doctor in order to make the best choice for your particular situation and health goals.

The most important thing for patients to understand is that there is higher risk associated with revisional bariatric procedures as opposed to first-time procedures; revisional surgeries are longer and often involve open incisions, which can result in a greater loss of blood and a greater risk of leaking and infection.

In some cases, revisional surgery is medically necessary and is therefore performed as needed with as little risk to the patient as possible. In other cases where surgery is not medically necessary, it is up to the patient to weigh the pros and cons of treatment.

With this information in mind, you can weigh the risks of the surgery against the benefits with your doctor and make the decision that is best for you. If revisional surgery is chosen, it is most successful when approached on an individual basis. Our practice examines each patient’s unique situation and plans accordingly.

The Result

Just as managing expectations is important during a first-time weight loss surgery, so too is it important during revisional procedures. Evidence has shown that in some cases, the results of revisional surgery are less successful in terms of weight loss than first-time surgeries. This comes down to the unique ability of our bodies to adapt on a metabolic level to weight loss surgery. This adaptation – which can happen during first-time surgeries as well – slows the potential for weight loss; so it’s important to manage weight loss expectations appropriately.
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