Revision Weight-loss Surgery in Mexico
Revision weight loss surgery is for people who are either dissatisfied with the results of their original bariatric surgery, have developed some complication(s) because of it, or have regained the weight they had initially shed.
Revision bariatric operations are always more challenging than first-time surgeries. It is extremely important that you go to a surgeon who is adept at performing such operations.
You may choose to opt for self-pay bariatric revisions outside the United States in case you have been denied surgery or lack insurance. Mexico Bariatric Services can connect you with some of the top surgeons for revision bariatric surgery in Tijuana, Puerto Vallarta, Cancun, and Guadalajara.
Am I a Candidate for Revision Surgery?
You are a candidate for second surgery if you experience the following:
Inadequate weight loss or weight regain
Sometimes the initial surgery does not result in sufficient weight loss, or the weight lost is later regained. There are multiple reasons for regaining the lost weight, such as:
- Not making healthy food choices
- Resistance to a healthier lifestyle
- Complications in the first surgery, such as lap band slippage etc.
Existence of Co-Morbidities
Another reason to opt for revision bariatric surgery, apart from excess weight regain is failure to address certain comorbidities such as T2D (Type 2 Diabetes) or sleep apnea.
How Much Will Revision Bariatric Surgery Cost in Mexico?
The answer to this question is not as straightforward as for the first time-bariatric procedures. Each case is different and the doctor can determine your exact expenses only after evaluating your condition.
Cost depends up on the type of the revision surgery you undergo. Total cost of gastric sleeve revision procedure will be 40% – 50% higher than the original procedure. For example, the average cost of sleeve gastrectomy in the U.S. is $36,000. So the average cost of a re-sleeve ranges from $45,000 to $50,000.
Fortunately, revision bariatric surgeries in Mexico cost 70% less than the prices charged in the U.S.
If you are not satisfied with your primary weight loss surgery results, or it has caused some complication, Mexico Bariatric Services can assist you come to a decision whether second weight loss surgery is for you or not.
We will try to ascertain the cause of your failed obesity surgery and determine the best path available.
You can schedule a consultation with MBS by filling the FREE Estimate Form here.
LAGB (Lap Band) Revision
Universally, in the year 2013, nearly 40,000 people underwent Laparoscopic Adjustable Gastric Banding (LAGB) because it is an uncomplicated, fast, minimally invasive and reversible procedure1. The study by Kowalewski PK and colleagues reports 47% excess weight loss (%EWL) in a 15-year follow-up1.
Despite the fact that the procedure offers many advantages, nearly 20% (20,000) revision surgeries were reported after a period of seven years1.
What is the Need for Lap Band Revision?
A study (March 2017) by Kowalewski PK and colleagues states that 60% of patients who underwent LAGB opted to have their bands removed and the reasons were pouch enlargement/slippage (25% of the cases) and weight gain being the major reason at 40%1. Other reasons included:
- Band Intolerance1: It is an indication of band intolerance may include extreme nausea and vomiting, trouble consuming food/liquid and pain after consumption.
- Band or Port Infection1: It is an indication of the band eroding into the stomach. If the infection does not go away with antibiotics, band removal may be recommended.
- Band Slippage1: It occurs when the band moves down and results in a bigger stomach pouch above the band. It can be corrected by removing the excess fluids from the band. Band removal may be required in some cases.
- Esophageal Dilation1: Some individuals may develop esophageal dilation with long-term use of lap-band. Some may have dysmotility or lack of movement or inflammation. For such cases, lap band removal may be required.
|Port problem (infection, dislocation)||21|
|Pouch dilatation and reflux||16|
Possible Revisions After Band Removal
- Lap Band to Laparoscopic Gastric Bypass (GB)
- Lap Band to Laparoscopic Sleeve Gastrectomy (SG)
- Lap Band to Biliopancreatic Diversion/Duodenal Switch (BPD/DS)
- Re-Implantation of the Port
Gastric Sleeve Revision (Re-Sleeve)
Gastric sleeve surgery aids in reducing weight by limiting the size of the stomach and removal of the hunger-inducing hormone ghrelin. But sometimes, the desired weight loss is not achieved and there could be several reasons to it, including:
- Enlargement of the stomach pouch: The tube of the stomach may stretch and result in insufficient weight loss or even weight regain. This causes the stomach to inflate in unusual way and may make eating uncomfortable.
- The body getting used to the caloric intake
Possible Revisions after Sleeve Gastrectomy
- Gastric sleeve revision involves re-sleeving the stomach; the stomach pouch is resized the same way as in the original surgery.
- In some cases, a re-sleeve may not be the answer to the problem and a different type of bariatric procedure may be resorted to, such as:
- Gastric Sleeve Revision to Duodenal Switch
- Gastric Sleeve Revision to Roux-en-Y Gastric Bypass
- Gastric Sleeve Revision to Lap-band
Sleeve Gastrectomy Revision to Duodenal Switch
A January 2017 study by El Chaar and colleagues affirms conversion of SG to BPD/DS may be done safely and successfully2.
