Gastric Revisional Surgery
What is gastric revisional surgery?
After bariatric surgery, there can be cases of weight regain or insufficient weight loss. Gastric revisional surgery can correct prior weight loss surgery and help you achieve weight loss targets by adding more restriction or malabsorption. There are two potential procedures to consider.
When is Gastric Revisional Surgery Required?
Gastric revisional surgery is only used to correct previous weight loss surgery.
In some circumstances, patients opt to have their adjustable gastric band changed to a full gastric bypass.
We often perform revisional history on patients who opted for cheaper surgeries abroad, but now lack the aftercare needed to heal properly and see real weight loss results.
Benefits of gastric revisional surgery include:
Is Gastric Revisional Surgery Right for Me?
If you have had weight loss surgery in the past, but haven’t achieved your goals or are experiencing complications, revision surgery might be the right option for you.
At Tonic Weight Loss Surgery, we understand and cater to individual patient needs. We aim to support, guide and help you determine which type of revision surgery is best for you.
How revisional surgery works
When revising a surgery, there are two options to consider: a gastric bypass or a gastric sleeve.
A conversion of an adjustable gastric band to a gastric bypass can take place in one procedure.
It is critical that revisional surgery is carried out within highly experienced centres, such as Tonic Weight Loss Surgery, as there is almost double the risk of major complications than with first-time bariatric surgery.
The whole team at Tonic will be in touch before and after surgery to advise about appropriate preparations and aftercare.
Patients will often need to go on a liver-shrinking diet (800 calories a day), for around two weeks before surgery. After the operation, patients will be advised to go on a specialist diet to help with the healing process. This involves a liquid diet for two weeks, a puréed diet for one to two weeks and soft, easy-to-chew foods for one to two weeks.
How revisional surgery works
When revising a surgery, there are two options to consider: a gastric bypass or a gastric sleeve.
A conversion of an adjustable gastric band to a gastric bypass can take place in one procedure.
It is critical that revisional surgery is carried out within highly experienced centres, such as Tonic Weight Loss Surgery, as there is almost double the risk of major complications than with first-time bariatric surgery.
The whole team at Tonic will be in touch before and after surgery to advise about appropriate preparations and aftercare.
Patients will often need to go on a liver-shrinking diet (800 calories a day), for around two weeks before surgery. After the operation, patients will be advised to go on a specialist diet to help with the healing process. This involves a liquid diet for two weeks, a puréed diet for one to two weeks and soft, easy-to-chew foods for one to two weeks.
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Disclaimer
As with any surgical procedure, there are possible risks and complications, including bruising, pain & swelling, reaction to anaesthetic, excessive bleeding, infection, gallstones, deep venous thrombosis (DVT), pulmonary embolism (clot to the lung), internal small bowel hernia, intolerance to certain foods, gastroesophageal reflux disease (GERD), nutritional deficiencies, vomiting, nausea, diarrhoea and death. These are uncommon and we will do everything possible to prevent them from happening.
Occasionally, patients may require an additional corrective procedure after the initial surgery and some patients might fail to lose a significant amount of weight. 10% of patients regain weight within five to ten years as the pouch dilates, hunger returns and malabsorption fades. 40% of patients may require plastic surgery procedures after weight loss has levelled off, to treat loose skin.
Approximately one in six patients may develop symptomatic gallstones after weight loss, which would require a laparoscopic cholecystectomy.
Please speak to your Tonic surgeon to discuss the risks in more detail and any concerns you may have.
Read more >The UK’s Best Rated Weight Loss Surgery Company
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Which Weight Loss Surgery is Right for You?
We offer a wide variety of weight loss surgeries; we’ll never recommend a surgery unless it’s 100% right for you.
