OHSU

Revisional Bariatric Surgery

You may need revisional bariatric surgery if weight loss from a primary bariatric procedure (an operation performed for the first time) provides inadequate weight loss or results in complications. The type of revisional procedure to be performed would depend upon the primary procedure and the specific complications that have resulted. Conversion of vertical banded gastroplasty (an outdated operation often referred to as "stomach stapling") to gastric bypass is one of the more common reasons for revisional surgery. Other bariatric operations may also lead to the need for revisional surgery as well.

Revisional bariatric surgery is more often performed through a large incision, but in some cases may be performed laparoscopically. Revisional bariatric surgery has a higher complication rate than primary bariatric procedures. Nevertheless, revisional surgery can be successful in treating inadequate weight loss or malabsorption in carefully selected patients. All patients seeking revisional surgery will be carefully screened and will need to participate in a diet and exercise program prior to consideration for revisional surgery.

Every revisional operation is unique. Please discuss with your surgeon whether you are a good candidate for revisional bariatric surgery, what approach would be best, and what risks are involved. OHSU is the premier center for revisional bariatric surgery in Oregon.

Revisional bariatric surgery can be performed when weight loss from the initial operation is inadequate, malabsorption is severe, producing malnutrition or there are complications from the original bariatric procedure (e.g. bowel obstruction). 

Learn if Revisional Bariatric Surgery is right for you.