Revisional bariatric surgery is a procedure completed on patients who have already received a bariatric treatment previously and are thus undergoing revisional surgery to either alter the type of weight loss surgery – from a reversible procedure such as a Lap Band to a non-reversible procedure like a gastric sleeve.
The reasons for undergoing a revisional procedure can be dictated by many factors such as lifestyle, the body’s response to the initial procedure or a complication regarding the initial procedure. Typically a patient will return to the same bariatric surgery where they underwent their first procedure, but this is not necessary. What is most important is that the surgeon who is conducting the bariatric revision understands the requirements of the individual and conducts the surgery with care.
At Perth Weight Loss Clinic, bariatric revision surgery is something we perform on patients we have worked with previously, or on new patients who have received bariatric treatment from another clinic and have opted to change surgeons for their follow up revisional procedure.
This may be down to a new patient moving to our local area in Perth and preferring the convenience of a local surgeon, or their previous surgeon retiring or moving away.
A revisional bariatric surgery is a decision that, like the initial procedure, should not be undertaken lightly and your surgeon should be consulted at length prior to any concrete decision being made. Weight Loss surgery, if performed correctly is a very effective tool against losing weight and prolonging one’s life and the quality of that life. However, certain lifestyle changes are required to maximise the effectiveness of that surgery.
Regular exercise, a healthy diet and cutting out unhealthy habits like smoking or a sedentary lifestyle are compliment a bariatric procedure perfectly.
Revision surgery is often required for reasons that might be related to the above – for example a patient has not changed their dietary or exercise habits and have regained some weight, which is impacting their health. It might be related to complications from the first procedure, depending on what sort of surgery the patient underwent. Procedures such as lap band surgery can be altered or adjusted – even removed – if they cause complications within the body because they are reversible.
A procedure such as a gastric sleeve is not reversible as it involves removing a portion of the stomach to limit its volumetric dimensions which limits the amount of food that can be ingested
A summary of bariatric procedures that Mr Siva Gounder performs in his Perth clinic is listed below. Any number of these procedures could be a candidate for revisional bariatric surgery, however, it is very important that if you wish to do this, you book a consultation with Mr. Gounder first.
Lap Band Surgery was one the most commonly performed bariatric procedure globally, but this has declined in recent years in favour of other procedures. It is a safe, reversible procedure that can be performed using keyhole surgery, so it is not terribly invasive nor traumatic to the body (as surgery in general can be) A silicon-based device is adjusted to rest on top of the stomach entrance and using a fluid-based pressure, stimulates feelings of fullness. It main disadvantages are that 15% – 30% of patients will need revisional surgery because of things like the band slipping or eroding or the access ports requiring adjustment.
A gastric bypass – as the name suggests – involves bypassing a part of the stomach and directing the food intake into a smaller portion of the stomach. It is a surgery that has over 40 years of worth of data to back up its results and has a success rate in-excess of 80% (for patients who report losing weight). Risks associated with this procedure are ulcers and hernia.
This procedure is irreversible because it involves a section of the stomach being removed permanently. A patient who undergoes this type of procedure can still enjoy a good ‘quality of eating’ life and typically do enjoy good long-term weight loss.
The main disadvantages with a procedure like this is any internal leakages can be problematic to manage. Reflux can also be a common side-effect.
The decision to choose from these various options is individually made after consultation with the surgeon, dietitian, clinical psychologist and review of investigations like CT scans and Barium swallow x-rays.
A comprehensive assessment is done to assess the problem and various treatment options to address it will be provided.
Often this can take place 6 to 12-months after the original surgical procedure has been completed. Results will vary from patient to patient, as initial results that have not met the expectations of the patient can be attributed to lifestyle decisions rather than solely to the original procedure.
In patients who have had the Minimizer Ring with sleeve gastrectomy and are having trouble with it Mr.Gounder will be happy to assist you with looking at options to remedy it.