• Revisional Bariatric Surgery

Obesity Surgery

Revisional Bariatric Surgery

Redo surgery is usually done when inadequate weight loss is observed after a prior bariatric intervention.

  • This may also be required when a short term or a long term complication occurs (i.e.: band slippage, band erosion, gastro gastric fistula, weight regain….)
  • In these specific types of surgeries, experienced hands are required, since the anatomy of the region is altered along with the vascular supply of the stomach. Although multiple adhesions may be observed specially due to the important weight loss and regain, these types of surgeries may be performed, anytime, laparoscopically.
  • This needs specialized bariatric surgeon who is familiar with all type of restrictive and malabsorptive procedure and especially old type of interventions such as vertical banded gastroplasty. This surgery is always challenging in term of accomplishment laparoscopically and in term of its favorable long term result.

Initial Surgery Possible redo surgeries
Vertical Banded Gastroplasty Sleeve Gastrectomy
Mini Gastric Bypass
Gastric Bypass
Gastric Banding Removal band + Plication
Removal Band + Gastric Bypass or Mini Gastric
Gastric Plication Replication
Mini Gastric Bypass or Gastric Bypass
Sleeve Gastrectomy Plication over Sleeve
Re - Sleeve
Gastric Bypass or Mini Gastric Bypass
Mini Gastric Bypass Gastric Bypass
Plication of the Gastric Pouch
Banded Mini Gastric Bypass
Gastric Banding Banded Gastric Bypass
Sleeve over the gastro jejunal anastomosis
Distal Gastric Bypass

Nowadays two new emerging techniques are in the market: the SADI and the SAGI procedures. Both of them are under evaluation and might be considered as promising redo surgeries after failure of restrictive procedures.

Keep in Mind:

All restrictive procedures can be transformed to a malabsorptive one in case of inadequate weight loss.

A restrictive redo surgery can always be added to a malabsorptive one, once weight regain is observed, after long time follow up. The outcome of the majority of redo surgeries is usually favorable allowing further weight control.