Is Bariatric Revision Surgery Right for You?

Bariatric surgery is an effective method to help people with severe obesity lose weight. Severe obesity is defined as having a BMI (body mass index) of over 35. It’s often challenging for people with severe obesity to lose weight through diet and exercise alone.


The number of people having bariatric surgery, and the number of bariatric surgery procedure options, have increased over the past several years. Additionally, and not surprisingly, the number of bariatric revision surgical procedures has increased as well.


In 2011, 158,00 people had bariatric surgery, and 6% of those surgeries were revisions. In 2016, the latest year for which statistics are available, 216,000 people had bariatric surgery with 14% of those surgeries being revisions.


What is bariatric revision surgery?

Bariatric revision surgery is a second surgery that is performed to correct a failed bariatric surgery, correct a bariatric surgery complication, or to address or improve a bariatric surgery procedure that is no longer working.


For example, if you had LAP-BAND® surgery, the device, or band, that was placed around your stomach to create a smaller pouch may have slipped or loosened and need to be re-adjusted. Or, instead of re-adjusting the band, bariatric surgeon Matthew St. Laurent, MD, may suggest a newer type of bariatric surgery such as a gastric bypass.


Why do people need bariatric revision surgery?

Combating obesity is a lifelong battle. There are no quick fixes. Bariatric surgery helps people lose weight by either restricting the amount of food their stomach can hold or by interfering with the way they digest food and absorb nutrients. It’s not uncommon for people to lose weight only to regain some of it later on.


Regaining weight is the most common reason people get bariatric revision surgery. Whether your weight changes because of an event in your life such as a divorce, having a child, or suffering an injury that prevents you from exercising, the first step in dealing with regained weight, or weight gain, is to commit yourself to a diet and exercise plan. If that fails, then a revision may be the best option for you to lose the amount of weight you want.


Other reasons why someone may need revision surgery include a change in your anatomy. For example, maybe your stomach stretched out, leaving room for larger quantities of food, or the space between your small intestine and stomach is too large. Obesity is a complex problem and may require more than one surgery to combat it.


Should I get bariatric revision surgery?

You should consider bariatric revision surgery if:


Dr. St. Laurent, of Northwest EndoSurgical, in Cypress, Texas (Houston), has more than two decades of experience as a bariatric surgeon. A consultation with him can help you determine the cause of your weight gain and if bariatric revision surgery is the right option for you. Call or make an appointment online.



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