If you have had prior weight loss surgery and have not had a good outcome (complications, side effects, insufficient weight loss), you may be a candidate for bariatric revision surgery to repair your existing operation, or to convert to a different operation.
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, are typically good candidates for gastric sleeve surgery.
Patients who never achieved much 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.
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 would be 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.
Surgeon & Program Outcomes Matter – A Lot!
Weight loss surgery patient outcomes are not uniform between individual surgeons and programs. Some surgeons and programs achieve better weight loss results and lower complication rates than others. This is particularly true for revision operations, which are more difficult.
Because outcomes are not uniform, knowing a surgeon’s/program’s record of actual patient outcomes is important to be able to judge surgeon/program quality and performance.
Most surgeons and programs, however, don’t make their outcomes statistics known. This is nice for surgeons and programs (less accountability), but not ideal for patients.
Dr. Oliak has been publishing his outcomes statistics since he started his practice in 2002. For the outcomes that matter most – weight loss, early major complications (e.g. leak), and late complications (e.g. acid reflux) – Dr. Oliak’s statistics beat the industry benchmarks, often by a wide margin.*
How does Dr. Oliak achieve excellent, industry-leading patient outcomes? By prioritizing quality of surgery, patient education, and frequent follow-up after surgery.
Schedule an Educational Consultation with Dr. Oliak
Learn more about bariatric revision surgery and our Orange County program by attending a 30 minute, no-obligation, one-on-one educational consultation with Dr. Oliak in Brea or Irvine. Call our office 714-582-2530 or send us a contact form today!