REVISIONAL Bariatric SURGERY

REVISIONAL bariatric SURGERY

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revisional surgery

Bariatric revision surgery is a surgical procedure performed to modify or correct a previous weight loss surgery that has either failed to produce the desired weight loss or has led to complications.

Other bariatric procedures we offer: Gastric Bypass Surgery, Sleeve Gastrectomy.

At Nashville Bariatrics, all our bariatric revision surgeries are laparoscopic or robotic. Laparoscopic surgery is minimally invasive because it uses a few small incisions to reach the stomach and small intestine, as opposed to one large incision. This procedure can be done robotically, with the surgeon in an operating room controlling robotic arms that hold the surgical instruments. We prioritize patient health and comfort, so our team of surgeons learns and masters the latest technology to provide the best outcomes possible.

The specific type of revisional surgery a patient will need will depend on factors such as the patient’s medical history, the type of previous bariatric surgery, the reasons for revision, and the patient’s needs and preferences.

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what is

Revision Surgery?

Revisional surgery is a complex procedure that requires careful evaluation and planning by a multidisciplinary team, including bariatric surgeons, nutritionists, and psychologists. After thorough discussions with healthcare providers, a patient should decide to undergo revisional surgery, weighing the potential risks and benefits. Additionally, patients may need to undergo preoperative evaluations to assess their current health status and determine the most appropriate course of action.

At Nashville Bariatrics, all our bariatric revision surgeries are laparoscopic or robotic. Laparoscopic surgery is minimally invasive because it uses a few small incisions to reach the stomach and small intestine, as opposed to one large incision. This procedure can be done robotically, with the surgeon in an operating room controlling robotic arms that hold the surgical instruments. We prioritize patient health and comfort, so our team of surgeons learns and masters the latest technology to provide the best outcomes possible.

The specific type of revisional surgery a patient will need will depend on factors such as the patient’s medical history, the type of previous bariatric surgery, the reasons for revision, and the patient’s needs and preferences.

Revisional Surgery →

BENEFITS & RISKS
gastric bypass surgery

Before undergoing revisional surgery, it’s essential for patients to thoroughly discuss the potential risks, benefits, and expected outcomes with their healthcare providers and to carefully consider their own medical history, anatomy, and goals for surgery.

TYPES OF BARIATRIC SURGERY:

  • Conversion to Another Bariatric Procedure
  • Gastric Band Removal
  • Gastric Band Adjustment
  • Gastric Bypass Revision
  • Sleeve Gastrectomy Revision

REASONS FOR BARIATRIC REVISION SURGERY:

  • Inadequate Weight Loss
  • Complications
  • Disease Progression
  • Changes in Anatomy
  • Patient Preference

WHAT TO KNOW before

REVISION SURGERY

qualifying for weight loss surgery

SETTING REALISTIC EXPECTATIONS:

Bariatric surgery aims to help you lose over half of your excess weight, which can improve or prevent health problems. This surgery is not done only for cosmetic reasons. Keep in mind that:

You should try other weight-loss methods first, like lifestyle changes, behavioral modifications, and prescription medicines. Surgery is only a choice if other methods don’t work. Surgery is permanent.
You must change how you eat for the rest of your life. You must commit to eating less and being more active after surgery. If you don’t, you will not lose or keep off the weight long-term.
It will take time to reach a healthy weight. Most weight is lost steadily during the first year or two after surgery.
Most likely, you will only lose some of your excess weight. But you can reach a much healthier weight and maintain it by following your healthcare provider’s advice for diet and exercise.

QUALIFYING FOR MINIMALLY INVASIVE BARIATRIC SURGERY:

Surgery is only for some. To qualify:
You must have a BMI of 40 or more or a BMI of 35 or more (see box below), plus a severe obesity-related health problem, such as type 2 diabetes, high blood pressure, or sleep apnea.
You must be healthy enough to undergo surgery.
You may be required to have a psychological evaluation.
You must have tried to lose weight by other means, such as diet and exercise.

qualifying for weight loss surgery

Revisional Surgery For Bariatric Procedures →

FAQ

WHAT ARE THE LONG-TERM OUTCOMES OF REVISIONAL SURGERY?

Long-term outcomes of revisional surgery depend on various factors, including the type of procedure performed, the underlying issues being addressed, and individual adherence to postoperative guidelines. It’s essential to discuss expected outcomes and potential risks with healthcare providers before undergoing revisional surgery.

WILL INSURANCE COVER THE COST OF REVISIONAL SURGERY?

