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.

Revision surgery - graphics before and after gastric reduction surgery

Procedure path

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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:

  • nutritionist consultation,
  • psychologist consultation
  • cardiologist consultation (with echocardiography examination)
  • pulmonologist consultation (with spirometry examination)
  • endocrinologist consultation
  • gastroenterologist consultation with gastroscopic examination performed under general anaesthesia
  • abdominal ultrasound
  • chest x-ray
  • comprehensive blood chemistry panel

 

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:

  • Day 1. Hospital admission, preparation of necessary documentation. Performing the most-recent blood chemistry tests. Discussing and signing the consent for surgery with the surgeon.  Anaesthesiologist consultation.
  • Day 2. The surgery is performed between 8:30 and 15:00, depending on the surgery plan. After surgery, the patient spends the rest of the day and night in the recovery room under the care of skilled medical and nursing staff. You will start drinking small amounts of water on your surgery day.
  • Day 3. The beginning of convalescence. We will assess your health condition and convalescence progress based on surgeon’s assessment and blood chemistry tests. Another nutritionist consultation during which you will receive recommendations for the recovery period (4-6 weeks).
  • Day 4. We will assess your health condition and convalescence progress once again based on surgeon’s assessment and blood chemistry tests. Oral diet inclusion. Discharge.

Follow-up

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.

 

  • The first appointment will be scheduled one month after the surgery: convalescence and initial weight loss assessment. Review of follow-up laboratory tests, i.a. vitamin level, blood morphology and other blood chemistry tests.
  • The follow-up nutritionist consultation is also scheduled approximately one month after the surgery (most often also with the surgeon consultation).
  • We will meet approximately every 3 months in the first year. During the follow-up appointments we will monitor your health condition and ensure you make a safe recovery.
YOUR STEPS

REVISION SURGERIES

APPLICATION

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.

Who is it for?

REQUIREMENTS

INDICATIONS

Each patient’s case must be evaluated individually. First of all, we try to determine whether the patient’s problem can be solved by non-surgical means. If it is not possible, then a revision treatment plan is determined with utmost care to achieve the best possible therapeutic effect after the surgical treatment applied. Some of the most common reasons the bariatric patients come to us with include: Gradual weight gain. Gastroesophageal reflux (often felt as heartburn – burning in the esophagus). Poorly controlled type 2 diabetes. Abdominal pain complaints.

Gradual weight gain.

Gastroesophageal reflux (often felt as heartburn – burning in the esophagus).

Poorly controlled type 2 diabetes.

Abdominal pain complaints.

CONTRAINDICATIONS

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.

Start your journey

WE WILL BE HERE FOR YOU FROM THE BEGINNING TILL THE VERY END, SO DON’T HESITATE TO TAKE THE FIRST STEP.

PATIENT STORY

Patient feedback

I underwent a revision surgery

My name is Paweł. Obesity is a disease that stays with you whether you’ve already undergone a bariatric surgery or are planning to do so. It lies in wait for you to stumble. It always sneaks up unnoticed to destroy everything you have accomplished with your hard work so far. Sometimes you have to engage in combat once again until only one warrior remains standing. Thanks to Baria3 team I believe it was the final battle. Thank you.

Our Offer

Price List

Our consultant will contact you within 24 hours to schedule an appointment and provide you with further details.

We take responsibility for our patients: in case our patient needs to be readmitted to the hospital and undergo an additional surgical procedure during the recovery period, the services will be provided at no additional charge to the patient.

  • CONSULTATION

    PLN 250
    qualification
  • DIAGNOSTICS

    PLN 3 700
    with nutritionist, psychologist and surgeon’s care
  • BARIATRIC REVISION SURGERY

    PLN 25 900
    with hospital stay
  • Package: diagnostics +bariatric revision surgery

    PLN 28 900
    comprehensive examinations, care of a dietitian, psychologist and surgeon, operation with hospital stay

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Bmi calculator

WHAT IS BMI?

The BMI (Body Mass Index) calculator is a quick and convenient method to calculate your own body mass index. This index is used to determine the severity of obesity as well as to assess the risk of developing diseases associated with excessive body weight. The higher the degree of obesity, the higher the risk of obesity complications is, unfortunately.

Your BMI

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Your BMI: 420
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BMI VALUE RANGES:

  • below 18,5
    underweight
  • 18,5 - 24,9
    correct body weight
  • 25 - 29,9
    overweight
  • 30 - 34,9
    1st degree obesity
  • 35 - 39,9
    2nd degree obesity
  • 40 above
    3rd degree obesity
Michał Krefft - ZnanyLekarz.pl
Rafał Mulek - ZnanyLekarz.pl

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Collegium Medicum UMK w Bydgoszczy Uniwersytet SWPS w Warszawie

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