Compare our available surgeries here:
|
Gastric Bypass
|
Allurion Pill Balloon
|
Gastric Band
|
Mini Gastric Bypass
|
Gastric Sleeve
|
Gastric Revisional Surgery
|
|
|---|---|---|---|---|---|---|
|
Average recovery time after surgery
|
10-14 Days
|
2-3 Days
|
5-7 Days
|
10-14 Days
|
7 days
|
7 days
|
|
Surgery procedure time (in minutes)
|
60 mins
|
0 mins
|
45 mins
|
70 mins
|
60 mins
|
70 mins
|
|
Estimated weight loss
|
60 - 70% Excess Weight Loss
|
20% Excess Weight Loss
|
50 - 70% Excess Weight Loss
|
60 - 70% Excess Weight Loss
|
70–75% of their excess weight
|
25-50% of total body weight
|
|
Tonic premium aftercare
|
Included |
Included |
Included |
Included |
Included |
Included |
|
Scarring?
|
5 x Small (12mm) abdominal incisions across the middle and upper abdomen
|
No
|
5 x Small (12mm) abdominal incisions across the middle and upper abdomen
|
5 x Small (12mm) abdominal incisions across the middle and upper abdomen
|
5 small abdominal scars
|
5 small abdominal scars
|
| Read more | Read more | Read more | Read more | Read more | Read more |
Disclaimer for all Weight Loss and Bariatric Procedures
Weight loss surgery results may vary: causes for being overweight or obese vary from person to person.
Our Premium Aftercare Promise
No Other Provider Offers Aftercare Like Tonic
We pride ourselves in providing the most comprehensive support package around you after your procedure.
Weight loss surgery is a tool to help you lose weight. Our aftercare team is composed of nurses, psychotherapists, personal trainers, bariatric surgeons and other weight loss specialists. It’s our job to ensure your weight loss journey goes as smoothly as possible.
You will not get 5 years of aftercare included with your surgery anywhere else.
Full aftercare breakdownUnlimited Dietician Appointments for 2 years
Unlimited Psychotherapist Appointments for 2 years
Unlimited Support with Virtual Fitness Coach for 2 Years
Unlimited Bariatric Nurse Support for 2 years
5 Years Surgeon Follow Up
The Gym Group 30-day Membership
The Tonic Tool Kit
Tonics Private Social Media community support
Out Of Hours Support Line
Our Clinic Locations
Private Weight Loss Surgery Clinics and Bariatric Surgery Specialists Located Across the UK
Wherever you are in the UK, we have weight loss specialists year you.
Are there any weight loss surgery clinics near me?
Make an Appointment
Gastric Revisional Surgery – Specialist Support When Further Intervention Is Needed
For some patients, weight loss surgery does not always lead to the long-term outcome they were hoping for. You may have initially seen progress, only for results to slow over time, or you may be experiencing symptoms that are affecting your day-to-day life. In these situations, it can be difficult to understand what has changed or what your next step should be.
Revisional surgery is designed to address this stage of the journey. It focuses on understanding why your original procedure is no longer delivering the expected results, and identifying what can be done to improve your outcome moving forward.
It is important to recognise that this is not about starting again. Weight loss surgery is a long-term process, and it is not uncommon for adjustments to be needed along the way. The aim is to build on what has already been done, using a more tailored approach to support better long-term results.
At Tonic Weight Loss Surgery, this begins with a detailed review of your situation. Rather than applying a standard solution, time is taken to understand your surgical history, current challenges and overall health. This allows any recommendation to be based on clear clinical insight, supported by ongoing care that extends beyond the procedure itself.
As part of this, patients have access to a structured 5-year aftercare programme, including two years of one-to-one support from a psychotherapist, dietitian, nurse and fitness professional. This ensures that both the physical and behavioural factors influencing your results are addressed as part of a longer-term plan.
If you would like to talk through your situation or understand whether revisional surgery could help, our team is here to listen and guide you.
This is an opportunity to discuss what you have experienced so far, explore possible next steps and gain a clearer understanding of what may be appropriate for you.
