“Weight loss (Bariatric) Surgery has significant health benefits such as reducing the risk of death from many causes. It is important to maintain a healthy lifestyle even after surgery”
Most patients who undergo bariatric surgery will successfully achieve long-lasting weight loss and improved health following a single weight loss surgery. However, in a small proportion of patients will require an additional bariatric procedure to convert their current operation to a different one to achieve their weight loss goals or treat a medical condition. This is otherwise known as Revisional Bariatric Surgery or Conversion Weight-loss Surgery.
Considering Revisional Weight loss surgery is a big decision as there are many more factors to take into account when compared to Non-Revisional Surgery. This is because revisional weight loss surgery is more complex and higher risk due to the scar tissue and unexpected findings from the initial operation. The overall weight loss is also harder to predict following revisional bariatric surgery. Often extensive preparation, assessment and planning is required to ensure revisional surgery is successful and as safe as possible. Some of this preparation may involve may include: Extended Assessment from our Dietician and Psychologist, CT scans, Endoscopy, Bloods Tests.
Reasons Why Revisional Bariatric Surgery is Performed
There are many reasons why some may have poor weight loss or regain weight following Bariatric Surgery. Many people often assume that the operation has failed when in fact this is not always the case. Performing a careful Surgical, Medical and Lifestyle assessment to determine the cause of the weight regain or poor weight is the most important step in managing this problem and determining if further Weight Loss surgery will be of benefit. Some causes include:
Diet & Lifestyle Choices: eg. Alcohol, Minimal Exercise, Energy/Soft Drinks, Grazing, and Fast Food
Medical Conditions: eg Hypothyroidism
Stress, Poor Sleep, and Psychiatric Illness
In some cases, the Initial Surgery may have failed right from the outset due to poor surgical technique or an incorrect operation choice.
In some cases, weight surgery can result in complications in some patients which require correction with revisional bariatric surgery. Some examples include:
Gastric Sleeve Surgery leading to reflux
Lap Gastric Band Surgery resulting in vomiting and food intolerance
Previous Laparoscopic Gastric Banding is the most common reason many patients seek Revisional Bariatric Surgery. Dr. Andrew Kiyingi and his team at Perth Bariatric Surgery offer comprehensive Lap Gastric Band Removal Surgery as already discussed. Many suitable patients will then choose to proceed with a revision to Sleeve Gastrectomy or Gastric Bypass. It is routine to wait for a minimum of 3 months between removing the band to proceeding with the Revisional Bariatric Surgery. This allows time for the stomach to heal from the damage the band has caused.
Cost of Revisional Bariatric Surgery
“During your consultation our Practice Manager will outline the cost involved for surgery and aftercare. Due to the complexity required for Revisional Bariatric Surgery, it may attract a higher fee.”
If you are Privately Insured, it is important to contact your private health insurer to check that your level of cover is adequate for the item numbers we have listed below. Generally, you will require top level or gold cover and should have completed the waiting period. Medicare cover only a small portion of the surgery fees.
If you are Uninsured, we are still happy to proceed with surgery. However, we will receive a separate additional quote from the hospital for your private hospital stay. Our practice manager will discuss this during your appointment.
Some patients choose to utilise early access of Superannuation funds. These may be privately insured patients who may use Superannuation to cover any fees or gaps not covered by their insurance, or uninsured patients who may use Superannuation to cover the full surgery programme amount. We are happy to support in this depending on your circumstances.