This procedure is done to address changes in the stomach that have taken place after a previous bariatric surgical procedure. For some patients, the original surgery did not have ideal results. In fact, many patients come in to have revisional surgery for procedures done in practices around the nation. For other patients, the original surgery was a success but the patient regained weight for a period of time after the surgery and the stomach regained some or most of its original volume.
In order to determine if a patient is a good candidate for pouch revision surgery, the bariatric specialist will need to gather a significant amount of data and information. It is important to know where the initial operation was performed, as well as how long in the past the procedure was completed. Understanding how the patient went through the postoperative period is also important, as well as gaining insight into any complications that resulted from the initial procedure. In order to be a good candidate for pouch revision surgery, the patient should have played an active role in his or her weight loss, including making proper diet and exercise adjustments.
There is no cut-and-dried answer to this question, as each patient has a unique set of strengths and challenges. In general, however, those patients who failed to reach their goals because their stomach pouch was too large after their first procedure have a good chance of reaching their goals after a pouch revision surgery. For those patients who did not lose the desired amount of weight due to personal choices, making the commitment to have revision surgery is indicative of a renewed dedication to reaching their weight loss goals.