Obesity

Revisional Bariatric Surgery

Patients who undergo bariatric (obesity) surgery may have a low chance of regaining weight after surgery. In such cases, revisional bariatric surgery may be considered. Thus, it can be ensured that they lose back the weight they gained after bariatric surgery or start losing weight again if their weight loss has stopped. The risk of patients starting to gain weight again after a revision surgery is extremely low.

What is Revision Bariatric Surgery?

Revisional bariatric surgery is called revisional bariatric surgery when obesity surgeries that were previously performed on the patient and gave inadequate or unsuccessful results are replaced with different bariatric surgery procedures.

It is possible to apply to patients who have previously undergone bariatric surgery but cannot lose enough weight or who have started to gain weight again. However, the method to be applied may differ for each patient. Revision surgeries are highly specialised procedures that require considerable skill and experience. The surgeon who will perform the procedure must have sufficient experience and expertise to achieve successful results.

Why is Revision Bariatric Surgery Needed?

The need for revisional bariatric surgery occurs in an average of 5% of patients who undergo bariatric surgery. It is expected that the patient will lose approximately 75% of their excess weight within 1 year following surgery. When some patients do not make the expected lifestyle changes, go out of the nutrition program or do not move enough, the desired weight loss may not be experienced and even weight gain may occur again.

On the other hand, revision surgery may be required if a mistake is made in the first surgery, a surgical technique that is not suitable for the patient is used, or postoperative complications occur.

Who Can Have Revisional Bariatric Surgery?

Candidates for revisional bariatric surgery must meet certain conditions.

  • The applied bariatric surgery procedure is not successful,
  • Insufficient or excessive weight loss,
  • Stagnation in weight loss,
  • Various medical complications such as wounds, ulcers, and malabsorption of nutrients,
  • The procedure may be in question in case of weight loss of less than 50% of the targeted weight loss and multiple problems related to obesity that cannot be solved.

How is Nutrition After Revisional Bariatric Surgery?

In order to achieve successful results after revisional bariatric surgery, the patient should make radical lifestyle changes. Since the patient enters a period of rapid weight loss after surgery, he/she should take care to get enough protein to support tissue healing and reduce muscle loss. The foods in the diet should minimize the risk of reflux and dumping syndrome while increasing weight loss. No meals should be skipped.

Thus, possible postoperative complications can be prevented and the healing process of wounds in the digestive system can be accelerated. After the operation, the recommended progressive diet program should be followed, at least 6 to 8 glasses of caffeine-free, gas-free, and calorie-free liquid should be consumed every day, and liquid consumption should be stopped half an hour before meals.

Frequently Asked Questions

Is Revisional Bariatric Surgery Dangerous or Difficult?

It is generally accepted that the risk of complications is higher and the operation time is longer than the first bariatric surgery procedure. On the other hand, it is possible to obtain satisfactory results if revision surgery is performed by specialised and experienced surgeons.

What is Revision Surgery? In Which Cases Is Revision Surgery Needed?

In cases where an operation does not give the desired result due to patient-related or technical problems, the second operation is called revision surgery. Revised surgery is applied to patients who have previously undergone bariatric surgery procedures, have experienced various complications, or have not been able to lose enough weight.

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