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Related Experiment Video

Updated: Jun 22, 2025

Author Spotlight: Recent Advancements in Reoperative Foregut Surgery
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Decision-making Considerations in Revisional Bariatric Surgery.

Sheena Chen1, Jessica Chiang1, Omar Ghanem2

  • 1Department of General Surgery, New York University Langone Health, Brooklyn, NY.

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Revisional bariatric surgery approaches vary widely. The optimal strategy for revisional bariatric surgery depends on the patient

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Area of Science:

  • Bariatric Surgery
  • Surgical Revision
  • Obesity Management

Background:

  • Significant variability exists in bariatric surgery practices.
  • A lack of consensus hinders the standardization of optimal revisional bariatric surgery approaches.

Purpose of the Study:

  • To consolidate existing literature on revisional bariatric surgery.
  • To provide specific revision recommendations tailored to various index bariatric procedures.

Main Methods:

  • Comprehensive literature review of bariatric surgery studies.
  • Analysis of revision strategies for adjustable gastric band (AGB), sleeve gastrectomy (SG), Roux-en-Y gastric bypass (RYGB), biliopancreatic diversion with duodenal switch (BPD-DS), single anastomosis duodenal-ileal bypass with sleeve (SADI-S), one anastomosis gastric bypass (OAGB), and vertical banded gastroplasty (VBG).

Main Results:

  • Adjustable gastric band (AGB) shows high weight recurrence, with conversion to RYGB, SG, or BPD-DS as options.
  • Revisional sleeve gastrectomy (SG) may involve resleeving or conversion to RYGB.
  • Roux-en-Y gastric bypass (RYGB) revisions can include roux limb distalization, pouch resizing, or conversion to BPD-DS.
  • Limited data exists for revisional surgery after single anastomosis duodenal-ileal bypass with sleeve (SADI-S).
  • One anastomosis gastric bypass (OAGB) and vertical banded gastroplasty (VBG) revisions commonly involve conversion to RYGB.

Conclusions:

  • Revisional bariatric surgery is increasingly prevalent.
  • The ideal surgical approach is contingent upon the patient's specific indication and pre-existing anatomy.