LAP-BAND TO GASTRIC SLEEVE REVISION

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.