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Bariatric revisions4/12/2023 Endoscopy can be used to assess this, as can a functional barium or CT scan. The length of the bypassed intestine may also be relevant to weight loss failures or inadequate metabolic effects or complications.Your bariatric surgeon will assess your pouch and the opening between your stomach and small intestine to see if there is a problem with an endoscope. If your pouch size is too large or not uniform it can cause problems with weight loss. ( Working with a dietitian and psychologist can help to address these) Stress itself can affect energy utilization by the body.There can also be emotional issues attached to overeating.Steps include analysing what you eat and keeping a food diary.There are several reasons why your previous bariatric procedure may not have worked as you hoped. The revision and operative plan moving forward needs to be practical and defined.Īll this should occur before a scalpel comes into the equation. ![]() Any nutritional deficiency needs correcting and a plan for ongoing testing and optimisation made. Then there needs to be a solid plan in place as to how to avoid any non operative issue affecting outcome to be avoided in the future. was there adequate follow up and support.were appropriate instructions given and were they followed.was there a technical issue with the surgery or as a result of a post operative event.was the correct operation performed (applying current knowledge).The original surgery needs to be dissected back to as close to normal as possible, nerves need preserving as much as possible and any blown valves or hernias need fixing appropriately.īefore even contemplating revisional surgery it is imperative that the reasons for the suboptimal outcome from the initial surgical experience be understood. It will require more intense work up, planning and execution to obtain an optimal outcome. Inadequate weight loss or weight regainįurther surgery where there has been any previous surgery on the stomach or intestines will be more complex than an original procedure.Significant complications or side effects related to the previous surgery. ![]() ![]() A revision procedure may be required when:
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