Sleeve Gastrectomy Revision to Roux-en-Y Gastric Bypass
As per a 2017 study, Ekua Yorke and colleagues state the out of the 273 Sleeve Gastrectomy cases, 6.6% were converted to RYGB due to insufficient weight loss and severe reflux3.
Following outcomes were also reported:
- Resolution of comorbidities (4 of the 5 diabetic patients are not taking any medication for the same)3
- Resolution of reflux symptoms (75% of patients3)
- Complete resolution of hypertension and obstructive sleep apnea (OSA) in all the patients3
Gastric Bypass Revision
A study by Almantas Maleckas and colleagues states that RYGB (Roux-en-Y gastric bypass) is the commonest surgery performed on morbidly obese. It produces effective long-term weight loss and the resolution of co-morbidities accompanied with low number of complications. Excess weight loss (%EWL) after RYGB during first 2 years was 67%4.
The study also quotes that nearly 60% of patients who undergo gastric bypass, experience weight regain of 8.8 kg within 5 years4.
Options to resolve gastric bypass failure are:
Banded Gastric Bypass
(Conversion of gastric bypass to lap band by adding a gastric band around the stomach pouch)
In the same study by Almantas Maleckas and colleagues 94 patients with 12–42 month follow-up were included in the review. Additional weight loss after salvage banding varied from 28 to 65% EBMIL (% excess body mass index loss) 4.
A study by Lemmens L.5 states the following:
- %EWL at 5 years for banded gastric bypass was 74.0%
- No major complications were reported and no band/ring slippage was reported
|Mean pre-operative weight (kg)||118.2|
|Mean BMI (kg/m2)||41.9|
|Mean excess weight (kg)||59.3|
- Weight Loss, %EWL and BMI
The average weight loss and %EWL at 12 months was 44.2 kg and 71.9 % for banded gastric bypass5.
NOTE: A failed gastric bypass cannot be converted into gastric sleeve surgery as the stomach is already reduced to a small pouch in the former.
Gastric Bypass Conversion to BP Diversion/Duodenal Switch (BPD/DS)
Gastric bypass revision to BPD/DS has %EWL of 62% at 1 year respectively4.
- Stretching of the gastric pouch4
- Weight regain from insufficient weight loss4
- Lack of post-op diet and increased intake of calories4
Revision Bariatric Surgery FAQ
Will you perform my revision surgery, even if primary surgery was not performed by you?
Yes, we will.
Will my insurance provider cover the procedure?
It depends on the insurance policy and agreed upon terms and conditions. Thus, it would be safe to contact your insurance provider firsthand for more information.
Do I “automatically” qualify for revision surgery after Primary Bariatric Surgery?
No. Weight regain accompanied with other problems such as shortness of breath or fluctuating blood pressure levels may require medical assistance.
What are the outcomes of revision surgeries?
The results can vary widely depending upon the procedure. Our experienced bariatric surgeons make sure you are comfortable and at ease with the whole development. There are many factors which aid in determining the success of the revision procedures, such as:
- Outcome of the first surgery
- Complications to be solved
- Amount of weight regain (ranging from moderate to excess)
- Reasons of unsuccessful first surgery, like bad diet and no exercise routine
Is Revision Process more complex than Primary Surgery?
Yes, Fulton C and colleagues’ published study quotes that revision surgery is more complex than primary surgery6 because of the following reasons:
- The scars formed after the primary surgery on the abdomen and stomach area have to be delicately handled.
- Revision requires specialized and skilled surgeons than primary surgery. A number of journals and periodicals give emphasis to surgeon’s experience and its relation to enhanced results.
What should I expect from my revision procedure?
The most important goals of a revision surgery are:
- To restore the individual’s ability to eat without pain and nausea
- To restore emotional and mental well-being
- To produce optimum weight loss
How long does revision surgery take? Do I stay longer in the hospital?
As per a published study by Fulton C and colleagues, revision obesity surgery takes on an average of 0.4 hours longer than primary bariatric surgery and individuals remain in hospital (averaging) two days longer6.
Factors Impacting the Revision Surgeries
The price of revision bariatric surgeries depends on:
- The kind of revision
- Additional cost of the revision procedure including the following:
- Surgical fees
- Anesthesia fees
- Pre- and post-op lab work
- Cost of the material used in surgery
Other factors which vary include the practice location, skills of the bariatric surgeon and the facilities provided at the hospital facility.
Why Travel to Mexico for Revision Weight Loss Surgery?
Insurance companies are reluctant to pay for bariatric as well as revision procedures, and the huge out-of-pocket expenses in American and Canadian hospitals can be very discouraging for some individuals considering surgery.
At MBS, we have been facilitating trips for weight loss surgery to Mexico for many years now and have hundreds of satisfied clients. We are aware of our client expectations, and work only with hospitals capable of meeting highest standards of patient safety and sterilization.
