Revision or Conversional Surgery

 

Revision or conversion bariatric surgery corresponds to the type of procedures performed in patients who have already had previous bariatric surgery and who require a second intervention. It consists of reoperating a patient previously operated on for obesity surgery due to different causes:

 

• Insufficient weight loss.

• Weight regain.

• Inadequate or insufficient handling of healthy eating habits.

• Excessive weight loss

• Complications arising from the first surgery.

 

As the cases of obesity surgery increase, so do those of bariatric revision surgery. The essential factor in revision surgery is the experience of the surgical team, the number of patients operated on per year, the infrastructure of the center where these complex techniques are performed, and adequate monitoring by the medical team and the patient of changes in habits. raised.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Among the procedures that are generally performed are:

 

• Adjustable gastric band removal.

• Conversion from gastric band to gastric bypass.

• Conversion from gastric band to vertical gastrectomy.

• Conversion from vertical gastrectomy to gastric bypass.

• Gastric bypass surgery review.

 

In obesity surgery the "failure" or "failure" of a bariatric procedure means that that technique has not been effective enough for a particular patient. It is essential to study each patient in detail, offering them the technique or procedure that best suits their needs and requirements.

 

A bariatric technique is considered to have failed in an intervened patient if, 24-36 months after the procedure, he has not lost and / or maintained at least 50% of the initial excess weight.

The concept of failure and the perception of failure by the patient largely depends on the patient's expectations. An adequate study prior to the intervention, the optimal selection of the procedure to be carried out and the correct and detailed information offered to the patient minimize this situation.