Revisional Bariatric Surgery

(second time bariatric surgery)

Article Titles

People who cannot get results from diet and exercise programs and cannot lose excess weight can deteriorate their general health status. Obesity surgeries performed for these patients provide effective results. In this context, various obesity surgeries such as gastric sleeve surgery, gastric bypass, stomach balloon, mini gastric bypass can be applied to patients. In determining the type of surgery, patients evaluate different factors, such as their overall health status, expectations, and whether they have additional diseases.

The main goal of bariatric surgery is for patients to quickly and healthily reach their ideal weight and to decline the health problems they experience due to weight. Although most of those who have obesity surgery can achieve their goals, in some cases it may be necessary to perform additional new surgery on past obesity surgeries. Revisional bariatric surgery is a secondary operation applied to patients who have undergone bariatric surgery in the past period but have complications after it, cannot lose enough weight or regain their weight.

What Is Revisional Bariatric Surgery?

After the first obesity surgery, the second operation is performed in cases where the targeted weight cannot be given, the weight is re-gained or there are complications related to the operation is called revisional bariatric surgery. Revision surgery can be performed as a result of many different conditions. Revision bariatric surgeries are basically performed as a result of the first operation resulting in incompetence. The source of this deficiency may be that the patient prefers the wrong operation or that the patient does not make the necessary lifestyle changes after the operation. Indeed, most of the applications for revision surgery are that patients cannot lose 50% of their excess weight until 18 months after the first operation. Currently, the need for revisional bariatric surgery occurs at a rate of 5% to 8% of patients with obesity surgery.

Who Is A Suitable Candidate For Revision Surgery?

  • Obesity surgery in the past period,
  • Unable to lose enough weight at the end of the operation,
  • The correct treatment model is not preferred in the choice of operation,
  • Regains weight after surgery,
  • Patients whose general health conditions are appropriate and determined to gain healthy life habits after surgery can be qualified as suitable candidates for revision surgery.

How is Revisional Surgery Performed?

When the need for revisional bariatric surgery arises, it is necessary to examine the overall health of patients to the smallest detail, review their eating habits, and question whether they are prepared for the post-operative process as usual. A standard technique or operation is not preferred within the scope of revisional bariatric surgery. Each operation is planned by taking into account the benefits of the operation that the patients have previously undergone, the complications they have experienced, if any, and their general health status.

Revision surgery after gastric sleeve surgery

One of the most commonly performed and successful bariatric surgery operations today is tube stomach surgery. Revision surgery after tube stomach surgery may become a requirement if the patient has not lost enough weight, if the patient has an increase in reflux complaints, if the stapler line in the new stomach is narrow, if there are runaway complications, or if the stomach expands as a result of the patient’s failure to comply with nutritional rules. As a result of the main problem after tube stomach surgery, gastric bypass, mini-gastric bypass, re-sleeve gastrectomy or Roux-en-y Bypass surgeries can be performed.

Revision surgery after Gastric Bypass surgery

Both the pocket and the absorption of food intake restricted the expansion of the newly created stomach after gastric bypass surgery, the stomach and intestines examined at the port of the patient’s ideal weight to give greater than expected, given the weight of the weight or the inability to situations such as the retrieval of as a result of the need for revision surgery may arise. Gastric bypass surgery is a secondary operation due to its nature as a Duodenal Switch, but the reduction of the gastric bag can also be raised in selected patients.

Revision surgery after gastric balloon surgery

After gastric balloon surgery, which does not cause anatomical changes in the stomach or intestines, performed for weight loss through restriction of stomach volume, patients can be admitted to revision surgery if necessary. After gastric band application, it is necessary to evaluate patient-specific factors when choosing between obesity surgeries. In this context, revisional band gastroplasty, gastric bypass and sleeve gastrectomy techniques may be preferred.

Which Technique Is Use in Revisional Surgery?

Revisional bariatric surgery can be performed with open or closed techniques. The general preference for revision surgery will also be closed i.e. laparoscopic technique. But when evaluating the results of the first operation that the patient has undergone, there may also be a need to resort to an open technique. The most correct choice will be made by surgeons who evaluate the patient’s needs.

Is bariatric revisional surgery risky?

Revision surgery has a more complex structure than the first obesity surgery. Complications can also be encountered during the recovery process after surgery. But as with any operation, detailed execution of the pre-operation process and the experience of the surgeon are important factors in preventing risk formation.

Should anyone who gains weight after Obesity Surgery have revisional surgery?

A small amount of weight gain after the first obesity surgery is a normal condition. But at this point, it is important to be able to stop weight gain and return to the ideal weight. It is useful for patients who cannot stop weight gain and begin to regain their weight significantly, to talk to specialists about revision surgery.

Revisional Surgery Anesthesia Type

Revision surgery is performed under general anaesthesia. The duration of the operation may vary according to the revision technique to be performed.

Recovery Process after Obesity Revisional Surgery

For those who have revision surgery, the healing process is usually longer than the first operation. For this reason, they should stay in the hospital for 2-3 days after surgery and their general health condition should be monitored. After the patient is discharged after the check-ups, the process of resting at home begins. At this stage, it is necessary to comply with the rules of nutrition in the special revision surgery performed, and sports that require effort should be avoided before full recovery occurs.

What Examinations Are Performed Before Revisional Surgery?

Getting information about the first obesity surgery that patients have undergone without making a decision about revision surgery, the problems they have experienced, the details of the situations they need revision is the first stage. Blood biochemistry tests, if possible stomach endoscopy, ECG, hepatitis tests, hormone tests, lung radiography, respiratory function tests, etc. references During the evaluation of all assays and examinations, a multidisciplinary approach is exhibited and patients are informed of their opinions by specialists in anaesthesia, pulmonology, cardiology, general surgery and endocrine.

Is there any pain after revisional surgery?

Obesity is a common condition in the formation of pain after surgery revision. But since this common condition is also predictable, patients are prescribed painkillers to eliminate the problem of postoperative pain. Since each patient’s pain threshold is different, pain relief planning is also carried out in this direction to increase the comfort of patients in the healing process.

Use of Vitamin and Mineral supplements after revisional surgery

How long and how often vitamin and mineral supplements will be used after revision surgery may vary depending on both the needs of patients and the nature of the operation performed. For example, where absorption of nutrients is reduced after gastric bypass patients required the use of lifelong vitamin and mineral supplements after surgery, the patient is restricted food intake, the gastric tube where only while minerals and vitamins for the life of you may not need to use. This decision will be made by surgeons in accordance with the examination of patients ‘ blood test results on a regular basis.

Revisional Surgery Prices

Obesity surgery revision prices can be affected by many different variables. Many elements, from the hospital’s pricing policy to the city where the operation takes place, can affect prices. The priority of those who want to have revision surgery should be the expertise and experience of Surgeons. Information about revision surgery Prices is transmitted in preliminary interviews between patients and Surgeons.

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