Revision Bariatric Surgery
Revision surgery is considered for patients who experience weight regain, inadequate weight loss, severe reflux or specific complications after a previous bariatric procedure.
Common indications
- Weight regain after sleeve gastrectomy, bypass or gastric band
- Inadequate initial weight loss
- Severe gastro-oesophageal reflux after sleeve gastrectomy
- Stenosis, fistula or other late complications
Work-up
Revision is more complex than primary bariatric surgery and requires careful evaluation: upper GI endoscopy, contrast study, often pH-impedance and manometry for reflux, nutritional and metabolic review.
Procedure options
Depending on the previous operation and the underlying issue, options may include conversion to Roux-en-Y gastric bypass, re-sleeve in selected cases, or other tailored procedures. The decision is individualised.
Recovery and follow-up
Hospital stay and recovery are usually longer than primary surgery. Lifelong nutritional follow-up and supplementation remain essential.
Last updated: 31.05.2026 · Medical content: Op.Dr.Gökhan ATEŞ