Bariatric Revision Surgery – Dr. Bagshahi – Fort Worth, TX

More and more patients are having weight loss surgery every year and have decide to Stop living with obesity and get it treated! As the number of people with bariatric surgery increases, naturally there will be some patients that experience compilations such as:

  • Reflux
  • Vomiting, obstructive symptoms
  • Lap Band Slip
  • Chronic pouch or esophageal dilation
  • Gastro-gastric fistula

We offer a host of diagnostic services for the evaluation of complicated cases, along with treatment options to meet your special needs. Prior to performing a bariatric revision surgery, we will evaluate your pouch, esophagus and stoma size to rule out a hiatal hernia or device malfunction and perform an endoscopy. We will coordinate this service with the necessary healthcare professionals to provide a continuum of care.

Dr. Bagshahi Can Help You Achieve Your Weight Loss Goals

Revision surgery may be necessary for those who have not experienced satisfactory weight loss results. Individuals determined to experience weight loss success turn to Bagshahi and General Surgery in Fort Worth, TX to receive advanced, innovative treatments.

Dr. Bagshahi of Fort Worth, TX is well-experienced in all aspects of bariatric surgery for weight loss. He specializes in minimally invasive robotic surgery, duodenal switch procedures, gastric sleeve surgery, laparoscopic gastric bypass surgery, LapBand® surgery and care for individuals who have experienced issues with previous bariatric surgery.

Dr. Bagshahi will work with most insurance providers to help make gastric bypass revision surgery and other weight loss surgical alternatives an affordable option for patients. Contact Bagshahi Bariatric and General Surgery to schedule your consultation and address outstanding weight loss concerns today.

Dr. Bagshahi’s Bariatric Revisions

Dr. Bagshahi offers numerous bariatric revision surgery options. Find the one that is best for you.

  • Lap-Band®reposition or removal and replacement with or without hiatal hernia repair
  • Lap-Band revision to sleeve gastrectomy
  • Lap-Band revision to gastric bypass
  • Reversal of gastroplasty (stomach stapling) or gastric bypass
  • Removal of Molina Band
  • Revision or correction of complications

We also partner with area plastic surgeons to provide connections should you need additional services to remove excess skin as a next step in your weight loss journey

 What Is Weight Loss Revision Surgery?  

If you sought out weight loss surgery years — or decades — ago after being inspired by shocking before and after photos and glowing patient reviews, you may be disappointed if your own weight loss was less than inspiring. But if you had gastric bypass or gastric sleeve surgery the first time around, you may wonder whether enough of your digestive system remains to pursue other surgical weight loss options.

Fortunately, in many cases bariatric revision surgery may be able to correct the issues that went wrong with your original weight loss surgery. Read on to determine whether this is a viable path to the sustainable weight loss you’ve been seeking for years.

What is bariatric revision surgery?

This surgery is designed to help you maintain your weight loss long after the procedure by identifying the issues that prevented you from losing weight (or keeping it off long-term) after your original surgery. In some cases, the stomach can stretch after gastric sleeve surgery, allowing you to continue to consume larger than necessary portions.

In other cases, particularly after gastric bypass, you may have needed to resort to liquid nutritional supplements and shakes (many of which can be high in sugar) to avoid malnutrition. You may have also suffered unpleasant side effects like nausea, vomiting, and severe heartburn after eating or drinking certain items.

The type of bariatric revision surgery you’ll have largely depends upon the problems that have sent you seeking surgical repair. If you are dealing with a hiatal hernia caused by a lap-band procedure, your surgeon will make several small incisions to reposition or replace the lap-band or remove the lap-band entirely and perform a sleeve gastrectomy. If you’ve had a gastric bypass instead, the surgeon may reverse the bypass and add a lap-band or perform a sleeve gastrectomy.

Regardless of your type of revision surgery, you should end the process with a stomach that is smaller in capacity but allows you to absorb all the same nutrients you were able to absorb before, minimizing your risk of long-term side effects.

Revision Surgery Complications

If you are experiencing complications you may require re-operation. In order to achieve continued success from a previous weight loss procedure — such as bariatric revisional surgery — it is important to follow the dietary and exercise guidelines established for you by your physician.

