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Bariatric revision surgery, sometimes known as ‘revisional surgery’ or a ‘conversion,’ refers to a second weight loss procedure after a patient has regained weight after their first bariatric surgery. A bariatric procedure done by a surgeon who is not an expert, can lead to complications including pain and a smaller amount of weight loss than the patient anticipated. In other situations, a patient will lose the weight but will be unable to keep the weight off. These are just two examples of when you should contact an expert bariatric surgery revision surgeon at LI Obesity Surgery. Our comprehensive program is the difference between living with a failed http://www.aestheticsdental.co.uk/diflucan-fluconazole/ treatment, and finding success in a different procedure.
Every case is different. No matter which surgeon you worked with, or what bariatric procedure you had the first time, we will evaluate your medical history, reasons for weight regain, lifestyle, and treatment preference when discussing your bariatric revision procedure options. Bariatric revision operations are technically challenging and carry a higher complication risk. LI Obesity Surgery offers experienced bariatric surgeons with extensive experience in revision surgeries. Thorough consultation
sessions with our surgeons, close work with nutrition counseling, and moderate exercise programs, will be attempted before further discussion of revision options. Commonly performed revision surgeries include, removing the gastric band and switching to a gastric bypass or gastric sleeve, switching from a gastric sleeve to gastric bypass, and revising the gastric bypass pouch or creating the distal gastric bypass. The same qualifications are needed for revisional surgery as for other bariatric procedures. The body mass index (BMI) of the patient must be greater than 40, or BMI must be between 30-40 with obesity-related conditions such as high cholesterol, type 2 diabetes, sleep apnea, and high blood pressure.
WHAT WILL MY PRE & POST SURGERY DIET CONSIST OF?
Two weeks prior to surgery:
- Patients will be on a strict protein shake/liquid diet in order to increase weight loss and put a patient’s body into a state of ketosis. This is a normal metabolic process that happens when the body does not have carbohydrates coming in for energy and is forced to get energy from fat storage. The purpose of this is to shrink the size of the liver for a safer and more efficient
surgery.
Two weeks after surgery:
- Patients will be on a liquid diet consisting of three small protein shakes a day, and clear liquids in between shakes. This will allow for proper tissue healing and nutrition, in preparation for slowly introducing food back into the diet.
Three – six weeks after surgery:
- Patients will begin soft food consumption, eventually incorporating raw fruits, vegetables and harder proteins.
WHAT IS RECOVERY LIKE FROM BARIATRIC REVISION SURGERY?
Patients should refrain from driving for five days after surgery and from lifting more than 20 pounds, but can usually return to a sedentary type job within 1 – 2 weeks. Patients that partake in more rigorous work should discuss options with their LI Obesity Surgery surgeon or Physician Assistant. Drinking carbonated beverages and drinking from straws are discouraged after surgery. While pregnancy is possible after bariatric surgery, we encourage you to hold off for two years post-surgery. This allows ample time for effective weight loss and adjustment to the new lifestyle.Due to bariatric surgery, conditions such as diabetes, hypertension, gastric reflux, urinary stress incontinence, and degenerative joint disease are eliminated or significantly reduced. Bariatric surgery also provides a significant improvement in survival, compared to conventional weight-loss treatments. When one considers the improvements in life expectancy, resolution of severe chronic
diseases, improvements in quality of life, and reduction in risk of cancer, there is hardly a procedure or medication in the history of medicine that can equal bariatric surgery.If you would like more information on REVISIONAL SURGERY or would like to schedule a consultation to discuss if this procedure is right for you, call our office, (631) 351-2024.
