Revision Weight Loss Surgery in Tijuana Mexico with Dr. Jorge Maytorena

Revision surgery is a much more complicated bariatric procedure, only experienced and skilled bariatric surgeon offers this option…

Due to the increasing popularity of weight loss surgery, more and more patients are undergoing operations to lose weight. Weight loss surgery, however, is not a miracle cure, and while most patients are successful after weight loss surgery, some patients may experience problems with the surgery or not succeed in losing the expected amount of excess weight.

In these situations, a follow-up bariatric procedure, known as a bariatric surgery revision, may be necessary to alter or repair the initial surgery. Revision weight loss surgery is a procedure that repairs or revises a prior weight loss surgery. Even the most successful operations may require a revision from time to time.


Common revision cases include…

Complications from prior vertical banded gastroplasty (VBG) or “stomach stapling”:

  • Complications from a previous open gastric bypass surgery
  • Failure to lose adequate weight after a LAP-BAND surgery}
  • Inadequate weight loss or tendency to regain weight after gastric bypass
  • Unresolved co-morbidities after surgery.

Although it can be an emotional setback when weight loss surgery does not lead to the expected amount of weight loss, the only failure is in giving up. Obesity is a chronic disease and not easily treated. As with any serious health condition, if the first treatment is not effective, then the doctor will recommend additional treatment options. With weight loss surgery, a revision surgery may be necessary as an additional treatment for obesity.

Most revision surgeries can be done laparoscopically. You will be discharged from the hospital within one to two days. It is important to understand that while revision surgery is slightly higher-risk than a first-time operation, it is still lower-risk than remaining morbidly obese.


Revisions after LAP-BAND

The revision rate for the LAP-BAND System is approximately 10% during the first two years. Revisions are due to either device-related problems, slippage or unsatisfactory weight loss. A complication specific to this type of procedure is slippage of the gastric band, which requires a follow-up procedure to fix the problem. While some patients will have the band replaced, others choose to revise to another procedure.


Revisions after Gastric Bypass

A gastric bypass revision is necessary in approximately 5 to 10% of patients over 5 years due to complications, unsatisfactory weight loss, or weight regain. Complications that may occur after gastric bypass surgery, such as ulcers, chronic vomiting, hernia, staple line failure, can often be improved through revisional surgery.


Results with a Bariatric Revision

Although the results can vary widely depending on the original procedure and the reason for the revision, these surgeries are usually successful in resolving the associated problems and promoting further weight loss. Weight loss following a revision is usually not as dramatic as the initial bariatric procedure, but it can be substantial over time. As revision surgery can be more complex and involve more risks than general weight loss surgery, it is important to choose a bariatric surgeon that is experienced and skilled in performing revision surgery. As with all bariatric procedures, the best weight loss results are achieved by patients who are able to comply with the diet and exercise recommendations of their surgeon. The post operative process can be a struggle and you will benefit in your weight loss efforts by attending support groups, talking to a nutritionist for dietary advice, working out with a exercise program, and, if needed, talking to a psychologist to help deal with emotional aspect of obesity and weight loss surgery.