Revisional Surgery

Have you regained weight after bariatric surgery? We can help.

Overview

You’ve put back on the weight you’ve lost and you can’t understand why, or you’re concerned that you’re experiencing complications.

In revisional weight-loss surgery, your bariatric surgeon revises the initial surgery by performing a new type of weight-loss procedure that could potentially lead to better results over time. Generally, revisional surgery is successful in fixing any problems and returning you to controlled and safe weight loss.

Jackson’s bariatric surgeons have performed hundreds of revisional weight-loss surgeries. Our experience in correcting weight-loss surgery issues and fixing complications means you’re in the best hands. Our surgeons have pioneered multiple weight-loss procedures, and their experience is unparalleled.

Remember, though, that even though the revisional surgery will make weight loss easier, it still requires significant dietary and lifestyle changes, as with any other bariatric surgery or weight-loss procedure.

Overview

You’ve put back on the weight you’ve lost and you can’t understand why, or you’re concerned that you’re experiencing complications.

In revisional weight-loss surgery, your bariatric surgeon revises the initial surgery by performing a new type of weight-loss procedure that could potentially lead to better results over time. Generally, revisional surgery is successful in fixing any problems and returning you to controlled and safe weight loss.

Jackson’s bariatric surgeons have performed hundreds of revisional weight-loss surgeries. Our experience in correcting weight-loss surgery issues and fixing complications means you’re in the best hands. Our surgeons have pioneered multiple weight-loss procedures, and their experience is unparalleled.

Remember, though, that even though the revisional surgery will make weight loss easier, it still requires significant dietary and lifestyle changes, as with any other bariatric surgery or weight-loss procedure.

Why Might My Weight-loss Surgery Not Be Working?

Bariatric surgery, when performed by an experienced surgeon is most often a safe and effective long-term weight-loss solution. As with any surgical procedure, however, there are circumstances that may require a revisional weight-loss surgery to correct a problem and get you back on the path to better health.

If you didn’t follow your recommended diet, exercise, and behavioral modification program, you may not have lost weight, or you may have gained weight back. In this case, revisional surgery may not be indicated.

However, your procedure may have failed for other reasons, such as:

  • Mechanical complications, such as pouch stretching or slipped bands
  • Stretching over time – resulting in a larger stomach pouch – from procedures such as a vertical-banded gastroplasty (VBG)

In these two cases, you may be a candidate for revisional weight-loss surgery.

What Are the Risks of Revisional Surgery?

Revisional surgery does have risks and patients should choose a surgeon with significant revisional surgery experience. Some of the most common risks associated with revisional surgery are intestinal leaks, a higher conversion rate to open surgery, infection, longer hospital stays, and possible failure to resolve the original issue.

How do you minimize these risks? Consult with a surgeon who is very experienced in revisional procedures, and staff that will help you choose the correct revisional surgery that is right for you.

Why Might My Weight-loss Surgery Not Be Working?

Bariatric surgery, when performed by an experienced surgeon is most often a safe and effective long-term weight-loss solution. As with any surgical procedure, however, there are circumstances that may require a revisional weight-loss surgery to correct a problem and get you back on the path to better health.

If you didn’t follow your recommended diet, exercise, and behavioral modification program, you may not have lost weight, or you may have gained weight back. In this case, revisional surgery may not be indicated.

However, your procedure may have failed for other reasons, such as:

  • Mechanical complications, such as pouch stretching or slipped bands
  • Stretching over time – resulting in a larger stomach pouch – from procedures such as a vertical-banded gastroplasty (VBG)

In these two cases, you may be a candidate for revisional weight-loss surgery.

What Are the Risks of Revisional Surgery?

Revisional surgery does have risks and patients should choose a surgeon with significant revisional surgery experience. Some of the most common risks associated with revisional surgery are intestinal leaks, a higher conversion rate to open surgery, infection, longer hospital stays, and possible failure to resolve the original issue.

How do you minimize these risks? Consult with a surgeon who is very experienced in revisional procedures, and staff that will help you choose the correct revisional surgery that is right for you.

The Revisional Surgery Procedures We Perform

Adjustable Gastric Band Revision

There are many causes for the failure of a gastric band. The most common is basic failure of the band itself. It is estimated that more than 25 percent of bands will be converted to another bariatric procedure, such as a gastric sleeve or gastric bypass.

Another common reason for band failure is slippage. This may be repaired laparoscopically, or may require band removal with conversion to another bariatric procedure. Jackson has some of the most experienced teams in the world that have excellent outcomes with these procedures.

Gastric Bypass Revision

The most common reasons for failure of a gastric bypass are a dilated gastric pouch, a dilated cross connection between the gastric pouch and the jejunum, or a fistula between the gastric pouch and the old stomach.

Depending on the severity of the cause, Jackson’s bariatric surgeons may be able to repair the issues endoscopically (using a gastroscope through the mouth, without incisions), by narrowing or closing the pouch, cross connection, or fistula. When the pouch, cross-connection, and/or fistula are very large, laparoscopic repair may be necessary.

Non-Adjustable Gastric Bands

Non-adjustable gastric bands fail intrinsically because of the procedure itself. The way these operations were conducted means they require a higher degree of expertise when being revised, and are at higher risks for complications and conversion.

Jackson’s bariatric surgeons have successfully converted several of failed non-adjustable gastric bands to gastric sleeves laparoscopically.

Vertical Banded Gastroplasty

Vertical banded gastroplasty (VBG) usually fails because of a fistula between the pouch created and the old stomach. Because of the way these operations were conducted, they require a higher degree of expertise when being revised, and are at higher risk for complications and conversion.

Jackson’s bariatric surgeons have successfully converted several of these failed VBGs to gastric sleeves laparoscopically.

Meet Our Bariatric Surgeons

This is the team that can help change your story.

We understand that bariatric surgery is not “the easy way out”; it requires hard work, sacrifice, and an expert medical team to see you through it.

Get to know the pioneers of minimally-invasive weight-loss surgery techniques who would be helping you live a healthier life.