About Revisional Bariatric Surgery in Colorado

Some patients who have had a previous gastric bypass may require a second, or revisional bariatric surgery to get the desired outcome.  There have been multiple bariatric procedures through the years utilizing various techniques with variable outcomes.  Sometimes, these procedures have resulted in insufficient weight loss; the failure to lose weight may be related to mechanical or behavioral reasons.  A thorough workup is necessary to better understand why a patient is not losing weight.  Only after we do that, can we tailor a plan for surgical therapy.

Possible Reasons for Revisional Bariatric Surgeries

  • Some patients may have had weight-loss surgery with a good outcome, but have now regained a sufficient amount of weight for some reason, and are in need of a “revision”.
  • Side effects of surgery, such as persistent ulcers or strictures (narrowing of the anastomosis) may indicate the need for revisional surgery.
  • A patient after some weight loss may still be morbidly obese and require a second operation.
  • There may be a mechanical failure from the previous operation, such as a Lap-Band slip or problems due to gastric bypass stomach stapling’s from the 1980’s and 1990’s.

Important Factors to Consider with Revisional Surgery

The best outcomes from revisional bariatric surgeries are achieved by the most experienced bariatric surgeons, those who have had experience with both laparoscopic and open surgeries.  A surgeon inadequately trained to do open procedures should not be performing revisional bariatric surgery.  Dr. Brown has performed a significant number of both laparoscopic and open revisional surgeries.