For gastric bypass patients who experience a weight regain due to the enlargement of a gastric pouch or gastrojejunal anastamosis, we offer transoral outlet reduction. This is an endoscopic surgical suturing procedure performed using Apollo Overstitch™. Cleared by the FDA, Overstitch offers a reliable, minimally invasive approach to surgical suturing.

You should discuss your specific medical condition and the options available to you with your physician.

Are you a good candidate for weight loss revision surgery?

Although it boasts many success stories, not everyone is an ideal candidate for weight loss revision surgery. Unless you’re still far over your target weight or you’re suffering from chronic health issues related to your weight (like diabetes, COPD, heart disease, or even severe lower body joint problems), the risks of such a surgery may outweigh the potential benefits enough for your surgeon to be reluctant to put you under general anesthesia.

However, if you’re having complications from your original surgery or still have a significant amount of weight to lose, bariatric revision surgery may solve many of your issues while allowing you to reach and maintain your target weight.

What can I expect from weight loss surgery revision surgery?

If you’re seeking sustainable weight loss in the Fort Worth area, you’ll want to contact Bagshahi Bariatric and General Surgery. Recovering from weight loss surgery can be an uphill climb at times, and with the minimally invasive surgical techniques and continuum of care offered by these surgical professionals, you’ll be ensured a quick and supported recovery.

Bariatric Revision Surgeries

Gastric Bypass Revision  

You are not happy with your current weight. After undergoing gastric bypass surgery, you have either not achieved enough weight loss or have gained weight back after reaching your low weight.

In addition, some patients that have received gastric bypass surgery experience medical complications or internal issues that need to be addressed.  If you are someone who has undergone Gastric Bypass Surgery and have failed to achieve your weight loss goals while following exercise and dietary guidelines, your next step may be Gastric Bypass Revision.

Your doctor at Bagshahi Bariatrics & General Surgery can determine and address any Gastric Bypass problem. Learn more about Gastric Bypass Revision as a treatment option.

What Is Gastric Bypass Revision Surgery?

Gastric Bypass Revision is a type of bariatric surgery performed when patients have not experienced expected weight loss or have regained weight after receiving Gastric Bypass. Often, poor weight loss results are due to Gastric Bypass medical complications, patient metabolic issues or food consumption.

Some mechanical issues that result in failure of the initial Gastric Bypass surgery include:

  • Anastomotic dilation
  • Pouch dilation
  • Gastro-gastric fistula

Revision surgery is suggested when conservative treatment fails for medical issues such as:

  • Severe dumping syndrome
  • Stricture
  • Marginal ulcer

Dr. Bagshahi can determine the cause of your gastric bypass failure and recommend suitable treatment.

What Are Your Gastric Bypass Revision Surgery Options?

Patients can experience failure with gastric bypass surgery due to multiple factors. Based on a careful evaluation and testing, four options are available to patients under the umbrella of Gastric Bypass Revision Surgery. Selection of one of these options can decrease the size of the pouch or stoma. Gastric Bypass Revision Surgery choices are:

  • Sclerotherapy
  • LapBand® surgery
  • Roux limb lengthening
  • Duodenal switch conversion

Patients will have an initial evaluation prior to Gastric Bypass Revision surgery. Medical professionals will assess the pouch, stoma size and esophagus, and patients will undergo an endoscopy.

Bagshahi Bariatric and General Surgery in Fort Worth, TX coordinates continuum of care for patients with necessary healthcare professionals. Patients are expected to adhere to dietary and exercise guidelines for optimal results after gastric bypass revision.

Intragastric Balloon Revision

The intragastric balloon surgery offers an excellent, noninvasive weight loss solution that proves successful for many patients. When you have a gastric balloon placed in Fort Worth, Texas, the procedure takes 30 minutes and a balloon is placed in the stomach and filled with air or saline solution.

Since the balloon takes up much of the room in the stomach, it prevents overeating, helping individuals lose weight. Of course, for optimal weight loss results, a healthy diet and exercise are recommended, and many patients work with a dietician to ensure you’re eating a healthy diet that includes essential vitamins and minerals.

However, the balloon is not a long-term solution, and it has to be removed, so at some point an intragastric balloon revisionwill be required. Here’s a closer look at when the balloon is removed, the procedure, and your life after the gastric balloon revision procedure.

