What is Revision Bariatric Surgery?
If you’ve had bariatric surgery, but were unsatisfied with your results, a revision bariatric surgery may be the answer. While we commonly convert gastric bands to sleeve gastrectomies, other surgeries are possible as well.
Our team can guide you if you’re unsure of what you want your previous bariatric surgery to be converted to. Please contact us with any questions.
- Must be 18 or older
- BMI of 40+ or BMI of 35 with serious weight-related illness
- Benefits depend on which bariatric surgery the original surgery is converted to
The four types of Revision Lap-Band Surgery are:
- Lap Band Revision Surgery to Gastric Sleeve
- Lap Band Revision Surgery to to Roux-en-Y Gastric Bypass
- Lap Band Revision Surgery to Duodenal Switch (DS)
Frequently Asked Questions
How do I know if I need a gastric bypass revision?
If your first bariatric surgery did not result in sustained, significant weight loss, you may be for revision bariatric surgery to correct the failure.
How do I know if I am a candidate for revision bariatric surgery?
Anyone who has had a previous bariatric surgery who is not satisfied with the results or experiencing harmful side effects can be a candidate for revision surgery.
Does insurance cover bariatric revision?
Insurance coverage and qualifying procedures vary by carrier and situation. When revision bariatric surgery is needed to correct a failed surgery, it can be covered by insurance, but not always.
What should I expect after revision surgery?
After revision bariatric surgery, you can expect a renewed lifestyle that helps you make healthy choices and reduces your risk for obesity-related disorders and comorbidities.
How should I prepare for revisional surgery?
Although the exact instructions may vary depending on your specific revision surgery’s procedure, keep following your healthy exercise routine and diet and stopping certain medications as directed.
What is bariatric revision?
Revision bariatric surgery is any surgical procedure designed to correct, enhance, or switch strategies for surgical weight loss procedures that have not been effective.
Can you get bariatric surgery twice?
Yes, if the results of the first surgery did not produce the expected or desired results, you may be a candidate for bariatric revision.
Could I potentially need two revision surgeries?
Although there’s no theoretical limit to the number of revisional surgeries you can have, each additional procedure increases the risks of adverse side effects.
How much weight do you lose after gastric bypass revision?
After revision bariatric surgery, you can lose weight until you are in a comfortable, stable, and healthy range of weight.
What risks do I face with revision surgery?
As a major surgical procedure, revision bariatric surgery comes with risks such as bleeding, infection, blood clots, acid reflux, and ulcers, among others.
What should I prepare for my recovery?
Dr. Balsama will direct you to a specific diet plan following revision surgery, according to the type of revision procedure performed.
How do you get approved for gastric bypass revision?
Each insurance provider will have different requirements for getting approved for your procedure. Make sure to check with your provider about the details so we can make sure you get the best coverage for your surgery.
How much weight can you lose after revision surgery?
This number can vary based on many different factors. However, most patients lose between 60-80% of their excess weight after revisional surgery.
How long does a gastric bypass revision take?
The length of your revisional surgery will depend on your unique surgical plan. Dr. Balsama will give you a detailed schedule during your consultation.
Can your stomach go back to normal after gastric sleeve?
It’s still possible for your stomach to grow larger to accommodate regular overeating after revisional surgery. That’s why it’s important to follow directions on eating and stick to your weight loss plan.
What is the best revision surgery for gastric bypass?
There are a number of options available for revision a gastric bypass procedure. Dr. Balsama can discuss your best options during your consultation.
How does a gastric bypass revision work?
During the procedure, an endoscope is entered through the mouth into the stomach pouch without any incisions or the need for a long recovery. The connection between the stomach and small intestines is then sutured, so that your stomach is emptied slower, you feel satiated sooner and enjoy increased weight loss.
Do carbonated drinks stretch your gastric pouch?
You may find carbonated beverages uncomfortable due to the gas they produce, and this could result in some amount of expansion of the stomach pouch. It is recommended that you do not risk stretching your pouch and avoid drinking any carbonated beverages after your surgery.
Why can't I use a straw after gastric bypass?
When you drink any liquid quickly, you will experience discomfort in your chest, back and shoulder blade area. We suggest that you do not use a straw after your gastric bypass revision surgery.
Can a roux en y be revised?
A Roux en Y gastric bypass surgery can be revised for patients who have regained weight due to an enlarged stomach after their initial surgery.
Can you really reset your pouch after gastric bypass?
A pouch reset is possible after a gastric bypass surgery. You should always seek treatment from a qualified and experienced bariatric surgeon if you need to do so.
Does Medicare pay for bariatric revision surgery?
Medicare will cover bariatric revision surgery for some patients who meet specific conditions.
How much does bariatric revision surgery cost?
Bariatric revision surgery costs, on average, about $20,000. The final cost will vary for each patient.
What is the minimum weight for bariatric surgery?
Bariatric surgery patients should have a BMI of at least 40 and weigh at least 100 pounds more than their ideal weight range.
How long does it take to get approved for the gastric bypass revision surgery?
In case you do not require a medical weight loss program, you may get approved for a bypass revision surgery within 12 weeks.
Can you undergo bariatric surgery 3 times?
Repeat re-operative bariatric surgery can be carried out successfully even with multiple previous bariatric procedures.
What can you never eat again after your gastric bypass surgery?
Some of the foods you must avoid after your bariatric surgery are dry or tough meat, foods with high fat content, spicy or heavily seasoned foods, sugary alcohols, or foods that have been reheated in the microwave.
Can you revise a gastric sleeve?
Yes, the gastric sleeve revision can help you in getting back on track and achieving your weight loss goals.
What is the revision rate for the gastric bypass surgery?
Any revision rate for the gastric bypass surgery is 5 to 10 percent within 5 years after the surgery due to insufficient weight loss or a complication.
Can you stretch your gastric bypass pouch?
You can stretch your gastric bypass pouch with significant weight gain so it is important to stick to your diet and exercise routine.
Does the 5 day pouch reset work?
There is no scientific proof to back up the 5-day pouch reset.
What is a re sleeve?
A re-sleeve is a procedure that reshapes the stomach to make it smaller. This helps patients with portion control.
How do I reset my gastric bypass pouch?
Revision surgery may be necessary to reset your stomach pouch, once again reducing its size.
What is revision surgery for gastric bypass?
Revision surgery reconnects the roux limb, containing the digestive liquids, to a different section of the small intestine. This makes it possible to decrease food absorption because food is only mixed with digestive juice in the last 200cm.
What is the 48 hour pouch reset?
The 48-hour pouch reset is a 2-day liquid diet meant to restrict eating but it has not been proven to be effective.