Are you disappointed with your results or struggling with complications after bariatric surgery? Don’t worry, you are not alone. Unfortunately, not all bariatric surgeries lead to the desired outcomes.
If this is your experience, you may want to talk with your healthcare provider about a second bariatric surgery, known as a revisional surgery.
Read on to discover the types of revisional surgeries available, when the procedure may be helpful, as well as associated risks and alternatives.
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What Are Revisional Bariatric Procedures?

Revisional bariatric procedures involve revising or replacing the initial bariatric surgery. Research suggests that about 15-20% of people need revisional surgery after bariatric surgery.
These surgeries aim to address issues such as:
- Insufficient weight loss
- Weight regain
- Medical complications from the surgery
In simple terms, if the first surgery didn’t produce the desired results or caused health problems, a second surgery may help correct or enhance the outcomes.To support your recovery, you might also consider bariatric vitamins, bariatric multivitamins, or even bariatric snacks to help maintain your nutritional health.
Why Consider Revisional Bariatric Surgery?
Having another surgery is probably not something you are super excited to undergo. However, sometimes it becomes a necessity.
Studies suggest that inadequate weight loss is one of the most common reasons for revisional surgery. While bariatric surgery is effective for most people, results vary. This could be due to the type of surgery you had, your body’s response to the procedure, or your lifestyle habits.
Incorporating options like bariatric protein shakes and bariatric protein bars into your diet can support your weight loss efforts post-surgery.
Weight regain is another common issue. After losing weight initially, you may find yourself regaining weight. This may be due to changes in your eating habits, not getting enough physical activity, or your body’s natural adaptation to the surgical changes.
Another reason for revisional bariatric surgery is the development of complications. Severe gastroesophageal reflux (GERD) is a common reason you may want to consider revisional surgery.
Or you may be experiencing complications from your gastric band, such as slippage or erosion.
Nutritional deficiencies can also arise, particularly in surgeries that alter the digestive process significantly.
Benefits of bariatric surgery include improved weight loss outcomes, resolution of GERD, and better management of complications. However, the long term effects of bariatric surgery and potential risks must be carefully considered.
Types of Revisional Bariatric Procedures
There are several types of revision surgeries. Each of them addresses specific issues stemming from the initial bariatric procedure.
The type of revisional surgery your health provider suggests depends on your specific complications and long-term health goals.
One common type of revision is converting a gastric band to a gastric bypass.

Gastric bands are adjustable devices placed around the stomach to restrict food intake. While effective for some, they can lead to complications like slippage or irritation. Switching to a gastric bypass involves creating a smaller stomach pouch and rerouting the intestines. This often results in better weight loss and resolves complications like GERD.
Another common revision is transitioning from a sleeve gastrectomy to a gastric bypass. Sleeve gastrectomy involves removing a portion of the stomach to reduce its size. While it can be highly effective, some individuals develop severe acid reflux or do not lose enough weight. Gastric bypass can address these issues by reducing acid reflux and promoting greater weight loss.
In cases where gastric bands cause persistent problems, they may be adjusted or removed altogether. Adjustments can involve loosening or tightening the band. Removal might be necessary if the band is causing significant complications.
Evaluating Eligibility for Revisional Bariatric Surgery
Not everyone is a candidate for revisional bariatric surgery. Before making this decision, your health provider will perform a thorough evaluation to determine whether the procedure is appropriate and safe.
Your medical provider will review your medical history and conduct tests to identify the reasons for the initial surgery’s failure. This may include assessing whether complications such as GERD, nutritional deficiencies, or mechanical issues are present.
Psychological readiness is also crucial. Undergoing a second surgery is a significant decision. Your healthcare provider must ensure you are mentally prepared for the changes it brings. A psychological assessment ensures that you understand the risks and benefits and are committed to making the necessary lifestyle adjustments.
A nutritional assessment is equally important. Many issues with weight regain, or insufficient weight loss stem from poor dietary habits or nutritional deficiencies. Dietitians will evaluate your eating patterns and recommend improvements to maximize the chances of success after the revision surgery.

Risks of Revisional Bariatric Procedures
While revisional bariatric surgeries can be highly beneficial, they also carry risks. Sometimes, the risks are higher than those associated with the initial procedure.
Your digestive system has already been altered, making revisional surgeries more complex and increasing the likelihood of complications.
One significant risk is a higher complication rate. Revisional surgeries can be more complex due to anatomical changes from the first procedure. Complications such as infections, leaks, or blood clots are more likely.
Another concern is the longer recovery time. Revision surgeries generally require more extensive healing than the initial procedure, so you may need more time off work and support during recovery.
Weight loss outcomes are also less predictable. While revisional surgeries can lead to substantial weight loss for many, the results are often not as dramatic as those from the initial procedure.
Preparing for Revisional Bariatric Surgery
If revision surgery is deemed necessary, proper preparation is key.
Your healthcare provider may recommend pre-surgery steps like losing weight or following a specific diet to reduce risks during the procedure.
Building a strong support system of family, friends, or support groups can also make a significant difference during recovery.
It is important to set realistic expectations. Revisional bariatric procedures may support health improvements and weight loss, but they require a commitment to lifestyle changes for long-term success.
Conclusion
Revisional bariatric procedures may provide you with an additional opportunity after facing challenges from your initial surgery.
Whether you are addressing weight regain, medical complications, or insufficient weight loss, these surgeries can be life-changing.
However, they come with higher risks and longer recovery times, making it crucial to explore all options and prepare thoroughly.
By working closely with your healthcare provider and committing to necessary lifestyle changes, you can achieve better health and a renewed sense of well-being.

How Bari Life Can Help
If you’re facing the challenges of a regional surgery, Bari Life is here to support you every step of the way.
Our specially formulated vitamins, supplements, and meal replacements are designed to help you rebuild strength, prevent nutritional deficiencies, and support healing after surgery.
Don’t let complications hold you back—trust Bari Life to help you recover and achieve your health goals. Start your journey to a stronger, healthier you today!
If you want to learn more, why not check out these articles below:
- How Long Does Bariatric Surgery Take?
- How Does Bariatric Surgery Work?
- Success Rate of Bariatric Surgery
- Is Bariatric Surgery Outpatient?
- When Was The First Bariatric Surgery Performed?
What are your tips and tricks to post-bariatric success?