Revision weight loss surgery, also known as gastric bypass surgery, is a surgery that removes excess pockets of stomach fat stored in the small intestine. This surgery has become very popular in recent years and accounts for a large number of follow-up surgeries. It is the weight loss surgery of choice for both the public and for patients who are considered a high risk for any kind of surgery. Individuals with weight problems and obesity are more at risk than most, but they too can benefit from this surgery if their weight loss goals are beyond their current ability to achieve.
The surgery itself is relatively simple. The surgeon will make an incision in the abdomen or perform the procedure through smaller incisions inside the upper thighs, hips, or buttocks. Small, flexible stretchers are used during the procedure. After these are removed, the stomach is exposed where the surgeon will reroute the stomach's contents by creating a new pouch that will reduce the patient's weight. These are typically made of a variety of materials including silicon, sponges, stitches, and elastic.
There are several reasons why people choose revision weight loss surgery over initial bariatric procedures. Patients seeking this type of operation feel immediate results and long-term success, but they may experience more serious complications and side effects than those who go through an initial procedure. Patients may also need to return for a revision because their weight loss is excessive, or because their bodies were unusually resistant to the procedure. While complications from initial bariatric procedures are quite common, complications from revision procedures are uncommon.
There is no clear-cut guideline for how many subsequent surgeries should be done in a row. Bariatric surgeons often recommend that their patients perform between two and five additional revision surgeries, in order to achieve long term success. If your physician has recommended that you perform a bypass and then a stomach banding procedure, you can count yourself fairly successful in your goal to lose the majority of your body weight. Bariatric surgeons also recommend performing at least one revision weight loss surgery on each patient, in order to help ensure that he or she is healthy enough to return to regular eating routines before starting any additional surgeries.
Stomach stapling and bypass surgeries have very different outcomes when it comes to complications. The primary difference between them is the amount of excess stomach fat that needs to be removed. In a traditional sleeve gastrectomy, the stomach is completely removed, leaving only the oesophagus and the small intestine exposed. Because the oesophagus is already injured, recovery is much more difficult and long-lasting. A bypass procedure, by contrast, does not require the removal of the stomach. It leaves the oesophagus open and allows it to heal before starting the process of regaining the lost stomach fat.
Another common complication of these types of weight loss surgery procedures is the condition called acid reflux. In patients who undergo either a traditional sleeve gastrectomy or a bypass, the oesophagus and the stomach are connected to one another. Because of this unnatural connection, acid reflux disease occurs more often in patients of these surgeries. This condition can lead to serious complications, such as esophagitis, chronic heartburn, and chronic regurgitation.
Although revision weight loss surgery may sometimes produce unrealistic weight loss results, it is worth the risk for the sake of your health. This procedure is performed only on a small number of patients. If you are a good candidate for this procedure, and if your surgeon is skilled and experienced one, your chances of achieving good long term health results are excellent. But keep in mind that no matter what surgery you undergo, you will most likely regain some amount of weight after the procedure is finished.
People who undergo bariatric procedures should be aware that there may be post-operative symptoms to deal with. These symptoms include nausea, vomiting, and diarrhea. If you experience any of these symptoms, you should contact your surgeon right away. Your surgeon can perform a duodenal switch to address any issues you may have concerning vomiting, nausea, or diarrhea.
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