revisional surgery
Secondary bariatric procedures performed to address complications, inadequate weight loss, or weight regain from previous operations.
Full Definition
Revisional bariatric surgery encompasses any secondary procedure performed to modify, correct, or replace a previous weight loss operation. Indications include inadequate weight loss, significant weight regain, mechanical complications, and severe adverse effects from the original procedure. Common revisions include band to sleeve conversion, sleeve to bypass conversion, and pouch or anastomotic revisions. Revisional procedures carry higher operative risks than primary surgeries due to adhesions, altered anatomy, and patient comorbidities. Success rates vary depending on the type of revision and underlying indication for the procedure.
Usage
Usage note: Specify type of revision and indication in clinical documentation.
In Context
- "The patient's inadequate weight loss following adjustable gastric band necessitated revisional surgery to Roux-en-Y gastric bypass." — surgical consultation
- "Revisional surgery carries increased operative risks due to intra-abdominal adhesions from the previous laparoscopic procedure." — informed consent document