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 weigh 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