If you have had prior weight loss surgery and have not had a good weight loss result, or have had complications, a revision operation might be the ideal solution.
To learn more about revision surgery and whether it’s right for you, attend a free, no-obligation educational consultation with Dr. Oliak in Brea or Irvine. To schedule, call or send us a contact form today!
Bariatric Revision Surgery in Orange County
Bariatric revision surgery involves either repairing an existing weight loss operation, or converting to a different operation.
Gastric banding operations (LAP-BAND®) are typically converted to a different operation, and not preserved. Gastric banding can be converted to gastric sleeve or gastric bypass.
Gastric sleeve operations can either be repaired, or converted to a different operation, most commonly gastric bypass.
Gastric bypass operations are typically repaired, and not converted 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 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 can be done in either one or two operations. When done in two operations, the first one is to remove the band, and the second one (after 3-6 months) is to do the sleeve or bypass.
Two operations are generally better when LAP-BAND® complications are present – band slippage, band erosion, dilated gastric pouch, esophageal dysfunction.
One operation is often favored when there are no gastric banding complications and no (or minimal) gastric pouch dilatation.
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.
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.
Why Choose Dr. Oliak?
Simple – better outcomes! Dr. Oliak’s relentless focus on providing excellent surgery and patient care has resulted in a track record of great patient outcomes.* His weight loss and complication statistics (3000 operations since 2002) rank among the best in the weight loss surgery field.* And, when it comes to your health and wellbeing, what is more important than that?