How will the surgeon decide if I need revision obesity surgery?

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David Suh, MD, from Riverside Community Hospital discusses what exactly gastric revision is and why a patient may need it. Watch this video to learn more.

Dr. Melissa B. Bagloo, MD
Bariatric Medicine (Obesity Medicine) Specialist

Revision surgery is an option for patients who have already undergone a procedure and may need another one to repair the first one or for patients who have gained weight or not lost sufficient weight. Initial evaluation includes an endoscopy, insertion of a thin, flexible tube through the mouth and through the esophagus, to examine your stomach and intestines. Following your evaluation, you will be asked to undergo an educational process, which includes meeting with a registered dietitian, prior to surgery.

Here are some guidelines to help you decide if you need to see a doctor for another weight loss surgery. You may be a candidate for revision surgery if:

  • You have not lost 50 percent of the excess weight you were carrying at the time of the first procedure.
  • You regain enough weight that medical problems related to your excess weight, such as diabetes, return. 
  • You regain weight to a point where you no longer have lost 50 percent of your original excess weight.
  • Your BMI is 40 or above.

Revisional surgery can also help weight loss surgery patients who develop complications like chronic ulcers.

The decision regarding the need for revision weight loss surgery is based on several factors. If you regained a large amount of weight, the surgeon may decide that you need a revision operation. An endoscopic revision procedure may not be enough. Some things it depends on include:
  • the first type of weight loss surgery you had
  • your body type (anatomy)
  • your overall health
Revision surgery is a second-chance procedure to get a handle on your hunger and improve fullness after eating a small amount of food. Revision obesity surgery plus lifestyle changes and exercise should get you on the path to weight loss and feeling healthy.

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.