How do bariatric surgeries work

Secondary bariatric surgery

A single intervention is not always enough to achieve the desired therapeutic goal. Certain courses of therapy may make it necessary to carry out another surgical procedure. This need can occur soon after the first procedure or years afterwards. We want to inform you here about this important topic.

Secondary bariatric operations are necessary in a good 20% of all operated patients in the long term. On the one hand due to possible complications (revision interventions), which can occur in the long term after bariatric operations, but on the other hand also due to the fact that patients after primarily bariatric operations gain substantial weight again in a good 10% - 15% of cases (redo interventions). In these cases, another bariatric operation can be useful to stop weight gain or to reduce weight again

Revision surgery

So-called revision interventions are operations whose purpose is to restore the weight-reducing function of a surgical technique.

Redo interventions

A so-called conversion operation (“redo” for short) is called a process change and is considered in the event of insufficient weight loss. As a rule, it is a change from a purely restrictive procedure (e.g. gastric banding, sleeve stomach) to a restrictive-malabsorptive combination procedure (e.g. gastric bypass, omega-loop bypass, BPD).

We have specialized in redo and revision operations and offer a wide variety of operative redo techniques:
  • Reduction of the proximal gastric pouch after gastric bypass surgery
  • (Sleeve) Narrowing of the gastroenterostomy after gastric bypass surgery
  • Distalization of the foot point anastomosis after gastric bypass surgery
  • Proximalization of the foot point anastomosis after gastric bypass surgery
  • Gastric band or ring implantation around the gastric pouch after gastric bypass surgery
  • Conversion of the sleeve into a gastric bypass
  • Re-sleeve after primary gastric sleeve operation.
  • Removal of gastric bands and repositioning
  • Conversion of gastric band surgery into gastric bypass surgery or gastric sleeve surgery
  • Conversion of an OMEGA gastric bypass into a Y gastric bypass
  • Reoperations for chronic ulcer disease (gastric ulcer) and gastro-enterostomy
  • Closure and control of the meso gaps in the condition after gastric bypass surgery in chronic abdominal pain.
  • New installation of the foot point anastomosis after gastric bypass surgery for chronic abdominal pain
  • In rare cases, there is an indication to reverse gastric bypass; here, too, we have the appropriate surgical experience.