There is no pressure to proceed, just the chance to receive straightforward, personalised advice based on your individual circumstances.
Tel: 0300 124 5520
Email: [email protected]
What Is Gastric Revisional Surgery?
Gastric revisional surgery involves carrying out a second procedure following a previous weight loss operation. The aim is to improve results, address complications or adapt the original surgery so it better supports your long-term health and weight management goals.
This may involve converting one type of procedure into another, refining an existing operation or correcting a specific issue that is affecting your progress. The exact approach depends on your previous surgery, your current health and the challenges you are experiencing.
Because each case is different, there is no single solution that applies to everyone. A thorough assessment is essential to ensure that any recommendation is appropriate and aligned with your individual needs.
Why Revisional Surgery May Be Needed
There are several reasons why revisional surgery may be considered, and in many cases it is a combination of factors rather than a single issue.
One of the most common reasons is weight regain after an initial period of success. Over time, the body can adapt, and changes in eating patterns or lifestyle can also influence long-term results. In other cases, patients may not have achieved the level of weight loss they expected following their original procedure.
Physical symptoms can also play a role. Some patients experience ongoing issues such as reflux following gastric sleeve surgery, or discomfort and intolerance associated with gastric band procedures. These can have a significant impact on quality of life and may indicate that further intervention is needed.
Understanding the underlying cause is an important part of the process. Rather than focusing solely on the outcome, the aim is to identify what has changed and determine the most appropriate way to move forward.
Common Situations We See
Revisional surgery is often considered in specific situations where a previous procedure is no longer working as intended.
These may include:
- Gastric sleeve surgery followed by persistent reflux or reduced effectiveness
- Gastric band complications, such as discomfort, intolerance or band movement
- Limited weight loss or weight regain after an initial procedure
- Previous surgery that no longer aligns with your current health needs
Each of these scenarios requires a slightly different approach. Understanding the detail behind your individual experience allows a more tailored recommendation to be made, rather than applying a one-size-fits-all solution.
Types of Revisional Procedures
Revisional surgery can take a number of different forms, depending on your previous procedure and what needs to be addressed.
In many cases, this involves converting one type of surgery into another. For example, a gastric band or gastric sleeve may be converted into a gastric bypass or mini gastric bypass, particularly where a different approach may offer more effective long-term results.
In other situations, the focus may be on refining or correcting an existing procedure to improve how it functions.
The goal is always to find an approach that supports better outcomes while taking into account your individual circumstances. Clear explanation and guidance are provided so you understand what each option involves before making a decision.
Who Is Gastric Revisional Surgery Suitable For?
Gastric revisional surgery may be suitable for patients who have previously undergone weight loss surgery and are experiencing ongoing challenges, whether related to weight loss results or physical symptoms.
It may be considered if your progress has changed over time, if your original procedure has not delivered the expected outcome, or if you are dealing with complications that are affecting your quality of life.
However, further surgery is not always the only option. In some cases, additional support around nutrition, behaviour or aftercare may be enough to help you move forward without another procedure.
A detailed assessment helps determine the most appropriate next step, ensuring that any decision is based on a full understanding of your situation rather than assumptions.
A Detailed, Assessment-Led Approach
Revisional surgery requires a different level of planning compared to primary weight loss procedures. Because it builds on an existing operation, each case needs to be assessed in detail before any recommendation is made.
At Tonic Weight Loss Surgery, this process begins with a thorough review of your previous procedure, your current health and the challenges you have experienced since surgery. The aim is to understand not just what has changed, but why.
This may involve reviewing medical history, discussing your weight loss journey and, where appropriate, carrying out further investigations. By building a clear picture of your situation, it becomes possible to identify the most appropriate next step and avoid unnecessary or unsuitable interventions.
How Your Case Is Evaluated
Every revisional case is different, which is why a structured evaluation is essential.