Insurance coverage for revisional surgery varies depending on individual insurance plans, coverage criteria, and medical necessity. Patients should check with their insurance provider to determine coverage eligibility and requirements.

CAN REVISIONAL SURGERY BE PERFORMED LAPAROSCOPICALLY OR ENDOSCOPICALLY?

Yes, revisional surgery can often be performed using minimally invasive techniques such as laparoscopy or endoscopy, which may result in smaller incisions, less postoperative pain, faster recovery times, and reduced risk of complications compared to traditional open surgery.

WHAT IS THE RECOVERY PROCESS LIKE AFTER REVISIONAL SURGERY?

Recovery after revisional surgery varies depending on the type of procedure performed and individual factors. Patients may experience a similar recovery process to their initial bariatric surgery, including dietary modifications, physical activity guidelines, and follow-up appointments with healthcare providers.

WHAT ARE THE POTENTIAL RISKS AND COMPLICATIONS OF REVISIONAL SURGERY?

Risks and complications of revisional surgery may include infection, bleeding, leakage at the surgical site, anesthesia-related risks, nutritional deficiencies, and the potential need for additional surgeries.

HOW IS THE NEED FOR REVISIONAL SURGERY DETERMINED?

Individual factors such as the patient’s medical history, symptoms, diagnostic tests, and discussions with healthcare providers will determine the need for revisional surgery. A comprehensive evaluation is typically conducted to assess the underlying issues and determine the most appropriate action.

WHAT ARE THE DIFFERENT TYPES OF REVISIONAL SURGERY?

Revisional surgery procedures vary depending on the specific issues or concerns to be addressed. Common types of revisional surgery include conversion to another bariatric procedure, adjustment or removal of gastric bands, revision of gastric bypass or sleeve gastrectomy, and endoscopic interventions.

WHAT ARE THE COMMON REASONS FOR UNDERGOING REVISIONAL SURGERY?

Common reasons for revisional surgery include complications such as gastric pouch dilation, gastroesophageal reflux disease (GERD), stomal stenosis, inadequate weight loss, weight regain, nutritional deficiencies, and changes in anatomy over time.

WHO IS A CANDIDATE FOR REVISIONAL SURGERY?

Candidates for revisional surgery may include individuals who have experienced complications, insufficient weight loss, weight regain, or other challenges following a previous bariatric procedure.

WHAT IS REVISIONAL SURGERY FOR BARIATRIC PROCEDURES?

Revisional surgery for bariatric procedures refers to interventions to modify or correct complications, inadequate weight loss, or other issues related to previous weight loss surgeries.

Pros:

  • Correcting Complications: Revisional surgery can address complications such as gastric pouch dilation, gastroesophageal reflux disease (GERD), stomal stenosis, or other issues that may result from a previous bariatric procedure.
  • Improved Weight Loss: For those who have experienced weight gain or inadequate weight loss after an initial surgery, a revision may achieve better weight loss results.
  • Resolving Symptoms: Revisional surgery can alleviate symptoms such as nausea, vomiting, reflux, or abdominal pain related to complications or anatomical changes from a previous bariatric procedure.
  • Tailored Approach: Revisional surgery allows a customized approach to address concerns the individual patient faces by considering their medical history, anatomy, and previous surgeries.
  • Minimally Invasive Techniques: Many surgeons perform bariatric revision using minimally invasive techniques such as laparoscopy or endoscopy, which may result in smaller incisions, reduce postoperative pain, shorten hospital stays, and speed up recovery times compared to traditional open surgery.

Cons:

  • Risk of Complications: Revisional surgery carries risks similar to those of primary bariatric procedures, including infection, bleeding, leakage at the surgical site, anesthesia-related risks, and the potential need for additional surgeries.

  • Increased Complexity: Revisional surgery can be more technically challenging and complex than primary bariatric procedures.

  • Potential for Limited Success: Revisional surgery may not always achieve the desired results, particularly in cases where there are significant anatomical changes, scar tissue, or unresolved underlying issues that surgery alone cannot fully address.

  • Nutritional Deficiencies: Patients undergoing revisional surgery may be at increased risk of nutritional deficiencies due to alterations in the digestive tract and absorption of nutrients. Close monitoring and supplementation may be necessary to prevent deficiencies.

  • Insurance Coverage: Insurance coverage for revisional surgery may be more limited compared to primary bariatric procedures, and patients may encounter challenges in obtaining coverage depending on their insurance plans and criteria.

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Bariatrics Clinic

615.425.0550
393 Wallace Rd Ste 301, Bldg A
Nashville, TN 37211

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