Service Description

Revisional Bariatric Surgery Correcting, Converting, or Enhancing Previous Weight Loss Procedures What is Revisional Bariatric Surgery? Revisional bariatric surgery refers to any secondary surgical procedure performed after a previous weight loss surgery—either to correct complications, improve weight loss, or resolve persistent symptoms. Revisions may involve: - Conversion (e.g., Lap-Band → Sleeve or RYGB) - Correction (e.g., pouch resizing, band removal) - Rescue (e.g., for GERD, slippage, or erosion) Lap-Band to Gastric Sleeve Revision What Is It? A Lap-Band to Sleeve Gastrectomy revision is one of the most common revisional pathways. It involves removing the adjustable gastric band (LAGB) and then performing a Vertical Sleeve Gastrectomy (VSG) to enhance restriction and improve outcomes. This can be done in one stage (same surgery) or two stages (band removal first, then VSG later), depending on: - Band position and erosion - Inflammation or scar tissue - Surgeon preference and patient health Risks to Consider - Scar tissue and adhesions may increase surgical complexity - Risk of leaks is slightly higher than primary VSG - GERD may persist or develop post-sleeve - Not ideal if patient has severe reflux → RYGB may be preferred 🧠 Summary Revisional bariatric surgery is a safe and effective way to optimize or rescue previous procedures—especially in the case of Lap-Band revisions, where long-term failure and complications are common. Converting to a Gastric Sleeve offers improved restriction and durability without foreign materials.