What is Bariatric Surgery Revision?

Have you had a previous weight loss surgery and experiencing problems, complications, or not losing the weight expected? About 15% to 35% of bariatric patients cannot reach their goal weight and require intervention. Patients need to rule out the diet and exercise problems before moving forward with another procedure.

Poor weight loss is normally influenced by age, diabetes, hypertension, depression, pre-operative BMI, dietary lifestyle, activity level, previous abdominal surgery, and type of surgery.

Mexico Bariatric Center® offers various solutions to revise your prior procedure into one that may prove more effective. These procedures include:

  • Revising unsuccessful surgeries like gastric sleeve, gastric bypass, or mini-gastric bypass.
  • Reverse obsolete procedures like lap-band, gastric plication, and vertical banded gastroplasty.

Fill out a health questionnaire to find out your favorable revisional opportunities.

Bariatric Surgery Revision - Mexico Bariatric Center
Gastric Sleeve Surgery - Vertical Sleeve Gastrectomy icon

Gastric Sleeve Revision

Gastric Bypass Surgery - Roux-en-Y Icon

RNY Bypass Revision

Gastric Banding - LAP BAND surgery icon

Lap Band Revision

Duodenal Switch Surgery (DS) icon

VBG Revision

Bariatric Surgery Revision Before and After Photos

Deena Before
Deena After
Deena
Kimberly H VSG to RNY before
Kimberly H VSG to RNY after
Kimberly
Brenda Sleeve to Bypass before
Brenda Sleeve to Bypass after
Brenda
Adriana sleeve to mini before
Adriana After
Adriana
Arethza - Bariatric Surgery Revision Before Picture
Arethza - Bariatric Surgery Revision After Picture
Arethza
Julie - Gastric Sleeve to Mini Gastric Bypass Revision Before Picture
Julie - Gastric Sleeve to Mini Gastric Bypass Revision After Picture
Julie
Karla - Gastric Bypass Revision Before Picture
Karla - Gastric Bypass Revision After Picture
Karla
Leoni - Lap Band to Gastric Sleeve Revision Before Picture
Leoni - Lap Band to Gastric Sleeve Revision After Picture
Leoni
Patient of Bariatric Surgery Revision Before Picture
Patient of Bariatric Surgery Revision After Picture
Anonymous
Julie - Gastric Sleeve to Mini Gastric Bypass Revision Before and After Picture

Julie – Gastric Sleeve to Mini Gastric Bypass Revision

Gastric Sleeve Revision

If laparoscopic sleeve gastrectomy fails to produce sufficient weight loss, many patients opt to go with the RNY 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 the progress of our patients, 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 for patients with a severely stretched stomach. The re-sleeve can be done laparoscopically and, in some cases, endoscopically (mini-ESG).

Vertical Sleeve Gastrectomy failure can be caused by:

  • Stomach stretching
  • Patient’s body adjusting to lower caloric intake

Gastric Sleeve Revision starts at $5,690 $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 to be semi-permanent, patients can be switched to a variety of options including a duodenal switch. A Lap-Band can be placed around the stomach to help induce weight loss as well. Other 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

Gastric Bypass Failure can be caused by:

  • Pouch enlargement
  • Staple-line disruption
  • Stoma enlargement or failure
  • Patient’s body adjusting to lowered caloric intake
Karla - Gastric Bypass Revision Before and After Picture

Karla – Gastric Bypass Revision Surgery

Gastric Bypass Revision starts at $7,690 $7,190*

Leoni - Lap Band to Gastric Sleeve Revision Before and After Picture

Leoni – Lap Band to Gastric Sleeve Revision

Gastric Banding (Lap-Band) Revision

Increasing in consensus is the dissatisfaction of gastric banding as a tool to treat obesity. More and more patients are experiencing insufficient weight loss and undesirable complications. The most common revisional surgery is Lap-Band to Gastric Sleeve. The gastric sleeve provides the restriction familiar to Lap-Band patients but also includes suppression of appetite. List of revisional surgeries include:

  • 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 simply do not lose weight with Lap-Band

 Lap Band Revision starts at $5,690 $5,190*

Vertical Banded Gastroplasty (VBG) Revision

Vertical Banded Gastroplasty, or stomach stapling, is an outdated weight-loss procedure that uses 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 show 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 that is now standard), which can tear or open. When this happens, patients must convert to another surgery. Most of the stomach stapling procedures have been performed via an open incision that makes the revision operation technically difficult.

Surgeries VBG can be revised to:

  • Gastric Sleeve Surgery (Likely)
  • Gastric Bypass Surgery (Less Likely)

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 adapted to the malabsorption component and lowered caloric intake, and patients begin to gain weight slowly again.

Benefits of Revising a Failed Surgery

For any procedure that failed due to complications or insufficient weight loss, revisions, conversions, and reversals may be a great option. Associated surgical problems include fistula, staple line leak, or slipped gastric band. Associated medical problems include ulcers, scar tissue strictures, or the inability to absorb vitamins and minerals.

Bariatric Surgery Failure - Weight Loss Surgery Revision Procedure Options

“MBC has been incredible. From start to finish their doctors, coordinators, and drivers were amazing.”

Michelle

Bariatric Revision Surgery

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 does form adhesions as a 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.

Risks common with correctional surgeries are leakage, the necessity to revise a laparoscopic surgery to 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 repairs of enlarged stomas and other types of reoperations.

bariatric revision surgery patient in Tijuana - Dr Osuna - Mexico Bariatric Surgery Center

Mexico Bariatric Center Revisional Case Studies

Mexico Bariatric Center® works with an exclusive network of best bariatric surgeons in Tijuana who have the expertise and experience revising and reversing outdated, unsuccessful, or botched primary bariatric surgeries. Just to name a few, revision of Lap-Band®, Gastric Sleeve, Roux-en-Y Gastric Bypass, VBG, etc.

Patients who had conversion surgery due to inadequate weight loss experienced a significant decrease in body mass index (BMI), from an average of 55.4 to an average of 35, and an average loss of 68.9 percent of excess body weight.[5] The outcome depends completely on the revision surgery option and the effectiveness it has on the patient.

At Mexico Bariatric Center, less than 4% of sleeve patients need a second surgery to get to 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 an educated decision 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.

Arethza - Bariatric Surgery Revision Before and After Picture

Arethza –  Bariatric Revision Surgery

Patient of Bariatric Surgery Revision Before and After Picture

Patient –  Bariatric Surgery Revision