Revisional Bariatric Surgery in Punjab India-Dr. Amit Garg | Codsils - Dr.Amit Garg

Revisional Bariatric Surgery in Punjab, India – Dr. Amit Garg | Codsils

Revisional bariatric surgery in Punjab encompasses additional surgical interventions performed on patients who have previously undergone any form of weight-loss surgery. These procedures fall into three main categories: correction or modification, alteration, and reversal. Such follow-up surgeries aim to enhance the efficacy of the original procedure and improve the patient’s quality of life, particularly if the initial surgery led to undesirable side effects.

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Approximately 7% to 15% of individuals who have undergone bariatric surgery may require revisional procedures. The decision to pursue revisional bariatric surgery is made after a thorough evaluation of the patient’s overall health, progress in weight loss, and any emerging quality-of-life concerns that have surfaced since the initial surgery.

Revisional bariatric surgery is a broad term encompassing follow-up procedures necessary for patients who have previously undergone weight-loss surgery. These additional interventions aim to enhance the effectiveness of the initial weight-loss sleep apnea procedure, alleviate adverse side effects, or reverse the original surgery if needed.

  • Insufficient Weight Loss: Some patients may not achieve the expected amount of weight loss within a specified period after surgery. If they lose less than 15% of their total body weight, they may be candidates for revisional surgery.
  • Complications: Complications can arise from the initial bariatric procedure, such as gastric band slippage, erosion, or leakage, gastric fistula, hiatal hernia, ulcers, or strictures.
  • Side Effects: Patients may develop side effects after the initial surgery, such as acid reflux, difficulty swallowing, or symptoms like GERD.
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  • Weight Regain: Weight regain can occur post-surgery, possibly due to issues like dilation of the gastrojejunal anastomosis after gastric bypass surgery.
  • Malnutrition: In some cases, the initial surgery may lead to malnutrition, vitamin deficiency, or hypocalcemia due to insufficient nutrient absorption. Revisional surgery may involve modifying or reversing the procedure to address these issues, especially if liver failure accompanies malnutrition.

Revisional bariatric surgery aims to address these concerns and improve the patient’s overall outcomes following weight-loss surgery.

Dr Amit Garg

Minimal Access Bariatric
Metabolic & GI Surgeon

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    Frequently Asked Questions

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    Some revisional bariatric procedures are conducted through open surgery, which entails a heightened risk of bleeding, increased pain at the incision site, and a lengthier recovery period compared to minimally invasive laparoscopic surgery.

    Revisional bariatric surgery carries a higher risk profile compared to initial bariatric procedures. It is associated with elevated rates of complications and mortality. Additionally, patients undergoing revisional surgery are less likely to achieve the anticipated percentage of excess body weight loss. In some cases, revisional surgery may not adequately address the issues that arose following the initial procedure. Nonetheless, for many patients, revisional bariatric surgery proves beneficial in facilitating weight loss and enhancing quality of life.

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