Bariatric Surgery Revision
Bariatric surgery revision can be an ideal treatment for patients who may not have experienced the desired results following their weight loss surgeries.
Bariatric surgery revision consists of performing a new bariatric intervention in a patient who has already undergone a surgical procedure to lose weight and who presented complications or did not obtain the expected results.It is considered as a successful weight loss procedure when patient loss 50% of the excess weight and maintained for 5 years. Failure occurs in 20-30% of patients. The cause of failure are multifactorial such as inappropriate procedure for the patient or not continuing with lifestyle changes.
Some of the reasons why you may need conversion surgery include:
- LapBand Failure
- Nausea and Vomiting
- Weight Loss Expectations not achieved
Benefits of Bariatric Surgery Revision
Consider 3 primary reasons for Bariatric Revision Surgery
Side Effects
In rare cases, patients might encounter ongoing side effects or more serious health complications, such as infection or erosion around a gastric band device.
Failure to Lose Weight
Weight loss will eventually slow down after a bariatric procedure, but some patients reach a premature plateau after their surgery. A revision will allow patients to continue on their weight loss and wellness journey.
Patient Regains Weight
Patients often regain some of the weight they lost, which may be the result of the stomach stretching out after surgery. If you regain most of the excess weight you lost after a bariatric procedure, revision surgery is essential.
There are also other important causes to performing Bariatric revision surgery, such as: Inadequate weight loss, Significant weight gain, Not presenting control of comorbidities (Diabetes Mellitus, Hypertension, etc.), Medical complications in general.
Meet Our Specialist
Dr. Andres Moreno
We are honored that you have taken the time to learn more about Dr. Andres Moreno and the passion he has for transforming the lives of his patients.
• General Surgery Mexican Council
• General Surgery Mexican Association
• Basic and Advanced Laparoscopic Surgery (UNEME)
• Advanced Trauma Life Support, American College Surgeons
• Preopeperative Nutritional Support, The European Society for Clinical Nutrition and Metabolism (ESPEN)
• Clinical Immersion of hernia laparoscopica, Hospital Angeles Tijuana, Medtronic
• Program safe colecistectomy, Asociación mexicana de Cirugía (AMCG) y Society of American Gastrointestinal and Endoscopsic Surgeons (SAGES)
• Bariatric Surgeon Certified by General Surgery Mexican Council
• Member of Mexican College of Obesity Surgery and Metabolic Diseases (CMCOEM)
• Member of Mexican College of Obesity Surgery and Metabolic Diseases (CMCOEM)
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FAQ'S
4 weeks before surgery
- Stop smoking or vaping (smoking slows down healing, potentially it coul cause tissue necrosis and stomach leak)
- Stop all pregnancy preventive oral medication and hormonal medication at least 3 or 4 weeks (hormonal medication increase blood clots risks)
- Stop consuming alcohol
- Stop beverages with caffeine, that includes energy drink (at least 2 weeks before surgery)
- Star walking or doing elliptical for 30min daily, patients with cardiovascular or joint diseases can inflate a balloon 5 times, 3 times a day.
- Star taking a multivitamin
1 week before surgery
- Stop all NSAIDs (Aspirin, baby low-dose Aspirin, Advil, Aleve, Ibuprofen, Nuprin or any other non-steroidal anti-inflammatory medication, this includes most arthritis medication). For headache or minor pains, you may use Tylenol (including the day of surgery)
- Regardless whether you have acid reflux/ heartburn or not, star taking Omeprazole ( 1pill 20mgs twice a day or 40mgs 1pill a day) in order to decrease stomach acidity and later acid reflux, nausea, inflammation, and swelling caused by the procedure.
3 days before surgery
- Star Full liquid diet
- The purpose of the liquid diet is to cleanse your stomach pouch an bowel from any kinds of solids; to reduce the amount of stomach acid produced, thus decreasing chances of having heart issue after surgery.
- It’s very important that you drink lots and lots of fluids during these period in order to be well hydrated for the day of your surgery
Day Trip to surgery
- Wear compression stockings (medium pressure, knee high), during your flight, practice leg muscle contraction during flight, get up and move every 45minutes, move your feet, theses are blood clot preventive measures.
- Wear comfortable clothes
- Continue the liquid diet
Surgery Day
- Stop drinking at midnight the night before surgery, if your surgery is in the afternoon your allowed to drink water during the day
- You may take medication for high blood pressure, anxiety or antidepressant as indicated by your physician early in the morning with a small glass of water
- You may brush your teeth normally
- Take a shower with soap the night before surgery or in the morning
- Take off all jewelry and contact lenses, if you cannot take your ring off, or piercing, anesthesiologist will wrap a pice of tape around it to protect your skin from burns. However in rare cases jewelry may interfere with the electrocautery machine an may need to but off.
- You may have acrylic/gel/polished nails but short (1/4 of inch). If your nails are too long, the oximeter will fall off and the nurses will have to shorten your index finger nail.
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From the first day of discharge, we recommend physical exercise appropriate to the patient, age and degree of obesity. Progressive moderate exercise (including swimming) can be performed at four weeks. Very competitive exercise should also wait 6 weeks.
Approximate weight loss: Type of Operation Lap Band: 50-55% of excess weight to be lost× Gastric Sleeve: 65-80% of excess weight to be lost× Gastric Bypass: 70-85% of excess weight to be lost Most weight loss occurs within the first 6-10 months in most patients. – “Weight loss in individual patients may vary depending on medical history and adherence to medical indications.”
Patients are usually admitted the evening before surgery. Most patients remain in the hospital for 2-3 days.
The complications of these procedures are similar to any other abdominal surgery and include bleeding, infection and obstruction. It will also depend on the associated comorbidities. However, these surgeries are no less safe than other techniques, and their risks are generally lower than leaving morbid obesity untreated.
The three types of obesity intervention that we perform require a period of adaptation in the diet after the operation. First a liquid diet is taken, then semi-liquid, soft, semi-soft and finally normal. During the period of liquid and semi-liquid diet, the patient must take “food supplements” which are purchased in pharmacies. The patient eats normally after 5-6 weeks.