Bariatric Revision Surgery in Seattle

WHAT FACTORS MAKE SOMEONE A CANDIDATE FOR REVISION SURGERY?

Before you could undergo your initial weight loss surgery, you had to meet certain criteria — and the same goes for a revision surgery as well. Factors that may necessitate a gastric bypass or sleeve gastrectomy revision surgery may include the following:

• Medical or surgical complications from gastric bypass surgery
• Symptoms such as diarrhea, constipation, ulcers, solid food intolerance, anemia, etc.
• Stomach stretching out over time after initial surgery, causing weight gain
• A thorough evaluation by a bariatric surgeon, indicating need for revision

REVISION SURGERY OPTIONS

Several types of operations are possible, including gastric bypass revision surgery, gastric sleeve revision surgery and lap band revision.

• Sleeve gastrectomy to duodenal switch (DS) — for some patients with a high initial BMI, the DS is performed as a two-stage procedure, with the sleeve gastrectomy performed first to jump-start weight loss.
• Sleeve to duodenal switch with single anastomosis (also known as SIPS, DS-SA, SADI. This may be used to enhance the weight loss effects of a sleeve gastrectomy, also referred to as a Sleeve Enhancement procedure
• Adjustable gastric band (AGB) to sleeve gastrectomy, duodenal switch or gastric bypass
• Revision of prior gastric bypass to a more malabsorptive gastric bypass or duodenal switch
• Conversion from prior anti-reflux operation to sleeve gastrectomy revision, duodenal switch or gastric bypass

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