This typically includes:
- A detailed discussion of your previous surgery and outcomes
- Assessment of current symptoms or challenges
- Review of lifestyle factors that may be influencing progress
- Further investigations where needed to understand how your body has adapted
This level of assessment helps ensure that decisions are based on evidence rather than assumptions. It also allows different options to be explored, including whether further surgery is the most appropriate route or whether alternative support may be effective.
Long-Term Support and Aftercare
Following revisional surgery, ongoing support plays a particularly important role in helping you achieve and maintain results. Because this is a second intervention, there is often a greater need for structured follow-up and guidance.
At Tonic Weight Loss Surgery, aftercare is integrated into the process from the beginning. Patients have access to a structured 5-year aftercare programme, designed to provide consistent support as your needs evolve.
During the first two years, this includes one-to-one input from a psychotherapist, dietitian, nurse and fitness professional. This allows you to address both the physical and behavioural aspects of weight loss, helping you respond to challenges and build sustainable habits.
Beyond this, continued follow-up ensures that support remains available as you move forward. This level of structured aftercare is not widely offered and can make a significant difference to long-term outcomes, particularly following revisional procedures.
Why Patients Choose Tonic for Revisional Surgery
When considering revisional surgery, experience and expertise are often the most important factors.
Tonic Weight Loss Surgery is chosen by patients who are looking for a more specialist-led approach, particularly when their previous experience has not delivered the results they were hoping for.
What distinguishes this approach is the focus on understanding each case in detail before making any recommendation. Rather than applying a standard solution, care is tailored to your individual circumstances, supported by ongoing input from a multidisciplinary team.
This combination of clinical expertise, detailed assessment and long-term support provides reassurance that your treatment is being managed carefully and with a clear focus on achieving better outcomes.
Recovery After Gastric Revisional Surgery
Recovery following revisional surgery will depend on the type of procedure carried out, but it often follows a similar structure to your initial surgery.
Most patients can expect a short hospital stay, followed by a gradual return to normal activities. However, because this is a second procedure, recovery can sometimes take longer and may require closer monitoring.
Your diet will progress in stages, allowing your body time to heal and adjust safely. Ongoing support during this period helps ensure that you feel informed and confident as you move through recovery.
Risks and Considerations
Gastric revisional surgery is generally more complex than primary weight loss surgery, and it is important to understand the potential risks involved.
These can include complications such as infection or bleeding, as well as factors related to previous surgical changes, including scar tissue or anatomical differences.
Because each case is unique, the level of risk will depend on your individual circumstances and the type of revision being performed. This is why careful assessment and planning are essential before any decision is made.
Clear, balanced information is provided throughout the process so you can make a decision with a realistic understanding of both the benefits and the considerations involved.
Revisional Surgery vs Primary Weight Loss Surgery
Revisional surgery differs from primary weight loss procedures in that it builds on an existing operation. This means the approach is often more tailored and requires careful planning to take into account previous surgical changes.
While the overall goal remains the same, supporting weight loss and improving health, the pathway to achieving this is often more individual. Revisional surgery focuses on identifying what has changed and adapting your treatment accordingly, rather than starting from the beginning.
Understanding these differences can help you set realistic expectations and feel more prepared for the next stage of your journey.
Book a Gastric Revisional Surgery Consultation
If you are considering gastric revisional surgery in the UK, the first step is to speak with a specialist team who can assess your situation and guide you through your options.
A consultation gives you the opportunity to discuss your concerns, understand what may be possible and explore the most appropriate next steps in a supportive environment.
At Tonic Weight Loss Surgery, consultations are designed to provide clear, personalised advice based on your individual needs. There is no pressure to proceed, only the opportunity to gain clarity and feel confident about your next step.
If you would like to explore your options or simply talk things through, our team is here to support you with experience, understanding and ongoing care.
Tel: 0300 124 5520
Email: [email protected]
If you would like to talk through your situation or understand whether revisional surgery could help, our team is here to listen and guide you.
