What is Revision Surgery?
Revision surgery is a promising treatment option for patients who have undergone bariatric surgery but have not achieved the desired weight loss or have regained weight. This procedure is performed to revise the existing surgical method or apply a new bariatric approach to address issues such as stomach enlargement, reflux, or inadequate weight loss. Revision surgery offers an effective solution for maintaining weight control and improving obesity-related health problems. With a detailed evaluation and proper planning, this procedure opens the door to a healthier and more balanced life for patients.
Who is a Candidate for Revision Surgery?
Revision surgery can be performed on patients who have previously undergone bariatric surgery but have not achieved the expected results or have experienced complications. Candidates for this procedure include individuals who have had inadequate weight loss, regained weight, or developed issues such as stomach enlargement or reflux. Additionally, patients who encounter health problems after the initial surgery or require a modification of their existing procedure may also be suitable candidates for revision surgery. This decision is made based on a thorough evaluation of the patient's overall health condition.
What Are the Advantages of Revision Surgery?
- Achieving Weight Control: Provides an effective solution for patients who have not lost enough weight or have regained weight after their initial surgery.
- Correction of Complications: Treats complications related to the first surgery, such as reflux, stomach enlargement, or intestinal issues.
- Improvement of Obesity-Related Health Issues: Helps manage obesity-related conditions like diabetes, hypertension, and sleep apnea
- Restoring the Effectiveness of the Initial Surgery: Supports healthy weight loss and metabolic improvement, leading to increased physical mobility and overall quality of life
- Restoring the Effect of the First Surgery: Enhances the effectiveness of the existing bariatric procedure, increasing long-term success rates.
What Are the Risks of Revision Surgery?
- Complications: General surgical risks such as infection, bleeding, and adverse reactions to anesthesia may occur.
- Leakage Risk: There is a possibility of leakage at connection points, but this can be managed with close monitoring and appropriate treatment.
- Nutrient Deficiencies: Due to changes in absorption, deficiencies in vitamin B12, iron, and calcium may develop. This can be controlled with regular supplementation.
- Bowel Obstruction: Adhesions or blockages in the small intestine are rare but may require additional intervention.
How Is Revision Surgery Performed?
Revision surgery is performed using different techniques depending on the type of the patient's initial bariatric procedure and the issue they are experiencing. A laparoscopic (minimally invasive) approach is typically preferred. During the surgery, the stomach pouch may be reshaped, an enlarged stomach or connection points may be reduced, or the initial procedure may be modified with a different approach. For example, a gastric band can be removed and converted into a gastric sleeve or gastric bypass.
How Long Does Revision Surgery Take?
Revision surgery typically takes between 2 to 4 hours. The duration varies depending on the type of the patient's initial surgery, the complexity of the issues being addressed, and the extent of the procedure. Since this surgery is performed using a laparoscopic (minimally invasive) approach, it facilitates a faster recovery process.
Post-Revision Surgery Care
- ✅ Adhering to the Nutrition Plan: In the first days, a liquid diet is followed, then gradually transitioning to puréed and soft foods.. Eating in small portions and chewing slowly should be prioritized.
- 💊 Vitamin and Mineral Supplements: Supplements such as vitamin B12, iron, calcium, and multivitamins should be taken regularly.
- 💧Regular Hydration: Fluids should be consumed 30 minutes before or after meals, and excessive fluid intake should be avoided.
- 💪Healthy Lifestyle: Smoking and alcohol consumption should be avoided, and high-calorie, unhealthy foods should be restricted.