Revisional Bariatric Surgery England

Restricts food intake and diverts it to decrease absorption. Most effective and permanent.

Restricts food intake by creating hour-glass effect. Flexible and reversible.

Explanation of the procedure , preparation, indications and expectations after surgery. Also post surgery management with regards to diet, exercise and longterm followup

Going through a relapse is a possibility, even though not a common one, for patients who have gone through bariatric (also known as weight loss) surgery. Such cases require weight loss revision surgery to help patients either lose weight again or fix any other associated issues. There are multiple factors that may contribute to one putting the weight back on, including changes in attitudes and habits, anatomical reasons (such as one’s stomach stretching out) or specific instances of the bariatric technique losing its effect over time. Additionally, it may simply be a case of the patient’s body not responding well to the treatment. Nonetheless, sometimes revision surgery is performed due to medical complications rather than putting the weight back on: the formation of ulcers, scar tissue or problems with absorbing nutrients.

Gastric sleeve surgery, or a laparoscopic sleeve gastrectomy, is a surgical procedure during which a part of the stomach is removed leaving the remaining part to function as a new smaller stomach. The stomach is an organ which functions as a temporary food reservoir and it also produces hormones, such as gastrin and ghrelin. Ghrelin is associated with the feeling of hunger. Therefore, the removal of a large portion of the pouch can favorably alter the hunger hormone production. After a gastric sleeve procedure a patient’s food intake is decreased and they feel full faster. It is a bariatric surgery, which helps patients to lose as much as 50 to 70 percent of their excess weight.

A gastric bypass is one of the techniques used in bariatric surgery and is done not only to kick-start  the weight loss process, but also to prevent or treat health problems that are associated with excess weight. Even though obesity has been prevalent for ages, only recently has it been recognised as a disease of multifactorial origin. The first attempts to treat obesity for the sole purpose of weight loss began in 1950s, when jejunoileal bypasses were done to induce a state of malabsorption (a condition when nutrient absorption is impaired). Despite reaching desired weight loss results, the procedure had too many post–operative complications to be deemed successful. The gastric bypass was developed years later, in the 1960s. The surgical technique went through numerous modifications in order to decrease the number of complications and is now one of the most frequently performed bariatric surgeries worldwide.