Robotic Revisional Bariatric Surgery in Colorado
Some patients who have had a previous gastric bypass surgery or gastric sleeve surgery 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.
If you have already undergone bariatric surgery but haven’t seen the desired outcomes, our team at Colorado Bariatric Surgery Institute can meet with you to help determine whether the failure to lose weight is related to mechanical or behavioral reasons. We’ll then develop a plan with you for either altering lifestyle habits or undergoing another surgery.
Reasons for Failed Weight Loss Surgery
A wide range of factors can contribute to failed weight loss surgery, including age, initial weight, compliance with surgery follow-up, and others. There can also be problems based on the procedure that was initially chosen. Adjustable gastric band placement, for example, typically has a higher failure rate compared to some other surgeries. Some possible reasons for revision bariatric surgeries include:
- Some patients may have had weight loss surgery with a good outcome, but have now regained a sufficient amount of weight 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.
- After weight loss, a patient 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. 70% of lapband patients struggle with adequate weight loss and are not comfortable with their band and fills. In addition, nausea, vomiting, and dehydration are common. The lapband may need to be removed and converted to a gastric sleeve in order to achieve desired weight loss.
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.
Factors to Consider for Robotic Revisional Weight Loss Surgery
If you have experienced failed weight loss surgery, our skilled team at Colorado Bariatric Surgery Institute can meet with you to help determine whether you’re a good candidate for revisional bariatric surgery. We’ll consult with you about your health history and the details of your prior procedure, determining the best method for moving forward.
The best outcomes from revisional bariatric surgeries are achieved by the most experienced bariatric surgeons, those who have had experience with robotic, 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 robotic, laparoscopic, and open revisional surgeries, so you know you will be in good hands.