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Bariatric Surgery Revisions in Houston, TX

More than one bariatric procedure may be needed to provide patients with the results they desire. Complications can sometimes arise as well, leading to the need for additional surgeries. Board certified general surgeon Dr. Matthew St. Laurent provides bariatric surgery revisions for his patients in and around Houston, TX.

What Are Bariatric Surgery Revisions?

Bariatric surgery revisions involve a second procedure to resolve certain issues such as weight regain or complications with a previous operation. Some patients may also stop experiencing results some time after an initial bariatric surgery and require a second procedure to continue losing weight.

Several types of revision surgeries are available, a few of which include the following:

  • Gastric bypass revision
  • LAP-BAND® revision
  • Gastric sleeve revision
  • Vertical banded gastroplasty revision
  • Molina band revision

Benefits of Bariatric Surgery Revisions

  • Can reverse weight regain
  • May eliminate complications arising from the initial surgery
  • Can provide a fresh start to weight loss for those who have reached a plateau after a previous surgery

Bariatric Surgery Before and After

These before and after photographs show bariatric patients who opted for a revision for one reason or another. Your results may be different based on the reason for your revision and the type of procedure you have.

How Are Bariatric Revisions Performed?

The exact procedure will depend on the type of revision Dr. St. Laurent recommends. A few of the different procedures he might perform are as follows:

  • Using an endoscope, or flexible tube with a camera on the end, to help reduce an enlarged pouch after gastric bypass surgery
  • Removing a LAP-BAND®
  • Performing a “re-sleeve” to reduce a stretched stomach after gastric sleeve surgery
  • Converting to gastric bypass or duodenal switch surgery from gastric sleeve

Preparing for Bariatric Revision Surgery

Before recommending a follow-up procedure, you will undergo an upper endoscopy to evaluate your previous surgical anatomy. Afterwards, Dr. St. Laurent will discuss any issues you have in order to recommend the best course of action. He will also discuss your lifestyle and eating habits to determine if modifications could be made that would eliminate the need for a second operation.

Should he decide that a follow-up procedure is in order, he will then give you pre-operative instructions to follow. These may include the following:

  • Quitting smoking
  • Modifying your diet
  • Eliminating certain medications

Bariatric Surgery Revision Recovery

Some patients may require a slightly longer hospital stay than they experienced after their initial procedure due to the more difficult nature of these procedures. Even so, most people are able to return home in only a few days, provided they are able to tolerate their postoperative diet and walk short distances. After revision surgery, you may need to have help getting around your home or performing household chores. You can gradually increase your activity level until you are performing normally, which typically takes around six to eight weeks.

If gastric bypass fails, a patient has several options:

If the problem is  Non surgical approach  Surgical approach
Lack of weight loss or weight regain
  • Examine eating habits and exercise routines
  • Participate in nutritional counseling,exercise program, behavior modification therapy, psychological counseling, and support groups
  • Placement of a LAP-BAND on the stomach pouch or conversion to other bariatric procedure.
Stomach pouch or stomach opening has enlarged
  • A LAP-BAND may be added to reduce amount of food that can be eaten and slow the movement of food from the stomach to the small intestines
  • Either remove more stomach and re-stapling the stomach line or stitching up the stomach opening. This may only be a temporary fix and stretching may happen again
  • StomaphyX, an incisionless revision that reduces stomach size
Surgical complication, such as popped staple line, ulcers, or hernia
  • Operate to surgically repair the problem

How Much Does Bariatric Revision Surgery Cost?

Several factors affect the cost, including the number and type of complications you are trying to correct and the exact procedure recommended. As such, your cost cannot be accurately predicted until after you have had a consultation with Dr. St. Laurent.

Insurance companies require more stringent documentation before they will agree to pay for revision surgery. Our staff members will work hard to ensure the right paperwork is submitted so you can obtain the benefits you are entitled. After determining how much your insurance company will pay, we’ll then work out a personalized financial plan to help you better manage the additional costs. Financing is also an option.

Is Bariatric Revision Surgery Right for Me?

Bariatric revision surgery could be just what you need if you have the following conditions:

  • You have been unable to lose a significant amount of weight after a previous surgery
  • You have experienced a substantial amount of weight gain
  • Your stomach has stretched
  • You have other complications from bariatric surgery that cannot be remedied with medication, diet, or lifestyle changes

Why Choose Dr. St. Laurent?

With more than 17 years as a bariatric surgeon, Dr. St. Laurent is committed to treating the total patient. He focuses not only on procedures that help people lose weight, but in treating other obesity-related disorders as well. He develops patients for life, so you can continue to receive exceptional care from him even after you have recovered from your procedure.

What to Expect During Your Consultation

Dr. St. Laurent will find out as much as possible about your previous operation to determine what might have gone wrong. You will also do the following:

  • Undergo a medical examination
  • Be asked about any medications you are taking
  • Have medical tests ordered if necessary

You may be required to keep a food diary for around two weeks and then bring it back in for review. This will help Dr. St. Laurent determine whether changes in your diet might eliminate your problem.

Unsatisfactory results from bariatric surgery are not necessarily the fault of the doctor or patient, as a number of factors can cause them. After a consultation with Dr. St. Laurent, you’ll be able to determine if revision surgery could be helpful. Contact his Houston office at 281-301-1404 to find out more.