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Manipal Hospitals, Palam Vihar, Sector 6 Dwarka, New Delhi, Delhi 110075

Revision Bariatric Surgery

Failure of the first bariatric surgery in getting the weight loss results that a patient wants makes the surgeon do a repeat surgery and it is known as a revision bariatric surgery. Most patients don’t need this as the first surgery is enough for losing the desired weight. However, some people don’t lose weight with the first surgery and the treatment fails to address the co-morbidities. It may lead to a need to do the bariatric surgery again. It may also be needed to fight the complications of the first surgery. These problems usually occur when the patient does not change the lifestyle even after the previous weight loss surgery. Another reason for why the first surgery fails is that the patient did not have enough knowledge about how to control the weight after the first bariatric surgery and failed to take steps to make the surgery work. The revision surgery is done by the best bariatric surgeon in the hospitals.

People who choose to undergo the bariatric surgery need to follow a strict diet and exercise plan post surgery. For some people, a single treatment is insufficient and the person does not get success in the surgery. Some patients don’t take diet precautions in the first surgery and do not follow the advice of a dietitian. They don’t consult their doctor and surgeon post surgery for further advice and follow up. Some people don’t do enough exercises post surgery. They may also lack the psychological support needed for weight loss treatment. Due to this, the patient does not get good results when the bariatric surgery is done for the first time. The patient develops a negative self-image with a failure of weight loss efforts. Some people have metabolism problems that cause regaining of the weight. When a person feels frustrated on not losing enough weight, the surgeon does the revision surgery. The patient may also regain most of the lost weight after the first surgery and this may lead to a need to do another surgery. It is better to undergo the bariatric surgery the second time instead of feeling hopeless and treating it like a personal failure.

Overweight people who want to consider the option of doing the revision surgery should consult their surgeon and discuss all the available options for the treatment. There are situations in which the first surgery was performed in a wrong manner and this might have led to failure in getting results. It might be that the type of surgery chosen for the first procedure was wrong and it was not a suitable option for the obese patient who chose the surgery. There can be many reasons for the failure of the first bariatric surgery. The patients have the choice of getting a different surgery treatment to address the problems that might have occurred in the first surgery. It gives a second chance to fight obesity. The surgeon recommends the revision bariatric surgery after analyzing a patient’s medical history, lifestyle and after checking why the first surgery failed. The surgeon sees why the person regained weight after the previous procedure. He discusses the treatment options with the patient after that.

There are many types of options for doing the revision bariatric surgery. The overweight people can choose the gastric bypass surgery as a revision option. The gastric bypass surgery can be done with an endoscopic technique that is a type of non-surgery treatment. It is done by using the latest StomaphyX device. The surgeon performs this surgery with a ROSE procedure. Incisions are not made in this surgery method. The surgeon inserts an endoscope into the body through the mouth to do the surgery. It is placed in the stomach to perform the procedure. The patient does not need any recovery from this treatment.
Some people like to do the Lap-Band surgery. This is done after a gastric bypass is performed for the first time. It is a type of laparoscopic surgery. The patient has a quick recovery. The surgery involves placing an adjustable gastric band on the stomach pouch that is connected to a port situated below the stomach wall on the skin. It makes a person feel full after eating food in a small quantity. The amount of weight that one loses can be controlled by adjusting the band and it is a simple procedure done in a short time. There are other surgery options for the revision bariatric surgery. The top bariatric surgeon in the hospitals analyzes all options of the revision surgery that may suit the patient.

The revision surgery helps in fighting malnutrition problems that occur due to the previous weight loss surgery. It also helps in fight dumping syndrome. If a person has mal-absorption of nutrients due to bariatric surgery, a non-mal-absorptive surgery is done by the surgeon as a revision surgery. This helps in stopping the regain of weight.

The duration of the revision surgery is longer than the first surgery. It may involve some minor risks and the patient may need time for recovery and recuperation. The surgeon makes open incisions in this surgery and there might be some complications involved in the revision procedure. Some people have blood loss due to the surgery. There is a risk of infections also.