Revision Surgery

Bariatric Treatments applied in the treatment of obesity, which is considered one of the most common diseases of today; In some patients, it may not give the expected results due to the patient's failure to follow the rules and the wrong technique applied.

In such cases, Revision Bariatric Surgery is performed to renew or replace the previous weight loss operation. It is applied to patients who have not achieved the targeted weight loss or gained weight after the operation. Before deciding on the revision and the type of operation, it should be determined why the previous operation was not successful and should be performed in accordance with the approval of the surgeon who will perform the revision operation.

What are the Processes of Revision Surgery?

The processes of revision surgery start with questioning whether the patient is suitable for this operation. Was the failure of the previous surgery caused by the patient or the surgery? As a result of their evaluation, some tests may need to be performed to determine the factor that caused the failure. Revision surgery is planned and performed according to the reasons. The patient then remains under the doctor's follow-up.

What are the Methods of Revision Surgery?

Revision surgery is applied in cases where the desired effect cannot be seen after surgery due to patient or technical reasons. Revision surgery is more difficult because it is a surgical operation performed for the second time. It should be applied by experienced people.

Patients with Gastric Sleeve Gastrectomy

Patients with sleeve gastrectomy try to reach their target weight with this procedure in which the stomach is reduced and turned into a tube. If they cannot provide adequate nutrition or exercise regularly or if they cannot lose weight even though they work, that is, if there is a physical problem, they may have revision surgery. In this case, if the stomach reduction surgery has not achieved the desired weight loss, revision sleeve gastrectomy or gastric bypass is performed and successful weight loss is realized. In this case, the gastric sleeve is reshaped, further reduced or a different bariatric surgery is applied.

Patients with Gastric Band (Gastric Band/Clamp)

Patients with gastric banding can apply for revision surgery when they do not get successful results. It can be performed if they are suitable candidates for the surgery to be performed a second time. With gastric band revision surgery, the previously placed band is removed and then a new band or a different bariatric surgery procedure can be applied.

Revision planning is riskier for patients who have undergone gastric bypass, transit bipartition or duodenal switch operations. For this reason, patients should follow the doctor's advice after the first operation and aim to achieve success.

Patients with Gastric Bypass

Patients with gastric bypass undergo an operation that involves reducing the size of the stomach and connecting the stomach to the intestine. This reduces the absorption of food. If the patient is unable to lose weight, revision surgery may be preferred. In suitable patients, a longer and permanent weight loss can be achieved by closing the previous gastric connection and creating a new connection with revision surgery.

Duodenal Switch Surgery

With duodenal switch surgery, the stomach is reduced in size and part of the intestine is bypassed. If the desired effect is not achieved, revision surgery can be used after this operation. In this way, the bypass procedure can be repeated to further reduce food absorption.

Transit Bipartition Surgery

If the transit bipartition surgery is unsuccessful or there are complications, it can be corrected with revision surgery. A small part of the stomach is cut, the connection of this part to the gastrointestinal tract is preserved and the other part is connected to the intestine. This operation is reshaped with revision surgery.

What are the Risks After Revision Surgery?

Risks after revision surgery arise from the fact that revision surgery is a more complex operation. However, the success of the operation will increase thanks to the experience of the surgeon performing the operation and choosing the right procedure for the patient.