New Jersey Bariatric Center
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Revision Surgery

Get a second chance at long-term, sustainable weight loss.
Obesity is a disease that weight loss surgery doesn’t cure.

For patients who have gained the weight back or who were not able to lose the amount of weight they wanted after bariatric surgery, New Jersey Bariatric Center® offers options for a second chance at sustainable weight loss.
Click here to register for the Revision Surgery webinar.
April 16th, 6pm
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Revision Surgery Options
Gabrielle lost 78 lbs with gastric sleeve to gastric bypass revision.*
In some patients, the gastric band (LAP-BAND®) may fail to provide adequate weight loss and the patient may be considered for band removal and revision surgery to the gastric sleeve.

After the band’s removal, the surgeon then removes a portion of the stomach and narrows the remaining part to the size of a banana or a vertical “sleeve,” limiting food intake and reducing overall hunger. The procedure also causes the secretion of fewer hunger hormones – grehlins – resulting in less overall hunger leading to weight loss. Visit the Gastric Sleeve page to learn more about gastric sleeve surgery.
After the removal of the band, the surgeon creates a small pouch at the top of the stomach, stapling it off from the rest of your stomach. Then, the surgeon cuts the small intestine and sews part of it directly to the new pouch. This limits food intake as well as decreases the secretion of the hunger hormones – gremlins – and the amount of calories absorbed by the body. This dual approach – the restrictive [restricting the amount of food) and malabsorption (reduces the amount of calories absorbed) – leads to weight loss. To learn more, visit the Gastric Bypass page.
When revising the gastric sleeve to a gastric bypass, the surgeon first shortens the sleeve to create a gastric pouch, then reroutes the small intestine to the bottom of the pouch. A smaller stomach – the gastric pouch – leads to decreased calorie absorption, a more limited food intake and a continued lowering of hunger hormones secreted.
The gastric bypass revision surgery involves making the gastric pouch a smaller size as well as narrowing the connection between the pouch and the small intestine. This leads to further limiting food intake. Because this procedure requires re-stapling, it may be associated with a higher complication rate.
*Results may vary. According to national studies, bariatric surgery results in an average weight loss of 55-80 percent of excess body weight.
Health Benefits
With type 2 diabetes, many patients stop taking their diabetic or high blood pressure medication before they leave the hospital and before weight loss. With sleep apnea, there is improvement or complete resolution as weight loss results in the opening of air passages.
Side Effects & Risks
As with any surgery, there are side effects and risks to weight loss procedures. When deciding whether revision weight loss surgery is right for you, the potential health benefits must outweigh the potential risks. Gastroesophageal reflux (GERD), bleeding, infections and leaks from staple lines, narrowing of a passage (stenosis) are possible. To learn more about specific side effects and risks associated with weight loss surgery, visit our Side Effects & Risks page.
Learn More
Deciding if weight loss revision surgery is right for you.
Not all patients are candidates for revision surgery. New Jersey Bariatric Center® surgeons will review your case, including medical records and weight loss history, and decide with you whether you are a candidate for a revision procedure. In addition, most insurance companies require patients to:
Be at least two years out from weight loss surgery, and
2 Years
Have lost less than 50% of their excess body weight from a previous procedure
<50%
Or, address a new health concern such as acid reflux, gastric ulcer, etc.
Revision Surgery FAQs
At New Jersey Bariatric Center, we understand how hard it is to lose weight and keep it off. We know that you’ve tried. It’s important to remember that obesity is a lifelong disease that weight loss surgery does not cure. It’s a tool to jumpstart weight loss. Similar to other diseases it takes hard work, lifestyle modification and sometimes a second chance to achieve long term results. There’s no shame in wanting a second chance at improving your health.
Unfortunately no, re-sleeving is not an option. Re-sleeving is not an FDA approved procedure and it does not significantly decrease the size of the stomach. Further, it has not shown to demonstrate long-term weight loss results.
It’s important to keep up with our postoperative program. Regularly meeting with your dietitian and surgeon can help you stay on track with your post op diet and help you navigate any issues that may arise.

Patient Journey

Interested in revision surgery? Visit our patient journey page to learn about the next steps.
Patient Journey
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