This is an opportunity to discuss what you have experienced so far, explore possible next steps and gain a clearer understanding of what may be appropriate for you.
There is no pressure to proceed, just the chance to receive straightforward, personalised advice based on your individual circumstances.
Tel: 0300 124 5520
Email: [email protected]
What Is Gastric Revisional Surgery?
Gastric revisional surgery involves carrying out a second procedure following a previous weight loss operation. The aim is to improve results, address complications or adapt the original surgery so it better supports your long-term health and weight management goals.
This may involve converting one type of procedure into another, refining an existing operation or correcting a specific issue that is affecting your progress. The exact approach depends on your previous surgery, your current health and the challenges you are experiencing.
Because each case is different, there is no single solution that applies to everyone. A thorough assessment is essential to ensure that any recommendation is appropriate and aligned with your individual needs.
Why Revisional Surgery May Be Needed
There are several reasons why revisional surgery may be considered, and in many cases it is a combination of factors rather than a single issue.
One of the most common reasons is weight regain after an initial period of success. Over time, the body can adapt, and changes in eating patterns or lifestyle can also influence long-term results. In other cases, patients may not have achieved the level of weight loss they expected following their original procedure.
Physical symptoms can also play a role. Some patients experience ongoing issues such as reflux following gastric sleeve surgery, or discomfort and intolerance associated with gastric band procedures. These can have a significant impact on quality of life and may indicate that further intervention is needed.
Understanding the underlying cause is an important part of the process. Rather than focusing solely on the outcome, the aim is to identify what has changed and determine the most appropriate way to move forward.
Common Situations We See
Revisional surgery is often considered in specific situations where a previous procedure is no longer working as intended.
These may include:
- Gastric sleeve surgery followed by persistent reflux or reduced effectiveness
- Gastric band complications, such as discomfort, intolerance or band movement
- Limited weight loss or weight regain after an initial procedure
- Previous surgery that no longer aligns with your current health needs
Each of these scenarios requires a slightly different approach. Understanding the detail behind your individual experience allows a more tailored recommendation to be made, rather than applying a one-size-fits-all solution.
Types of Revisional Procedures
Revisional surgery can take a number of different forms, depending on your previous procedure and what needs to be addressed.
In many cases, this involves converting one type of surgery into another. For example, a gastric band or gastric sleeve may be converted into a gastric bypass or mini gastric bypass, particularly where a different approach may offer more effective long-term results.
In other situations, the focus may be on refining or correcting an existing procedure to improve how it functions.
The goal is always to find an approach that supports better outcomes while taking into account your individual circumstances. Clear explanation and guidance are provided so you understand what each option involves before making a decision.
Who Is Gastric Revisional Surgery Suitable For?
Gastric revisional surgery may be suitable for patients who have previously undergone weight loss surgery and are experiencing ongoing challenges, whether related to weight loss results or physical symptoms.
It may be considered if your progress has changed over time, if your original procedure has not delivered the expected outcome, or if you are dealing with complications that are affecting your quality of life.
However, further surgery is not always the only option. In some cases, additional support around nutrition, behaviour or aftercare may be enough to help you move forward without another procedure.
A detailed assessment helps determine the most appropriate next step, ensuring that any decision is based on a full understanding of your situation rather than assumptions.
A Detailed, Assessment-Led Approach
Revisional surgery requires a different level of planning compared to primary weight loss procedures. Because it builds on an existing operation, each case needs to be assessed in detail before any recommendation is made.
At Tonic Weight Loss Surgery, this process begins with a thorough review of your previous procedure, your current health and the challenges you have experienced since surgery. The aim is to understand not just what has changed, but why.
This may involve reviewing medical history, discussing your weight loss journey and, where appropriate, carrying out further investigations. By building a clear picture of your situation, it becomes possible to identify the most appropriate next step and avoid unnecessary or unsuitable interventions.
How Your Case Is Evaluated
Every revisional case is different, which is why a structured evaluation is essential.
