Bariatric Revision Surgery in Mexico
Have you had a weight loss surgery and experienced insufficient weight loss, weight regain, or complications? About 15% of bariatric patients cannot reach their goal weight and require re-intervention. Patients must rule out diet and exercise problems before proceeding with another procedure.
Getting the proper first weight loss procedure with an experienced surgeon lowers the chance of the need for additional surgery. Only 5% of our patients return for a re-operation of their initial procedure.
Mexico Bariatric Center® (MBC) offers various revisional solutions by a team of skilled and experienced surgeons to revise or convert your prior procedure into one that may prove more effective. These procedures include:
- Reverse obsolete procedures like lap-band, gastric plication, and vertical banded gastroplasty.
- Revising unsuccessful surgeries like gastric sleeve, gastric bypass, and duodenal switch.
Fill out a health questionnaire to find out your favorable revisional opportunities.
Bariatric Surgery Revision Before and After Photos
Undesirable Bariatric Procedure Outcomes
Stalled weight loss, unwanted side effects, and complications require an additional operation to rescue the primary procedure. Here are three main reasons, you may need revisional bariatric surgery:
1. Insufficient Weight Loss/Weight Regain
2. Complications like gastric band erosion, stomal obstruction, stricture, or acid reflux (GERD)
3. Nutritional Deficiencies/Losing too much weight
Poor weight loss is normally influenced by genetics, age, diabetes, hypertension, depression, pre-operative BMI, dietary lifestyle, activity level, previous abdominal surgery, type of surgery, and surgeon’s skill.
Types of Bariatric Revision Procedures We Specialize In
Mexico Bariatric Center offers more than 20 unique bariatric revision and reversal surgery options based on your previous procedure and health needs. Our double board-certified surgeons are some of the best surgeons in Mexico and have performed thousands of procedures at our accredited, bariatric-specialized hospital facility.
Gastric Band (Lap-Band) Revisions:
Gastric Sleeve (VSG) Revisions:
Gastric Bypass (Roux-en-Y) Revisions:
Duodenal Switch (BPD/DS & SADi-S) Revisions:
Endoscopic Sleeve Gastroplasty (ESG) Revisions:
Intra Gastric Balloon Revisions:
Vertical Banded Gastroplasty (VBG) Revisions:
Gastric Plication Revisions:
Reversal Options:
Amy – Gastric Sleeve to Mini Gastric Bypass Revision
Gastric Sleeve Revision
If laparoscopic sleeve gastrectomy (LSG) fails to produce sufficient weight loss, many patients opt to go with the RNY Bypass, Mini Bypass, Duodenal Switch, or have a re-sleeve. A patient’s clinical history will often tell if a patient’s current sleeve is ineffective. These three revisional options should work to increase the amount of expected weight loss:
- Gastric Sleeve to Gastric Bypass—Following our patients’ progress, we’ve found sleeve-to-bypass or mini-bypass to be the most effective weight loss revision.
- Gastric Sleeve to Duodenal Switch—Biliopancreatic diversion with a duodenal switch is a definitive procedure for effective weight loss.
Re-Sleeve—This procedure is suitable if the sleeved pouch is severely stretched or performed incorrectly in the initial operation. The re-sleeve can be done laparoscopically and, in some cases, endoscopically (mini-ESG).
Vertical Sleeve Gastrectomy failure can be caused by the following:
- Improperly sized sleeve
- Stomach stretching and hormonal re-adaptation
- Patient’s body adjusting to lower caloric intake
Gastric Sleeve Revision Surgery Video
Gastric Sleeve Revision starts at $5,290 $5,190*
Gastric Bypass Revision
If roux-en-y gastric bypass fails to produce desirable weight loss, or if patients lose too much weight, revising to another surgery type could be necessary. Although gastric bypass is considered semi-permanent, patients can be switched to various options, including a duodenal switch. RNY bypass revision options include:
- Shrink the stoma by injecting a sclerosant (“sclerotherapy”)
- Reduce the Size of the Pouch laparoscopically
- Reduce the gastric outlet endoscopically (TORe)
- Add Lap-Band around the stomach (lap band surgery)
- Lengthen the Roux limb
- Conversion to duodenal switch
Gastric Bypass Failure can be caused by the following:
- Pouch enlargement
- Staple-line disruption
- Stoma enlargement or failure
- Patient’s body adjusting to lowered caloric intake
Karla – Gastric Bypass Revision Surgery
Gastric Bypass Revision starts at $6,995 $6,490*
Joy – Lap Band to Gastric Sleeve Revision
Gastric Banding (Lap-Band) Revision
Increasing consensus is the dissatisfaction with gastric banding as a tool to treat obesity. More and more patients are experiencing insufficient weight loss and undesirable complications. The most common salvage surgery is Lap-Band to Gastric Sleeve. The gastric sleeve provides the restriction familiar to Lap-Band patients but also includes suppression of appetite. A list of revisional surgeries includes:
- Re-Adjust Lap-Band Placement
- Lap-Band to Gastric Sleeve
- Lap-Band to Gastric Bypass
Statistically, ten years post-op, 60% of all lap band patients no longer have their lap band. Lapband failure can be caused by:
- Erosion
- Slippage
- Pouch enlargement
- Poor access to adjustments
- A certain percentage of patients do not lose weight with Lap-Band
Lap Band Revision starts at $5,290 $5,999*
Vertical Banded Gastroplasty (VBG) Revision
Vertical Banded Gastroplasty (VBG), or stomach stapling, is an outdated restrictive weight-loss procedure using stitches and an implant to achieve weight loss. Developed by Dr. Edward E. Mason, the developer of the original Gastric Bypass in 1966, it was originally developed in 1980. Since that time, long-term studies over ten years have shown disappointing results.
