Revision Surgery

Revisional Bariatric Surgery

AWLS icons-01Bariatric surgery is the most effective means for patients to achieve significant weight loss, minimizing complications and helping cure health issues. There are, however, circumstances where patients regain weight or do not lose the expected amount of excess weight. Various factors can cause this situation. Our surgeons perform a thorough analysis including a study of the previous surgery and all factors that entered into its ultimate result. A follow-up bariatric procedure, referred to as a revisional bariatric surgery, may be required to alter or repair the initial bariatric surgery.

There are two major reasons patients seek revisional bariatric surgery at Acadiana Weight Loss Surgery. Some patients experience significant side effects or complications from an earlier bariatric surgery that are impacting quality of life. Other patients come to us for revisional bariatric surgery when they do not achieve the expected rate of weight loss. If you have undergone a bariatric surgery procedure, you may have ceased to shed pounds before reaching your target weight or, less commonly, you may be losing weight at a rate that you find alarmingly rapid. Regardless of the reasons behind your dissatisfaction with your bariatric surgery, the first step in the revisional bariatric surgery process is to contact the Acadiana Weight Loss Surgery office and schedule an appointment to meet with one of our experienced and knowledgeable bariatric surgeons. Our surgeon will answer your questions and perform a preliminary evaluation of your initial bariatric procedure.

Finding Bariatric Surgery Satisfaction the Second Time Around

Although the majority of bariatric weight loss procedures provide excellent results, as with any surgery, complications do occur. Revisional bariatric surgery is a more complex and involved procedure than an initial bariatric surgery. Because revisional surgery involves readdressing the surgical techniques employed during the first surgery, at Acadiana Weight Loss Surgery this can usually be performed laparoscopically. The success of a revisional bariatric surgery is especially dependent upon the experience of the surgeon performing the operation. A revisional bariatric surgery should only be performed by a verified bariatric surgeon at a facility accredited by the American College of Surgeons Metabolic and Bariatric Surgical Accreditation and Quality Improvement Program, such as the Lafayette General Medical Center and Drs. Gachassin and Eschete at Acadiana Weight Loss Surgery.

LAP-BAND® Revisional Surgery

In some cases, LAP-BAND® System procedures can result in a variety of complications that cannot be fixed by adjusting the band alone. These potential complications may necessitate a revisional surgery. Some complications that can be improved through the use of revisional bariatric surgery include unsatisfactory weight loss, slippage or erosion of the LAP-BAND® Adjustable Gastric Band, and infection and/or breakage of the LAP-BAND® System injection port (rare). If you are experiencing any complications with your LAP-BAND® procedure, please contact our office to schedule a consultation with one of our bariatric surgeons who will help determine if revisional surgery is right for you.

Intestinal Bypass and Gastroplasty Revisional Surgery

Many JIB and gastroplasty patients who undergo a revisional bariatric surgery procedure at Acadiana Weight Loss Surgery opt to have their original procedure not only reversed, but converted to the modern Roux-en-Y. After undergoing revisional surgery, most patients subsequently enjoy excellent weight loss outcomes, although often at a slower rate than patients who undergo their first bariatric surgery procedure. Our bariatric surgeons are in most cases also able to eliminate or significantly decrease the severity of unpleasant side effects such as diarrhea, dehydration and electrolyte imbalance that are associated with older weight loss surgical procedures. Contact us to schedule a consultation with one of our bariatric surgeons to determine if revisional and/or conversion surgery might be right for you.

Sleeve Gastrectomy Revisional Surgery

While the Sleeve Gastrectomy procedure is one of the most commonly performed bariatric surgeries, it may sometimes result in complications that can be dangerous to your health. In other cases, a patient may not be satisfied with the amount of weight lost from their original bariatric surgery. Revisional surgery may help correct or treat concerns like unsatisfactory weight loss, ulcer(s), chronic vomiting, hernia, and staple line failure potentially resulting in possible stomach acid leakage. Our bariatric surgeons can help determine if you are a candidate for revisional surgery to treat any concerns or complications. Contact us today to find out.

Roux-en-Y Revisional Surgery

Similar to other bariatric procedures, a Roux-en-Y gastric bypass procedure may result in complications or concerns that cannot be managed through diet and exercise. These complications may result in less-than-ideal weight loss, or worse, complications that may threaten your health. Our bariatric surgeons may be able to treat the following symptoms through revisional bariatric surgery: unsatisfactory weight loss, ulcer, chronic vomiting, hernia, and staple line failure resulting in possible stomach acid leakage. Contact us to see if revisional bariatric surgery might be right for you.

Endoscopic Revisional Surgery

Some bariatric surgery patients may experience a gradual stretching of the stomach pouch, which may result in feeling less full over time. Endoscopic revision is a non-surgical option used to resize the stomach and its connection with the intestine. During this procedure, the surgeon will use the OverStitch™Endoscopic Suturing System to stitch the stomach pouch and reduce its size. The procedure leaves no visible scars, is minimally invasive, provides a safe option for patients to reinitiate weight loss, and presents advantages such as limited post-procedure pain, faster recovery time and lowered risk of infections. Many patients return home the same day of the procedure.

Endoscopic Revision surgery may not be right for everyone. Patients with a sensitivity to general anesthesia may not be candidates for this procedure. Some patients may experience gas pain and nausea. Swollen tongue and lip pain may affect patients as a result of the endoscope, and a post-procedure sore throat may affect some patients. Patients not following a healthy lifestyle may fail to lose a significant amount of weight and/or may regain any weight lost. Contact us to find out if this revisional surgery might be right for you.

Is Revisional Bariatric Surgery Right for You?

Did you know that weight loss surgery is often a covered benefit? Contact Acadiana Weight Loss Surgery today to schedule a complete and confidential patient consultation.