Revisional Bariatric Surgery in Turkey
Revisional Bariatric Surgery: A Comprehensive Guide
Revisional bariatric surgery refers to a secondary surgical procedure performed on patients who have previously undergone a bariatric surgery but have either experienced complications or have not achieved the desired weight loss results. Bariatric surgeries such as gastric bypass, sleeve gastrectomy, and adjustable gastric banding have proven effective for many people struggling with morbid obesity. However, like any medical procedure, these surgeries are not without risks and may not always lead to successful, long-term weight management for every patient.
What is Revisional Bariatric Surgery?
Revisional bariatric surgery is a procedure aimed at modifying, correcting, or reversing a previous bariatric surgery. It is typically recommended when the initial surgery did not yield the expected results or when a patient encounters complications that impact their health or quality of life. The goal of revisional surgery is to address issues related to weight regain, insufficient weight loss, or adverse effects from the original procedure.
Reasons for Revisional Bariatric Surgery in Turkey / Antalya
Several reasons might necessitate a revisional bariatric surgery:
Inadequate Weight Loss: Some patients may not lose a significant amount of weight or may regain the weight after their initial surgery. This could be due to various factors, including poor adherence to dietary guidelines, metabolic adaptations, or technical issues with the surgery.
Weight Regain: Despite initially successful weight loss, some patients experience weight regain due to factors such as lifestyle changes, hormonal adaptations, or anatomical changes in the digestive system post-surgery.
Complications from Initial Surgery: Complications can arise from the first bariatric surgery, such as malnutrition, vitamin deficiencies, chronic nausea, or severe reflux. Other complications might include gastric pouch enlargement, anastomotic leaks, or bowel obstructions.
Changes in Health Status: New medical conditions or changes in existing conditions may necessitate revisional surgery. For example, a patient who develops severe gastroesophageal reflux disease (GERD) after a sleeve gastrectomy might require a revision to a different procedure.
Anatomical Issues: Over time, changes in the anatomy of the digestive system, such as a stretched gastric pouch or dilated gastrojejunal anastomosis, may lead to reduced effectiveness of the original bariatric surgery, prompting the need for revision.
Types of Revisional Bariatric Surgery Procedures in Turkey
There are several different types of revisional bariatric surgeries, each tailored to address specific issues arising from the initial surgery:
Conversion Procedures: These involve changing one type of bariatric surgery to another. For example, a patient with a failed gastric band might undergo a conversion to a gastric bypass or sleeve gastrectomy.
Correction Procedures: These are performed to correct complications or anatomical issues resulting from the initial surgery. For example, revising a gastric bypass to tighten a stretched gastric pouch or anastomosis.
Reversal Procedures: In rare cases, a patient may need their initial bariatric procedure reversed due to severe complications or intolerance to the surgery. This involves restoring the stomach and digestive tract to as close to its original state as possible.
StomaphyX Procedure: This is a less invasive revisional surgery where a device called StomaphyX is used to reduce the size of an enlarged gastric pouch or stoma in a gastric bypass patient. It is performed endoscopically, without the need for external incisions.
Sclerotherapy: This endoscopic procedure involves injecting a sclerosing agent into the tissue around an enlarged stoma or gastric pouch to promote scar tissue formation, effectively reducing the size of the opening and helping with weight loss.
Band-to-Sleeve or Band-to-Bypass Conversions: These are revisional surgeries performed for patients who had an adjustable gastric band but experienced complications or insufficient weight loss. The band is removed, and a sleeve gastrectomy or gastric bypass is performed instead.
Common Revisional Surgeries by Original Procedure
The type of revisional surgery performed often depends on the original bariatric procedure. Here are some common scenarios:
Revisional Bariatric Surgery Cost in Turkey / Antalya
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