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MyNewSelf Bariatrics

Revision Surgery

St. Luke’s Des Peres Hospital’s MyNewSelf program offers bariatric revision surgery.  These are procedures which  revise in some way a first bariatric (weight loss) surgery. Our surgeons perform all procedures laparoscopically.

When is revision surgery considered?

Revision surgery may be considered when a problem occurs that is directly related to the first weight loss surgery, such as severe gastric reflux, food intolerance, band slippage or band prolapse. Bariatric revision surgery may also be considered if a patient fails to lose an adequate amount of weight.

When patients feel they aren't losing enough weight, the staff at MyNewSelf will first see if there are ways they can help you get back on track. You may need to sit down with the dietitians and discuss your food diary and exercise habits. If weight regain or insufficient weight loss is due to diet and behavioral factors, you will need to make changes to those behaviors first, before considering a revisional surgery. Failure to address the root causes of any weight regain or insufficient weight loss could lead to the revision surgery not producing the desired results.

If you have been experiencing gastric band slippage or prolapse, pain, weight regains, severe re-flux, or vomiting after previous bariatric surgery, contact us to schedule a consultation. If there isn't a problem with your post-surgery diet and lifestyle, the team can talk to you about next steps.

Examples of revision options:
  • Gastric bypass with weight regain – no surgical option
    • Get back on track with regular office and dietitian visits
    • Medications
    • Meal replacements
  • Gastric band failure – If band has slipped or there is prolapse, remove the band and revise to a sleeve or loop duodenal switch depending on BMI.
  • Gastric band with insufficient weight loss – Remove the band and revise to a sleeve or loop duodenal switch depending on BMI
  • Sleeve with insufficient weight loss or weight regain - Add a loop to complete loop duodenal switch.

Things to consider when discussing revision surgery with our team and your surgeon:

Before your revision surgery, you will need to have some laboratory tests completed including blood work, X-rays and an endoscopy. Your doctor may need to address any vitamin or nutritional deficiencies before the operation. If you smoke, you should quit before the surgery is scheduled to prevent complications. And the team will meet with you to review your diet and exercise habits.

Risks and complications of revision surgery:
  • Pneumonia
  • Blood clots
  • Pulmonary embolism
  • Bleeding
  • Infection
  • Leak
  • Internal hernias (depending on the type of surgery)
  • Death

Insurance approval will be required for bariatric revision surgery.

Other weight loss surgery procedures