New York Revisional Surgery

About This Procedure

If you’ve undergone bariatric surgery but have stopped losing weight, or have regained weight, then a revisional procedure may be the solution you’ve been seeking. At the New York Bariatric Group, our expert team has over 15 years of experience with revisional procedures, and the skill you can depend upon to tailor a revisional weight loss surgery based on you, your body and your unique needs.

Learn more about your options for revisional surgery after bariatric procedures, why you might need one, and what your options are based upon the initial procedure you underwent.

Revisional Surgery
Meet Dr. Garber

Revisional Surgery Consultations in New York

Our renowned surgical team provides in-depth one on one consultations for revisional bariatric surgery in New York. This consultation is used to determine whether or not you will benefit from a revisional procedure, as well as what the risks of a revisional procedure may be, to determine our recommended course of action. Factors we take into account include:

  • The initial procedure you underwent
  • When and where you had that procedure
  • The original postoperative instructions you were given
  • Your weight loss history after the initial procedure
  • Complications which occurred as a result of the initial procedure
tri state bariatrics

Get in touch

Phone: 800-633-8446

Why Might I Need Revisional Surgery?

There are several key reasons why you might need or want a revisional procedure. Here, we’ll go into more detail on the above factors discussed during our consultations.

We start by analyzing the original procedure you underwent and if possible obtaining the operative report from your surgery. Success rates are different across different procedures, and available options at your disposal also differ.

Many patients fail to see optimal results because they weren’t provided with the right instructions and the best level of postoperative assistance or care. Speaking with potential revisional patients to learn about the instructions they had and educating them on how weight loss may still be achieved, even past the “golden period” for rapid weight loss, may be an alternative to revisional surgery.

We’ll also therefore look at your weight loss history. Was it ever effective, or did it fail you from the beginning? If no weight loss ever occurred, it is likely that something with the operation itself was improperly performed or technically wrong.

Complications will inform us as to why a procedure was ineffective, and what potential risks may be present for a revisional procedure.

Before your one on one consultation, we recommend attending our educational seminar on Bariatric Revisional Surgery Procedures. Here, you’ll learn about options such as ROSE, Apollo, Band Over Bypass, and more, and whether or not they could be a solution for you.

Revisional Gastric Bypass Surgery

Gastric bypass surgery produces results via both a restrictive element, the small stomach pouch and narrow stoma, and a malabsorptive element, based upon the changes to your intestinal tract.

Regaining weight following this procedure typically stems from a failure of the restrictive component, either a stretching of the pouch or dilation of the stoma. This can be confirmed via endoscopy.

There are two main options for revisional gastric bypass surgery: endoscopic surgery, including ROSE, Apollo and StomaphyX, and Band Over Bypass.

Revisional procedures performed endoscopically are minimally invasive and don’t require abdominal incisions. However, they are not proven to be durable.

Endoscopic revisional surgery began with StomaphyX, which was initially revolutionary. The pouch and small intestines were sutured to slow the emptying of the stomach and the pouch itself is shrunk. However, the procedure was shown to be not durable, and was replaced with ROSE and Apollo, both of which produce superior results.

Band Over Bypass, which involves utilizing a lap band over your original gastric bypass procedure, has been the most effective. This makes your stomach pouch smaller, reversing the effects of stretching, and controls how food exits the pouch, reversing the effects of stoma dilation.

Abdominal incisions are required for this type of revisional surgery, however, our patients have found this to be an effective long term solution for losing weight.


New York Bariatric Group of NYC - REVISIONAL SURGERY

What is Revisional Sleeve Gastrectomy Surgery?

Sleeve gastrectomy converts your stomach into a small approximately 120cc vertical tube, or sleeve. It’s a popular and effective choice, however, some patients will stop losing weight or begin regaining weight after the first year. This may be the result of your sleeve stretching.

In this case, which is confirmed via endoscopy, there are two options: repeating the sleeve gastrectomy procedure, or the Band over Sleeve, similar to Band over Bypass.

Repeating the sleeve gastrectomy is an option when the procedure was effective for the first year. However, it involves stapling over your original staple line, which causes the risk of complication to be a bit higher than other forms of revisional surgery.

Many patients are choosing the lap band over sleeve gastrectomy, or Band over Sleeve. Abdominal incisions are also required here, however, no additional stapling is required. Therefore, this carries less risk, while offering very effective long term results for weight loss.

How Does Revisional Lap Band Surgery Work?

As opposed to either gastric bypass or gastric sleeve, lap band surgery does not involve permanent physical changes to your body. It must be carefully paid attention to and adjusted for long term results.

However, for those who have experienced complications or have not seen the desired level of weight loss, revisional surgery involves a choice of one of those two aforementioned procedures, the gastric bypass or vertical sleeve gastrectomy.

Each of these procedures carries its own advantages. Sleeve gastrectomy is less invasive than gastric bypass, and leaves your intestinal tract intact. It is commonly recommended for individuals who began seeing results with lap band but regained weight.

Gastric bypass has a 40 year track record of success and works through both restriction and malabsorption. It is commonly recommended for those who never saw weight loss results with lap band, or who are diabetic.

The Bottom Line on Revisional Surgery

It’s important that prospective patients understand that revisional surgery entails a higher level of technical challenge and therefore a higher complication risk. It’s crucial to find experienced, skilled surgeons who regularly perform revisional bariatric surgery.

It’s also important to continue to live a healthier lifestyle and take a multi-disciplined approach to losing weight and maintaining weight loss. That’s why we offer all of our patients a comprehensive bariatric program including patient education, support groups, mentors, and more.

Call our expert team at 800.633.8446 to learn more about revisional weight loss surgery in New York, or sign up for one of our educational seminars today.

Weight Loss Surgery Success Stories

If you are ready to lose weight, you have many options at our Tristate Bariatric Group. We combine surgical expertise, patience, compassion, and the confidence to lead you through the journey to successful weight loss.