This typically includes:
- A detailed discussion of your previous surgery and outcomes
- Assessment of current symptoms or challenges
- Review of lifestyle factors that may be influencing progress
- Further investigations where needed to understand how your body has adapted
This level of assessment helps ensure that decisions are based on evidence rather than assumptions. It also allows different options to be explored, including whether further surgery is the most appropriate route or whether alternative support may be effective.
Long-Term Support and Aftercare
Following revisional surgery, ongoing support plays a particularly important role in helping you achieve and maintain results. Because this is a second intervention, there is often a greater need for structured follow-up and guidance.
At Tonic Weight Loss Surgery, aftercare is integrated into the process from the beginning. Patients have access to a structured 5-year aftercare programme, designed to provide consistent support as your needs evolve.
During the first two years, this includes one-to-one input from a psychotherapist, dietitian, nurse and fitness professional. This allows you to address both the physical and behavioural aspects of weight loss, helping you respond to challenges and build sustainable habits.
Beyond this, continued follow-up ensures that support remains available as you move forward. This level of structured aftercare is not widely offered and can make a significant difference to long-term outcomes, particularly following revisional procedures.
Why Patients Choose Tonic for Revisional Surgery
When considering revisional surgery, experience and expertise are often the most important factors.
Tonic Weight Loss Surgery is chosen by patients who are looking for a more specialist-led approach, particularly when their previous experience has not delivered the results they were hoping for.
What distinguishes this approach is the focus on understanding each case in detail before making any recommendation. Rather than applying a standard solution, care is tailored to your individual circumstances, supported by ongoing input from a multidisciplinary team.
This combination of clinical expertise, detailed assessment and long-term support provides reassurance that your treatment is being managed carefully and with a clear focus on achieving better outcomes.
Recovery After Gastric Revisional Surgery
Recovery following revisional surgery will depend on the type of procedure carried out, but it often follows a similar structure to your initial surgery.
Most patients can expect a short hospital stay, followed by a gradual return to normal activities. However, because this is a second procedure, recovery can sometimes take longer and may require closer monitoring.
Your diet will progress in stages, allowing your body time to heal and adjust safely. Ongoing support during this period helps ensure that you feel informed and confident as you move through recovery.
Risks and Considerations
Gastric revisional surgery is generally more complex than primary weight loss surgery, and it is important to understand the potential risks involved.
These can include complications such as infection or bleeding, as well as factors related to previous surgical changes, including scar tissue or anatomical differences.
Because each case is unique, the level of risk will depend on your individual circumstances and the type of revision being performed. This is why careful assessment and planning are essential before any decision is made.
Clear, balanced information is provided throughout the process so you can make a decision with a realistic understanding of both the benefits and the considerations involved.
Revisional Surgery vs Primary Weight Loss Surgery
Revisional surgery differs from primary weight loss procedures in that it builds on an existing operation. This means the approach is often more tailored and requires careful planning to take into account previous surgical changes.
While the overall goal remains the same, supporting weight loss and improving health, the pathway to achieving this is often more individual. Revisional surgery focuses on identifying what has changed and adapting your treatment accordingly, rather than starting from the beginning.
Understanding these differences can help you set realistic expectations and feel more prepared for the next stage of your journey.
Book a Gastric Revisional Surgery Consultation
If you are considering gastric revisional surgery in the UK, the first step is to speak with a specialist team who can assess your situation and guide you through your options.
A consultation gives you the opportunity to discuss your concerns, understand what may be possible and explore the most appropriate next steps in a supportive environment.
At Tonic Weight Loss Surgery, consultations are designed to provide clear, personalised advice based on your individual needs. There is no pressure to proceed, only the opportunity to gain clarity and feel confident about your next step.
If you would like to explore your options or simply talk things through, our team is here to support you with experience, understanding and ongoing care.
Tel: 0300 124 5520
Email: [email protected]