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This is a very complex topic. There are many reasons for choosing to revise previous weight loss surgery. These can range from serious complications arising from the original surgery to unsatisfactory results with the original surgery. Each case is unique and and it is best to discuss your situation with our surgeons.
Gastric band
Port or tubing leakage or flipped port.
This can be easily corrected with replacement of port/ tubing or re-fixating the port on the abdominal muscle. This is usually performed as a day procedure.
Gastric band leakage
This is an uncommon problem. Once the leakage from band is confirmed on imaging test, the whole band needs to be replaced with key-hole surgery.
Slipped gastric band
This is a relatively uncommon problem but it usually happens months to years after gastric band surgery. Patients usually experience gradual difficulty in swallowing and heartburn or sudden vomiting and abdominal pain. This is potentially stomach-threatening and life-threatening condition. Once diagnosed, the gastric band will need to be emptied and possibly removed with key-hole surgery. In less severe circumstances, a new gastric band may be inserted at same surgery.
Inadequate weight loss or weight regain or band intolerance
The band has to be thoroughly investigated to ensure it is working optimally and strict band diet is followed.
Gastric band surgery can be converted to gastric sleeve or gastric bypass. The conversion surgery is effective but it carries higher peri-operative risks and it is complex. You should discuss your individual circumstances with our surgeons regarding options of surgery and details of surgery.
This is “outdated surgery” and not commonly performed nowadays.
Dehisced staple line
The staple line is broken down/open and renders the surgery ineffective
Stenosed stoma
The opening of the ‘stomach pouch’ becomes narrowed and results in difficulty in swallowing, severe heartburn and regurgitation.