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Digestive Health Institute
Revisional Bariatric Surgeries
What is this procedure?
Revisional surgery is a secondary procedure performed to either improve weight loss outcomes for morbidly obese patients or to address complications from a previous bariatric surgery. It is commonly used to revise surgeries like Gastric Banding or Gastric Bypass, especially for patients who initially underwent a Gastric Sleeve procedure.
Main Features of the Surgery
Revisional surgery offers more effective weight loss results as a secondary procedure. The approach is tailored based on the patient’s initial surgery, with the surgeon selecting the most suitable procedure for optimal outcomes.
Who is it recommended for?
Revisional surgery is recommended for individuals who are undergoing a two-step surgical procedure due to morbid obesity. It is also ideal for those who have experienced weight regain after their primary bariatric surgery. In such cases, the procedure serves as a correction to the original surgery. Digestive Health Institute has successfully performed the highest number of revisional surgeries in India, offering patients exceptional outcomes.
Advantages of the Surgery
- Minimal Scarring: The procedure involves minimally invasive techniques, resulting in smaller, less
- Faster Recovery: Thanks to advanced laparoscopic and robotic methods, recovery time is significantly reduced, allowing for a quicker return to daily activities.
- Enhanced Weight Loss: Revisional surgery provides an additional opportunity for patients to achieve substantial weight loss, addressing issues like morbid obesity more effectively.
Dietary Requirements
Before your surgery, you’ll need to follow a 7-day liquid diet. This helps shrink the liver and prepare your body for a safe procedure. Our expert bariatric nutritionists in Mumbai will guide you.
After surgery, your diet will gradually progress over 30 days:
- Clear liquids
- Semi-solid foods
- Soft solids
This step-by-step plan helps your stomach heal and supports healthy weight loss.
Types of Revisions:
- Sleeve Gastrectomy Revision : If you're not losing enough weight or have acid reflux after a sleeve, it may be converted to a gastric bypass or corrected.
- Gastric Bypass Revision : For weight regain or issues like dumping syndrome, your bypass may be repaired or adjusted.
- Duodenal Switch Revision : If you’ve had weight regain or low nutrient levels, your duodenal switch can be revised to improve results.
- Pouch or Stoma Adjustment : If your stomach pouch has stretched, it may be tightened to restore portion control.
- Conversion to Duodenal Switch (BPD/DS) : If a previous surgery like a band or sleeve didn’t work well, it can be converted to a more effective option like the duodenal switch.
Why would someone need revisional bariatric surgery?
Reasons include insufficient weight loss, weight regain, or complications from the initial surgery (like severe reflux, ulcers, or a stretched pouch).
What types of revisional surgeries are there?
They can involve converting one procedure to another (e.g., band to bypass), correcting issues from the original surgery, or adjusting existing anatomy.
Are revisional surgeries riskier than initial surgeries?
Yes, revisional surgeries are generally more complex and carry a higher risk of complications than primary bariatric procedures.
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