Revisional Bariatric Surgery
Left to right: Gurdeep S. Matharoo, M.D., Frank J. Borao, M.D., Steven J. Binenbaum, M.D.
For many patients, weight loss surgery provides long term weight loss with improvement of health and quality of life issues. However, for some patients, the surgery does not always provide the desired outcome resulting from one or more of the following:
- Medical complications from surgery
- Insufficient weight loss
- Weight regain after achieving weight loss goals
- Unsuccessful resolution of co-morbid conditions such as high blood pressure or diabetes
The need for revisional surgery should be based on the suspected cause. Preoperative evaluations and anatomic studies are essential to determine the cause of the weight gain, before surgery can be considered.
Some examples of information/testing that may be needed are:
- Review of the previous operative notes – this is crucial information for the bariatric surgeon who may be performing your revisional surgery
- Dietary diaries of eating habits
- Upper endoscopy
- Upper GI testing
Revisional Foregut Surgery
This book is divided into 3 parts, each containing chapters that cover commonly encountered clinical scenarios of reoperative surgery. These parts include revisional bariatric surgery, reoperation for complications of bariatric surgery, and revisional anti-reflux and gastric procedures. The information covered discusses existing literature and best-practices in patient care, with a focus on operative technique, pitfalls, and post-operative complications. The aim of this book is to provide the reader with information on how to successfully manage a patient requiring reoperation. Chapters also highlight the difference in patient outcomes when the procedures are completed in a minimally invasive approach rather than an open approach.
Revisional Foregut Surgery serves as a valuable resource for medical students, surgical residents, fellows, and attending surgeons seeking advice and guidance on reoperative upper gastrointestinal surgery and their related complications.
