While bariatric surgery often leads to significant and lasting weight loss, some patients may experience complications or fail to achieve their desired outcomes. In such cases, revisional bariatric surgery offers an opportunity to address these issues and restart the weight loss journey. This complex procedure requires careful consideration and should be performed by experienced surgeons in well-equipped facilities, such as Uncalı Hospital in Antalya, Turkey.
What is Revisional Bariatric Surgery?
Revisional bariatric surgery is a secondary procedure performed when the initial bariatric surgery (such as gastric bypass, gastric sleeve, or adjustable gastric banding) has not yielded the expected results or has led to complications. The goal of this surgery is to either correct problems from the first procedure or to change the original weight-loss strategy to improve outcomes. Common reasons for needing revisional surgery include inadequate weight loss, weight regain, complications like acid reflux, or anatomical issues such as stomach pouch enlargement.
Revisional bariatric surgery is more complex than primary bariatric procedures, as it involves operating on an altered digestive system. Therefore, it requires a highly skilled surgical team and a comprehensive evaluation of the patient’s situation to determine the most appropriate revision approach.
Who is Revisional Bariatric Surgery Suitable For?
Revisional bariatric surgery is suitable for patients who have previously undergone a bariatric procedure but did not achieve the desired weight loss or experienced complications. The most common candidates for revisional surgery include:
- Insufficient Weight Loss or Weight Regain: Some patients might not lose as much weight as expected after the initial surgery or may regain weight over time due to factors like stretching of the stomach pouch or dilation of the intestinal connections.
- Complications from the Original Surgery: Patients who experience complications such as persistent acid reflux, ulcers, or nutritional deficiencies may benefit from a revision to correct these issues.
- Mechanical or Anatomical Problems: Over time, issues such as the enlargement of the stomach pouch or slippage of the gastric band can occur, requiring surgical intervention to restore proper functioning.
It’s crucial for patients to undergo a thorough evaluation before considering revisional surgery. At Uncalı Hospital, our expert team will conduct a comprehensive assessment, including medical history review, diagnostic imaging, and blood tests, to identify the root cause of the problem and develop a tailored revision plan.
How is Revisional Bariatric Surgery Performed?
The specific method used in revisional bariatric surgery depends on the patient’s initial procedure, the complications or failures encountered, and their current health condition. Some common types of revisional procedures include:
- Gastric Band to Gastric Sleeve or Bypass: Patients who initially had a gastric band may experience issues like band slippage, erosion, or insufficient weight loss. In such cases, the band can be removed, and a gastric sleeve or bypass can be performed to enhance weight loss outcomes.
- Gastric Sleeve to Gastric Bypass: Some patients may experience acid reflux or inadequate weight loss after a gastric sleeve. Revising to a gastric bypass can help address these issues by reducing the stomach size further and altering the digestive process to limit calorie absorption.
- Gastric Bypass Revision: Patients who underwent a gastric bypass but experienced weight regain due to the stretching of the stomach pouch may benefit from a revision. This may involve reducing the size of the stomach pouch again or modifying the connection between the stomach and the small intestine.
- Endoscopic Procedures: In certain cases, an endoscopic approach may be used to tighten the connection between the stomach and intestines or to reduce the size of the stomach pouch. This minimally invasive technique can offer a less complex solution for some patients.
Revisional surgery is typically performed laparoscopically, involving small incisions and specialized instruments to minimize scarring and reduce recovery time. The procedure can take longer than the original surgery, usually lasting 2 to 4 hours, due to the complexity of operating on already modified anatomy.
Pre-Surgery Preparations
Before undergoing revisional bariatric surgery, patients need to go through an extensive evaluation to understand the reasons for the failure or complications of the original surgery. This evaluation includes:
- Medical History Review: A detailed review of the patient’s medical history, previous bariatric procedure(s), and post-operative progress.
- Diagnostic Imaging: Tests such as upper gastrointestinal (GI) endoscopy, X-rays, or CT scans help assess the current state of the stomach, intestines, and surgical modifications.
- Nutritional and Psychological Assessments: Since revisional surgery requires lifestyle changes, a thorough evaluation of nutritional habits and psychological readiness is essential.
Patients are also advised to follow a specific pre-operative diet plan, often a low-calorie, high-protein diet, to reduce liver size and lower surgical risks. Our medical team at Uncalı Hospital provides personalized guidance to prepare patients for the revision, ensuring they are in optimal condition for surgery.
Post-Surgery Care and Recovery
After revisional bariatric surgery, the recovery process is similar to that of the initial bariatric procedure but may require more attention due to the complexity of the revision. Patients are typically monitored in the hospital for 2 to 4 days post-surgery to ensure there are no immediate complications.
