Laparoscopic revisional bariatric surgeries are bariatric surgeries performed in patients who have already undergone bariatric surgery, but have failed to achieve the intended results, or have had complications. Most of these revisional surgeries are performed laparoscopically.
With more number of obese people opting for bariatric surgery as a weight loss method, the number of revisional surgeries have increased over the years.
Indications for Revisional Bariatric Surgeries
A revisional bariatric surgery may be needed if there is inadequate weight loss, weight re-gain, or medical complications.
The common reasons for a revision surgery include the following:
- An enlarged gastric pouch opening
- An increase in intestinal absorption of calories
- A slipped gastric band
- The formation of an opening (or fistula) between the stomach pouch and bypassed stomach
- Leaking staple lines
- Medical complications such as ulcers, scar tissue, severe malnutrition, bone loss, and anemia
- Unresolved conditions, diseases, and disorders (comorbidities) related to obesity
Types of Revisional Bariatric Surgeries
The type of revision surgery needed depends upon the reason for revision, and the primary surgery performed. Some of the types of surgeries include:
- Gastric bypass revision surgery
- Lap band revision surgery
- Vertical banded gastroplasty revision surgery