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Bariatric revision surgery technique

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BARIATRIC SURGERY - OBESITY TREATMENT

Bariatric revision surgery consists in changing a bariatric technique in another one due to an insufficient weight loss by the patient, weight recovery or any complications caused by the procedure

Mechanism of action
Conversion from one technique to a more effective one, with a different mechanism
For example, a removal of the gastric band from the patient's stomach and then bypass implementation

Indications
Insufficient weight loss or recovery 

Technique duration

Depends on the technique or surgery. Usually gatric bypass is done. Sometimes gastric sleeve. The surgery lasts 60 extra minutes more than original surgery.

Hospital stay
2-3 days

Return to normal activity
10-14 days

Monitoring
Monitoring during 2 years after the surgery conducted by our medical team. Afterwards, annual monitoring

Pros
Solves weightloss in a high percentage of cases. Limited effectiveness in patients with bad alimentary habits.

Cons
Higher risk with respect to a patient who has not been operated previously.

Risk for complications
Significative increase in risk compared to patients who have not been operated. As an estimation, risk is double than before.

Grade of recommendation with available scientific evidence
High

Results
Loss of 50-60% overweight after 9 months.

Relevant scientific publications in relation to this technique
Revisión sistemática ASMBS Cirugía Bariátrica de Revisión:
Stacy A. Brethauer, M.D, Shanu Kothari, M.D, Ranjan Sudan, M.D. Review article: Systematic review on reoperative bariatric surgery American Society for Metabolic and Bariatric Surgery Revision Task Force. Surgery for Obesity and Related Diseases 10 (2014) 952–972.
ESCARTI MA, RUBIÓ I, MÁRQUEZ JM, MANGAS I RESULTADOS A 2 AÑOS DE LA CIRUGÍA DE REVISIÓN DE BANDA GÁSTRICA EN 148 CASOS: GASTRECTOMÍA VERTICAL vs BYPASS GÁSTRICO. Ponencia presentada en el Congreso de la Sociedad Española de Cirugía de la Obesidad y Enfermedades Metabólicas Vitoria 2015.