In recent years, laparoscopic obesity surgery has become one of the most recommended treatments for obese patients. Millions of chubby and obese patients opt for the minimally invasive surgical procedure to attain weight loss efficiently. Although many of these patients regain fitness by undergoing an effective weight reduction surgery, some patients do not experience any changes upon the surgical procedure. With due consideration to these patients, obesity surgeons have come up with an effective solution – Revision Laparoscopic Treatment.
As the name speaks, Revision Laparoscopic Treatment is a revision surgical procedure that aims to trigger weight loss or treat the complications caused by previous weight reduction procedures. Hence, the procedure is available only for the obese patients who have failed to lose weight or are experiencing problems from a surgery performed earlier.
The need for Revision laparoscopic obesity surgery can be broadly classified into two categories – treating complications and achieving further weight loss. In the first category, the procedure is performed for various reasons. To start with, it may be essential to perform this surgery due to pouch dilation or band slippage. In this treatment, a weight loss surgeon repositions the gastric band laparoscopically.
Apart from this, if a patient experiences band erosion, severe acid reflux or oesophageal dilatation, revision laparoscopic surgery is required to remove the gastric band. Alternatively, this procedure can also help patients, experiencing recurrent ulceration or severe stricture, by an effective revision of gastrojejunal anastomosis. Another occasion when this surgery treats a complication is when an obese suffer from malnutrition after a weight reduction surgery. In this case, the treatment involves reversal of duodenal switch.
The need for laparoscopic obesity surgery to achieve weight loss after previous procedure failure or weight regain may arise on multiple occasions. First, it may be required to replace the ineffective gastric band system, that didn't trigger weight loss in the first place, with gastric bypass. Similarly, laparoscopic conversion can be implemented to change an open gastric stapling procedure to gastric bypass or sleeve gastrectomy.
Other than this, when a patient regains weight after an obesity surgery, an appropriate measure of surgical revision may be required. This involves reduction of the size of a gastric pouch or placement of a gastric band on the pouch.
Weight loss can be attained by choosing the right surgical procedure following an ineffective weight reduction surgery. Every obese patient, who is planning to undergo a revision obesity surgery, must take the assistance of a dietician or a bariatric surgeon before choosing an appropriate surgical measure.