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 Sleeve 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.