Bariatric revision surgery can help to resolve bariatric surgery complications and improve weight weight loss. If you have had prior weight loss surgery and have not had a good outcome, bariatric revision surgery might be an ideal solution.
Read below about LAP-BAND®, gastric bypass, and gastric sleeve revision surgery, and about why our premier Orange County program is the one to choose for bariatric revision surgery.
Gastric Banding (LAP-BAND®) Revision Surgery
Gastric banding revisions most commonly involve band removal and conversion to a different operation, either gastric bypass or sleeve gastrectomy.
Patients who initially achieved good weight loss with gastric banding, and did not develop severe vomiting and/or reflux complications, are typically good candidates for gastric sleeve surgery.
Patients who never achieved good weight loss with gastric banding, or patients who developed severe reflux with gastric banding, may be better candidates for gastric bypass surgery.
LAP-BAND® conversion operations to gastric bypass or sleeve gastrectomy sometimes are best done in two operations; one to remove the band, and a second one after 3-6 months to do the sleeve or bypass.
Two operations are often better when LAP-BAND® complications are present – band slippage, band erosion, dilated gastric pouch, esophageal dysfunction.
One operation is often fine when there are no gastric banding complications and no (or minimal) gastric pouch dilatation.
Gastric Bypass Revision Surgery
Gastric bypass revision operations are done for either complications or poor weight loss. Generally the gastric bypass operation is preserved.
The goal with gastric bypass revision surgery is typically to restore gastric bypass anatomy back to normal.
Poor weight loss can sometimes be due to problems with gastric bypass anatomy, such as an enlarged stomach pouch, or a dilated connection between the pouch and intestine. These issues can be corrected surgically.
Complications that result in abdominal pain (chronic ulcer, internal hernia, etc.), or reflux/vomiting (hiatal hernia, chronic stricture, etc.), can often be resolved with a revision operation.
Gastric Sleeve Revision Surgery
Gastric sleeve revision operations are done for either complications or poor weight loss. Gastric sleeve revision operations can either preserve the gastric sleeve, or convert to a different operation.
The gastric sleeve operation can be preserved if the problem is caused by an anatomic issue with the sleeve.
For example, if the gastric sleeve is too large, and weight loss is not sufficient, a revision to make the sleeve smaller might be reasonable.
Another example is acid reflux due to a hiatal hernia after gastric sleeve surgery. A hiatal hernia repair with preservation of the sleeve would be reasonable.
If, however, poor weight loss, or a complication (typically acid reflux), is not due to an anatomic issue with the gastric sleeve, conversion to a different operation is generally favored.
When a gastric sleeve operation is converted to a different operation, it is most commonly converted to gastric bypass. Less commonly it is converted to duodenal switch or SADI.
Why Choose Us For Orange County Bariatric Revision Surgery?
Weight loss surgeons and programs are not all the same. Different surgeons and programs have different skill and experience levels, and different ways of doing surgery and patient care.
These differences result in differences in patient outcomes. Published studies make clear that some surgeons and programs achieve better weight loss results and lower complication rates than others.*
This is especially true for bariatric revision surgery. Revision operations are technically more difficult, higher risk, and require the most careful decision making.
In Dr. Oliak’s view, the obvious best way to choose a surgeon and program is by actual patient outcomes. For the outcomes that matter most – weight loss, early major complications (e.g. leak), and late complications – Dr. Oliak’s statistics beat the industry averages.*
How does Dr. Oliak achieve excellent, industry-leading gastric bypass patient outcomes? By always prioritizing quality surgery and quality patient care (education, follow-up, support).