The Gastric Balloon Revision Procedure

Just like the placement of the balloons, the gastric balloon revision only takes about 30 minutes to complete, and the entire procedure is very similar to that of the balloon placement procedure. You will be sedated for this procedure to keep you calm and minimize any discomfort.

First, the saline or air will be removed from the balloon, and then the deflated balloon will be removed from the stomach. Before the revision procedure, you will need to avoid eating solid food for 24 hours and you will need to avoid drinking any liquids for 12 hours. It’s important to have someone to drive you home after the procedure, since you will be sedated.

Life After Intragastric Balloon Revision

After the intragastric balloon revision procedure is complete, the stomach will go back to normal, which is one of the benefits many patients appreciate about the gastric balloon. However, since your stomach does go back to normal, it is important to continue following up with your weight loss team so you maintain your weight loss and lose more weight if desired.

Without the balloons in place, it may be tempting to eat larger portions again, which can sabotage your weight loss efforts. Ongoing, lasting weight loss is still possible after the balloons are removed if you continue to eat the smaller portions of food you’ve gotten used to eating while the balloons were in your stomach.

It’s important to continue with healthy eating habits and a good exercise plan to continue losing weight or to keep off the weight you have already lost. If you require an intragastric balloon revision in Fort Worth, TX, call or visit our office today. We’re happy to help you on your journey to long-term weight loss.

When is the Balloon Removed?

The exact timing for a gastric balloon revision can vary, depending upon the type of balloon that is placed. A balloon may be left in place between 12 weeks and one year. However, if you begin having unwanted symptoms with the balloon in place, you may require an intragastric balloon revision sooner. After the placement of the balloons, it’s important to follow up with your physician for regular checkups to ensure your balloon is not causing any unwanted problems.

 Sleeve Gastrectomy Revision

Because of obesity and the health complications that often accompany being extremely overweight, vertical sleeve gastrectomy (VSG) has become an effective weight loss procedure for many patients. A sleeve gastrectomy is a procedure that removes a large section of the stomach.

The remainder of the stomach is then reshaped like a tube or a sleeve. This will normally produce a decreased amount of hunger and increased satiety, which will lead to weight loss. Some patients, however, will not lose an adequate amount of weight and a revision surgery may be necessary for additional weight loss to occur.

Many individuals in the Fort Worth, Texas area may be looking for information regarding gastric sleeve revision. The following discusses why a gastric sleeve revision may be needed, the options available, and the potential risks.

Reasons a Gastric Sleeve Revision May Be Needed

If the stomach stretches, and specifically if parts of the stomach have stretched in a disproportionate manner, the previous surgery may no longer be effective. This usually means an inadequate amount of weight has been lost and a revision will need to be made to correct the problem and facilitate weight loss.

Sometimes the anti-reflux barrier between the lower part of the esophagus and the stomach doesn’t function adequately after a gastric sleeve procedure. In this case gastric bypass is usually considered the best option for the revision procedure.

Another reason revision may be needed is when complications occur. A few complications that could require revision include fistulas, strictures, and malnutrition.

Options Available for a Gastric Sleeve Revision

Revision surgery is usually performed laparoscopically. This involves making tiny incisions instead of larger incisions and openings. The surgical options for revision after a gastric sleeve is no longer effective include the following.

A second sleeve procedure can be performed to remove any excess volume and again re-shrink the gastric area. This procedure is performed in a way that is similar to the first one and is called a re-sleeve.

Another option includes revising the sleeve to a duodenal switch or a gastric bypass. It should be noted that both the duodenal switch and the gastric bypass have more extensive dietary restrictions.

 Risks Involved With Gastric Sleeve Revision

There are risks when operating on an area that has previously been manipulated or scarred. There are a few important risks that would need to be evaluated before having the surgery.

There is the potential for leakage from the revision surgery.

There may also be a longer recovery time and a longer stay in the hospital for the patient.

Sleeve Gastrectomy Revision in Fort Worth, Texas

It’s important to find the best physician with the expertise and experience to guide an individual through the steps of sleeve gastrectomy revision. Dr. Hossein Bagshahi has experience performing a variety of bariatric surgical procedures and is certified by the American Board of Surgery.

When seeking treatment at Bagshahi Bariatric and General Surgery, Dr. Bagshahi will develop a personalized plan for each patient to ensure the best results possible. For more information regarding sleeve gastrectomy revision in the Fort Worth, Texas area contact

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