The post-operative care includes:
- Dietary Adjustments: Patients start with a liquid diet before gradually transitioning to pureed foods, soft foods, and eventually solid foods. Our dietitians work closely with patients to develop a nutrition plan tailored to their new digestive system.
- Lifestyle Modifications: Regular physical activity, mindful eating, and ongoing support from healthcare professionals are key to achieving successful weight loss and maintaining it long-term.
- Follow-Up Appointments: Regular check-ups with the bariatric team are essential to monitor progress, nutritional status, and overall health. This continued support helps address any concerns and make necessary adjustments to the patient’s lifestyle.
Revisional Bariatric Surgery Price in Turkey
One of the advantages of undergoing revisional bariatric surgery in Turkey is the affordability. The cost of revisional bariatric surgery in Turkey is significantly lower than in many Western countries, without compromising the quality of care. However, since revision procedures are more complex than the initial surgery, they can be more expensive than primary bariatric surgeries.
At Uncalı Hospital in Antalya, we provide competitive pricing with a comprehensive package that includes pre-operative assessments, the surgery itself, hospital stay, and post-operative care. During your initial consultation, our team will provide a detailed breakdown of the costs based on your individual case and the necessary revisional procedure.
Why Choose Uncalı Hospital for Revisional Bariatric Surgery?
Choosing the right hospital for revisional bariatric surgery is crucial due to the complexity of the procedure. At Uncalı Hospital in Antalya, we offer:
- Experienced Surgeons: Our surgeons have extensive experience in performing revisional bariatric surgeries, ensuring that patients receive the highest standard of care.
- Comprehensive Care: From the initial evaluation to post-surgery follow-up, our multidisciplinary team supports patients through every step of their weight loss journey.
- Advanced Facilities: We use state-of-the-art technology and minimally invasive techniques to ensure the best outcomes with minimal recovery time.
Take the Next Step Towards a Healthier Life
Revisional bariatric surgery provides patients with a second chance at achieving their weight loss and health goals. At Uncalı Hospital, our experienced team is dedicated to helping you find the most effective solution tailored to your unique needs. Contact us today to schedule a consultation and take the first step toward a healthier, more fulfilling life.
Our Doctors
OP. DR. MURAT KAĞAN BİLGE
General Surgery Specialist
OP. DR. NECATİ KAHYA
General Surgery Specialist
4.8/5 Average Rate
I had my stomach surgery on Thursday. I would like to thank my doctor Murat Kağan Bilgeye very much. I would also like to thank all the friendly nurses and cleaning ladies separately. Our dietician Ms. Özlem and Ms. Büşra, you are good to be there, with love, Nilüfer U.
Sandra Polat
I brought my mother from 600 km for Cengiz teacher and his team, I am glad that you brought her, she turned her years of indecision and fears into confidence in an instant, she had two knee prosthesis surgeries. Thank you very much to Cengiz teacher for his tolerance, Sabri and professionalism.
Irmak Sav
I had stomach surgery at the private uncalı meydan hospital to Murat Kaan Bilge. I would like to thank my doctor and his team, who did not lack his support from the beginning to the end of the surgery, and then all the nurse friends who came to check on me every hour and took all my trouble, and the housekeeper sisters who made our room sparkling every day🌸
Feyza Nur
Dr cengiz yılmaz performed hip replacement surgery the next day I was able to stand up the next day, the interest is at the highest level, 24 hour nurses are following up, people feel safe, the hospital rooms are clean and spacious, thank you to Mr. Cengiz.
Ugur Eper
We would like to thank our ophthalmologist Mr. Süleyman Karaman for his friendliness and interest. Our operation process was very comfortable with his support before and after the operation. We wish you continued success.
Tolgahan Peker
Frequently Asked Questions
You may need revisional bariatric surgery if you haven’t achieved the desired weight loss or experienced complications such as acid reflux or nutritional deficiencies after your initial surgery. It aims to correct these issues and help you get back on track with your weight loss journey.
Yes, revisional surgery is generally more complex and carries a higher risk of complications because it involves operating on an altered digestive system. However, with an experienced surgical team, like those at Uncalı Hospital, the risks can be managed effectively.
The recovery period for revisional surgery can be slightly longer than the initial procedure, with most patients needing 3 to 4 weeks to return to normal activities. Adhering to post-surgery dietary guidelines and follow-up care is crucial for a smooth recovery.
Coverage for revisional bariatric surgery varies depending on your insurance plan and the reasons for the revision. It’s best to consult with your insurance provider and the hospital's financial team to understand your options.
