Patients who have undergone bariatric surgery such as sleeve gastrectomy, gastric balloon, gastric bypass, mini gastric bypass, duodenal switch, stomach botox and have lost less than 50% of their excess weight within 18 months and complications during the post operative period may require metabolic and bariatric revision surgery.
WHY IS METABOLIC AND BARIATRIC REVISION SURGERY NECESSARY?
Obesity, which is a common disease in the world, necessitates bariatric surgery. With this surgery, it is aimed for the patient to lose excess weight, gain healthier habits and increase physical activity. However, not every surgical procedure is successful. In this case, metabolic and bariatric revision surgery is applied. The purpose of metabolic and bariatric revision surgery; To eliminate the problems that occur after the surgical procedure. The reasons for metabolic and bariatric revision surgery are as follows:
- Enlarged stomach sack that facilitates weight gain and causes weight loss
- Increased absorption of calories in the intestine, which prevents weight loss or increases weight gain
- Slipped stomach band causing nausea or vomiting
- The opening between the gastric sac and the bypassed stomach
- Staple lines where leakage may occur, causing abdominal and back pain, pressure on the pelvic area, fever and rapid heartbeat
WHO IS ELIGIBLE FOR METABOLIC AND BARIATRIC REVISION SURGERY?
In cases where metabolic and bariatric revision surgery is required and suitable candidates for the procedure:
- Inadequacy of the first surgery to reach the goals
- Inadequate or excessive weight loss
- Experiencing arrest in weight loss
- Medical complications such as scar tissue or inability to absorb nutrients
- Those who lost 50% less than the targeted weight loss
- Patients with multiple disorders related to unresolved obesity
WHO IS NOT ELIGIBLE FOR METABOLIC AND BARIATRIC REVISION SURGERY?
Revision bariatric surgery; In cases where weight lose is not enough or ends with weight gain. It is performed when the percentage of weight loss is less than 50%, when more than 15% of the last weight lose is regained, and when additional conditions do not improve or reappear. Patients ineligible for this procedure:
- Those who are addicted to drugs
- Those who suffer from reflux
- People with eating disorders
- Those who do not want to take vitamins or nutritional support
TYPES OF METABOLIC AND BARIATRIC REVISION SURGERY
Obesity post-surgical revision; It is a second intervention applied to patients who have undergone any bariatric surgery, failed to achieve the desired goal after surgery, or when various complications occur.
Among the different types of revision surgery;
- Gastric band removal and revision
- Sleeve gastrectomy revision
- Gastric bypass
METABOLIC AND BARIATRIC REVISION SURGERY RECOVERY PROCESS
The recovery period in revision surgeries is one day longer than the first surgery. This is due to changes in scar tissue and blood flow. The patient needs to stay in the hospital for 2 to 3 days to be followed up. The recovery process at home is the same as after the first surgery. Most patients recover at home within a few weeks on average and return to their normal lives.
METABOLIC AND BARIATRIC REVISION SURGERY PRICE RANGE
The price range of metabolic and bariatric revision surgery is also of interest. However, the price of the procedure varies according to the surgery to be performed, the general condition of the patient, the doctor's expertise and the hospital where the procedure will take place.
