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REVISIONAL OR CONVERTIONAL WEIGHT LOSS SURGERY

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Revisional Weight Loss Surgery: What You Need to Know

Weight loss surgery, also known as bariatric surgery, can be life-changing for individuals struggling with obesity. However, not all surgeries go as planned, and sometimes the results may not meet a patient’s expectations. This is where Revisional Weight Loss Surgery comes in—a secondary procedure designed to address complications, improve outcomes, or help patients achieve their health goals after an initial surgery. Below, we answer some frequently asked questions to help you understand the process, benefits, and considerations of revisional surgery.

Who is a Candidate for Revisional Surgery?

Candidates for revisional weight loss surgery typically include patients who have experienced complications, inadequate weight loss, or weight regain following their original surgery. Common reasons for considering a revisional procedure include:

Severe acid reflux or gastroesophageal reflux disease (GERD)
Gastric pouch enlargement
Insufficient weight loss or significant weight regain
Nutritional deficiencies
Your eligibility will be determined after an in-depth consultation and medical evaluation, which will assess both the original procedure and your current health status.

What Types of Revisional Surgeries Are Available?

The type of revisional surgery recommended depends on the original procedure and the specific issues encountered. Some common revisional procedures include:

Conversion from Gastric Band to Gastric Bypass or Sleeve Gastrectomy: For patients who have experienced complications or poor weight loss results with a gastric band, this conversion can offer an effective solution.
Adjustment of Gastric Sleeve or Bypass: If a gastric sleeve or bypass has stretched or failed to perform effectively, adjustments may be made to restore its size and function.
Endoscopic Procedures: Some patients may benefit from non-surgical, endoscopic procedures that require less recovery time and are minimally invasive.

What Are the Benefits of Revisional Weight Loss Surgery?

Revisional weight loss surgery offers several physical and emotional benefits. This procedure can help patients:

Renew their weight loss efforts
Reduce the risk of obesity-related health conditions such as type 2 diabetes, hypertension, and heart disease
Improve overall quality of life, boosting confidence and providing greater control over their health journey
By addressing issues from the original surgery, patients can achieve better long-term results and a renewed sense of well-being.

What Are the Risks Involved?

Like any surgical procedure, revisional weight loss surgery carries certain risks, including:

Infection
Blood clots
Complications related to anesthesia
However, working with an experienced surgeon like Prof. Dr. Evren Dilektaşlı significantly reduces these risks. Dr. Dilektaşlı carefully assesses each patient’s unique needs and develops a customized surgical plan to minimize potential complications, ensuring the best possible outcome.

How to Prepare for the Procedure?

Preparation for revisional weight loss surgery is similar to the original bariatric procedure. Key steps include:

Following a specific pre-surgery diet
Ceasing smoking and discussing any medications with your doctor
Ensuring psychological readiness, as long-term success depends on making sustainable lifestyle changes
Your healthcare team will provide detailed instructions on how to prepare for the surgery to help ensure a smooth process.

What to Expect During the Recovery Process?

Recovery from revisional weight loss surgery can vary depending on the type of procedure performed. Generally, patients can expect:

A hospital stay of 1 to 3 days
A recovery period of several weeks
During this time, Dr. Evren Dilektaşlı and his team provide comprehensive post-operative support, including:

Dietary guidelines
Follow-up appointments
Recommendations for physical activity
These measures help ensure a successful recovery and long-term weight loss success.

How Long Will the Results Last?

The longevity of results after revisional weight loss surgery varies depending on the individual. By adopting a healthy lifestyle and adhering to recommended dietary and exercise regimens, many patients can sustain their weight loss for the long term. Regular follow-ups with Dr. Dilektaşlı and his team will also help monitor progress and provide ongoing support to ensure continued success. Revisional Weight Loss Surgery vs. Conversional Weight Loss Surgery:

What’s the Difference?

While both revisional surgery and conversional surgery aim to improve or correct the outcomes of a previous bariatric procedure, there are distinct differences between the two.

Revisional Weight Loss Surgery is a broader term that refers to any surgery performed to correct or improve the results of a previous weight loss surgery. It is often performed when complications arise from the initial procedure, or when the desired weight loss is not achieved or maintained. Revisional surgery may involve various adjustments or modifications to the original surgery, such as resizing the gastric pouch, correcting issues with the stomach or intestines, or addressing problems like GERD, gastric enlargement, or nutritional deficiencies.

Conversional Weight Loss Surgery, on the other hand, is a specific type of revisional surgery. It refers to a procedure where a patient undergoes a complete change in the type of bariatric surgery they initially had. For example, a gastric band may be converted into a gastric bypass or sleeve gastrectomy. This type of surgery is typically considered when the original bariatric procedure has failed or resulted in complications, and the patient needs a more effective or permanent weight loss solution. Conversional surgery involves the creation of a new weight loss system, rather than just adjusting the previous one.

Key Differences:

Revisional Surgery: A broad term for any surgery done to correct or improve the results of a previous weight loss procedure.
Conversional Surgery: A specific type of revisional surgery, where one type of bariatric procedure is converted to another (e.g., converting a gastric band to a gastric bypass).
Both types of surgery require careful consideration and evaluation by an experienced surgeon to determine the most appropriate solution based on individual patient needs and surgical history. Prof. Dr. Evren Dilektaşlı is highly experienced in both revisional and conversional weight loss surgeries, offering patients customized solutions to ensure better outcomes and long-term success.