Who it is for
Revision surgery is technically demanding and has long been a particular focus of Dr. Siddiq’s practice.
Patients who have had a previous bariatric operation and are facing one of: (a) inadequate weight loss, (b) significant weight regain, (c) severe reflux after sleeve gastrectomy, (d) a mechanical complication (stricture, leak, band erosion), or (e) a change in clinical priorities over time.
Which revision procedure
The choice depends on the original operation and the new goal. Common examples: sleeve → Roux-en-Y bypass for severe reflux or additional weight loss; band removal → sleeve or bypass; Roux-en-Y → distal-limb revision for weight regain. Every revision plan is individual.
How the operation is performed
Laparoscopic whenever it can safely be done. Revision surgery is technically more demanding than first-time operations because of scar tissue from the previous surgery, which is why experience matters. Operating times are generally longer.
Recovery
Typically a 3–4 day hospital stay, with the same staged diet progression as primary bariatric operations. Expect recovery to be slightly slower than after a first operation.
Outcomes
Reflux resolution rates are very high when converting sleeve to Roux-en-Y for that indication. Further weight loss of 10–25% of excess weight, on average, after revision for weight regain. Outcomes always depend on the specific revision and on the patient’s long-term follow-through with diet and lifestyle.