Revisional Weight Loss Surgery

Weight loss surgery has improved greatly over the years. As we learn more, some bariatric procedures performed in the past may need adjustments later to maintain good health and long-term results. If you are struggling with weight regain or symptoms after bariatric surgery, revision surgery may be an option. 

Banner Health’s experienced bariatric team can help you understand your choices and determine if revisional surgery is right for you. 

What is revisional bariatric surgery? 

Revisional bariatric surgery is a procedure that modifies, repairs or converts a previous weight loss surgery. It may be recommended when: 

• You are not losing enough weight 
• You have regained weight after initial success 
• You have complications such as GERD (gastroesophageal reflux disease), acid reflux, heartburn or food intolerance 
• Your anatomy has changed over time and is affecting results 

Most revision surgeries are minimally invasive, even if your first surgery was performed through a large incision. In some cases, robotic assistance may improve precision. Only rarely is open surgery required. 

Common revision approaches include: 

• Removal of a gastric band (Lap-Band removal) 
• Band conversion to sleeve gastrectomy, gastric bypass or duodenal switch 
• Gastric bypass revisions to improve symptoms or weight loss 
• Sleeve gastrectomy conversion to gastric bypass 
• Sleeve gastrectomy conversion to duodenal switch for greater metabolic support 

Your surgeon will review options based on your prior procedure and current health needs. 

Learn more about bariatric surgical procedures. 

Who is a candidate for revisional bariatric surgery? 

Not everyone who has had weight loss surgery will need a revision. Your bariatric surgeon will complete a full evaluation, which may include: 

• A review of the first surgery and current anatomy 
• Nutrition and eating habits 
• Activity level and lifestyle changes 
• Medical conditions such as diabetes or sleep apnea 
• Symptoms like severe reflux or trouble swallowing 

You may be a candidate if: 

• You have significant weight regain 
• You did not achieve meaningful weight loss the first time 
• You have health problems caused by your original surgery 
• You have complications such as ulcers, band intolerance or severe reflux 

Because obesity is a chronic disease, ongoing care and support are essential. A revision may help you get back on track with better health and long-term success. 

What are the risks of revisional surgery? 

Revision procedures are generally safe but are more complex than first-time bariatric surgeries. Risks may include infection, bleeding, leakage, blood clots or anesthesia-related issues. 

Your surgeon will talk with you about: 

• The benefits compared with risks 
• Expected outcomes based on your medical history 
• Any steps you can take before surgery to lower risk 

What results can I expect? 

Results vary depending on your original procedure, the type of revision and your commitment to lifestyle changes. Many people experience: 

• Additional weight loss 
• Better control of type 2 diabetes and high blood pressure 
• Reduced heart disease risk 
• Better sleep and reduced sleep apnea symptoms 
• Improved quality of life 

Following your surgeon’s guidance for diet, physical activity and follow-up care will support long-term success. 

Your expert bariatric team 

Bariatric care requires a team approach. Banner Health provides comprehensive support from: 

• Bariatric surgeons 
• Obesity medicine physicians 
• Nurse practitioners and nurses 
• Dietitians 
• Behavioral health specialists 
• Medical assistants and care coordinators 
• Specialists in heart, lung and sleep health when needed 

We partner with you before and after surgery to help you reach and maintain your goals. 

Bariatric Center of Excellence 

Banner Health is accredited by the American Society for Metabolic and Bariatric Surgery, recognizing our high-quality care and experience in weight loss surgery. 

Take the next step 

Talk to a bariatric surgeon to learn whether revisional bariatric surgery is right for you.