Revision surgeries – are a very broad term, which applies not only to the conversion of sleeve gastrectomy to gastric bypass or mini gastric bypass, the removal of a previously placed gastric band with another bariatric procedure, but also to hiatal hernia repair, which had not been performed during the initial surgery, and many, many more.
The choice of the next surgical procedure depends primarily on the procedure the patient had undergone in the past and the current symptoms reported by the patient.
The one common denominator among all revision surgeries is that they are much more complicated. For this reason, these surgeries can only be performed by an experienced surgical team.
Bariatric consultation with the surgeon
If you are considering surgical treatment of obesity, make an appointment with our surgeon. During the first appointment the physician will assess the degree of obesity, take medical history of co-morbidities and obesity complications.
You will receive information on possible treatment options and be pre-qualified for the selected surgery. You will also receive a diagnostics plan preparing you for the surgery.
We want to gather as much information as possible about your health condition so that further treatment is as safe and personalized as possible. We schedule a diagnostic appointment and a planned surgery date.
Diagnostics and preparation
We offer our patients a full diagnostic package which includes all necessary tests and specialist consultations required to perform the surgery. Typical diagnostic scheme:
The diagnostics is coordinated by an experienced specialist and your attending surgeon.
We begin treatment prior to the surgery, in the diagnostic phase. The nutritionist prepares a nutrition plan, which will help you prepare for the post-surgery changes, achieve initial weight loss and reduce liver steatosis. This specialist also provides you with nutrition education including the principles of proper nutrition to be followed before and after surgery. Simultaneously, the psychologist will equip you with the psychological means of coping with the transformation that awaits you.
Preoperative period (approx. 30 days)
You follow a nutrition plan. The attending physician, nutritionist and psychologist stay in permanent touch with you, providing you with support and advice.
Hospitalization and surgery
You will be admitted to the Surgical Ward after a period of a few weeks following the completion of diagnostics. The patients usually stay in our hospital for 4 days:
After the end of the surgical treatment we stay in permanent touch with our patients via phone or e-mail. In addition to this, we will also meet on the follow-up appointments.
If you are a bariatric patient, and the things related to your obesity treatment are getting out of control, you should, undoubtably, allow us to diagnose your problem.
Regardless of whether the problem lies in weight regain or other symptoms related to your digestive tract, there’s a good chance we can help you, once again, regain control through revision surgery.
Gradual weight gain.
Gastroesophageal reflux (often felt as heartburn – burning in the esophagus).
Poorly controlled type 2 diabetes.
Abdominal pain complaints.
Active nicotinism, is definitely an unfavourable factor for any bariatric surgery. However, smoking carries an additional risk for those undergoing a gastric bypass surgery. Smokers are at the highest risk of developing ulceration of gastrointestinal anastomosis sometime after the full and mini gastric bypass surgery.
Temporary contraindications to any bariatric surgery include active alcoholism, drug addiction, and mental illness outside remission period.
Pregnancy is also a period when we should be more concerned about the proper development of the foetus rather than weight gain.
Our approach to obesity treatment is as follows: the patients who ignore the nutritionist’s and psychologist’s recommendations or consider them irrelevant are not ready for the surgery.