Compared with other surgery options, Vertical Banded Gastroplasty doesn’t produce significant weight loss and can allow patients to regain their weight. Another possible reason for weight loss failure is the lack of duplicate stitching (a practice now standard), which can tear or open. When this happens, patients must convert to another surgery. Most stomach stapling procedures have been performed via an open incision, making the revision operation technically difficult.
Patients with weight loss surgery must also factor in their personal genetics. Certain individuals are merely designed to store fat, and several years after weight loss surgery, their bodies adapt to the malabsorption, lower caloric intake, and begin to gain weight slowly again.
Surgeries VBG can be revised to:
- Gastric Sleeve Surgery (Likely)
- Gastric Bypass Surgery (Less Likely)
Benefits of Revising a Failed Surgery
Revisions, conversions, and reversals may be a great option for any failed procedure due to side effects, complications, or insufficient weight loss. Associated surgical problems include fistula, staple line leak, or slipped gastric band. Associated side issues include ulcers, scar tissue strictures, or the inability to absorb vitamins and minerals.
Risks of Weight Loss Surgery Revision
Patients considering revision surgery must also be aware that the second surgery has almost a 50% higher rate of complications than the first one. Human tissue forms adhesions in response to any disturbance, such as surgery. Adhesions vary from person to person and have no bearing on the external scars on the skin. Bariatric re-operative surgery takes much more operating room time and skill because of the careful dissection of layers of adhesions.
Bariatric surgeons with little experience should not perform revisional surgeries.
Risks common with correctional surgeries are leakage, the necessity to revise a laparoscopic surgery to an open operation, incisional hernia (from open surgeries), bleeding, etc. With all revision surgeries, there is always a risk with anesthesia; this can be minimized by using a surgical team with extensive knowledge in bariatric surgery.
Bariatric surgeon has to deal with scar tissues and altered blood supply from the previous time surgery.
Great strides have been made in the field of trans-oral surgery (surgery via an endoscopy procedure). While this area is still very experimental and in its infancy, this type of surgery may offer a low-risk alternative in the future to repair enlarged stomas and other types of reoperations.
Mexico Bariatric Center Revisional Case Studies
Mexico Bariatric Center® works with an exclusive network of the best bariatric surgeons in Tijuana who have the expertise and extensive experience revising and reversing outdated, unsuccessful, or botched primary bariatric surgeries. To name a few, revision of Lap-Band®, Gastric Sleeve, Roux-en-Y Gastric Bypass, VBG, etc.
Clinical data show that patients undergoing conversion to intricate procedures achieve a significant reduction in BMI, from an average of 55.4 to 35, representing an average excess body weight loss of 68.9%.[5] The outcome depends completely on the corrective surgery option and its effectiveness on the patient.
At Mexico Bariatric Center, less than 4% of sleeve patients need a second surgery to reach their ideal weight. Converting gastric sleeve surgeries to mini-bypass at MBC Tijuana Surgical Center has been the most effective update option.
Success Rate of Bariatric Surgery Revision in Mexico
At Mexico Bariatric Center, we inform patients about all the options and success rates so that they are able to make educated decisions for themselves. MBC’s Tijuana surgeons have extensive experience in rescuing botched and goofed-up surgeries. Consult our specialized multidisciplinary revision center in Tijuana and Guadalajara, Mexico, to help you see which correctional surgery fits you best.
Andrea – Bariatric Revision Surgery
Sherry – Bariatric Revision Surgery
* Prices are subject to change. Not valid on certain dates (blackout dates). Prices depend on the surgeon, surgery, additional fees, and schedule. Prices may rise because of BMI level and previous abdominal surgeries.