If you are tired of waiting in the long queue up to your doctor, you’d be glad to know that in Mexico you wouldn’t have to. Once we confirm your appointment with the surgeon, and if you arrive at the said time, you will not be made to wait.
A new place to see and a new culture to experience are always very exciting, provided your health allows so. Of course, we will guide you on the activities you can indulge in but only after we confirm that the doctor has consented to it.
Access to Cutting-Edge Medical Technology
MBS offers advanced medical tourism services which are at par with developed nations, but at a much lower cost than the United States and Canada.
At Mexico Bariatric Services, all our International Clients are assigned a Case Manager who will guide you through each and every step of your treatment. Once you go back home, they will be in close contact with you to make sure you are making the essential progress. Many of our patients have commended on our hospitality and care they have received in hands of our doctors and staff. Read more about it in our Testimonials Section.
Why Us for Revision Surgery?
Skilled Surgeons and Staff
As a multidisciplinary team, our esteemed surgeons have a collective experience of nearly 20+ years and some of them have performed more than 1,000 bariatric procedures. With all this expertise in bariatric surgery, our experts can precisely recommend the best surgical treatment for you. The MBS team includes:
- Board-certified surgeons, specialists in minimally invasive surgery and bariatric surgery
- Certified nurses
- US-Registered dietitian
Our team has built an international reputation in the field of bariatric and revision surgery. We have to our credit hundreds of patients from world-over.
Other reasons to choose us for your revision surgery are:
- We facilitate surgery with hospitals which have state of the art facilities
- We offer broad revision surgery packages
- FREE pick-up and drop from Airport/Hotel/Clinic (TnC apply)
- FREE calls to US and Canada
Complications after Bariatric Revisional Surgery
A 2017 study by Courtney Fulton and colleagues states that nearly 10% of the people who undergo a bariatric procedure will need a revision surgery for either insufficient weight loss or weight regain7.
Other potential complications include:
- Bleeding or Hemorrhage
- Blood clots
- Changes in bowel function like diarrhea or constipation after gastric bypass surgery
- Dumping syndrome
- Gastroesophageal reflux disease (GERD)
- Incisional hernia
- Kidney stones
- Gastrointestinal leaks and staple line leaks
- Nausea and vomiting
- Nutritional deficiency
Tips to Avoid Revision surgery
Join a Bariatric Surgery Support Group
Post your primary weight loss surgery, you can join a support group to stay motivated and interact with nutritionists and other professionals to stay on track.
MBS offers nutrition counseling by a US-certified bariatric dietitian. In addition to this we also offer FREE access to bariatric support groups and webinars where you can get connected with other WLS patients.
Small Meal Sizes
Eating less and reducing the portion size is important. Avoid the following:
- Do not consume 3 large meals; instead opt for 5-6 small meals
- Avoid having snacks in-between meal times
- Eat slowly and STOP when you feel full
Avoid caffeinated drinks and fizzy drinks as they are high on unnecessary calories and sugar
Bariatric surgery demands changes in lifestyle and inclusion of exercise in your routine. Make a serious effort towards including exercising in your everyday life after your first bariatric surgery.
Fill the quote form for more information on revision surgeries, including lap band to gastric bypass revision in Mexico.
- Kowalewski PK, Olszewski R, Kwiatkowski AP, Paśnik K. Revisional bariatric surgery after failed laparoscopic adjustable gastric banding – a single-center, long-term retrospective study. Videosurgery and other Miniinvasive Techniques. 2017;12(1): 32-36. doi:10.5114 / wiitm.2017.66671. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5397551/
- El Chaar, M., Stoltzfus, J., Claros, L. et al. J Gastrointest Surg (2017) 21: 12. doi:10.1007 / s11605-016-3215-y.
- Ekua Yorke, MD, FRCSC, Caroline Sheppard, Noah J. Switzer, MD, David Kim, Christopher de Gara, MD, FRCSC, FACS, Shahzeer Karmali, MD, FRCSC, FACS, Aliyah Kanji, MD, Daniel Birch, MD, FRCSC. DOI: http://dx.doi.org/10.1016/j.amjsurg.2017.04.003. Revision of sleeve gastrectomy to Roux-en-Y Gastric Bypass: A Canadian experience.
- Maleckas A, Gudaitytė R, Petereit R, Venclauskas L, Veličkienė D. Weight regain after gastric bypass: etiology and treatment options. Gland Surgery. 2016;5(6):617-624. doi:10.21037/gs.2016.12.02. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5233838/
- Lemmens L. Banded Gastric Bypass: Better Long-Term Results? A Cohort Study with Minimum 5-Year Follow-Up. Obesity Surgery. 2017;27(4):864-872. doi:10.1007 / s11695-016-2397-4. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5339319/
- Fulton C, Sheppard C, Birch D, Karmali S, de Gara C. A comparison of revisional and primary bariatric surgery. Canadian Journal of Surgery. 2017;60(3):205-211. doi:10.1503/cjs.006116. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5453764/
- Ranvier GF. Revisional bariatric surgery: A review of the current recommendations. Saudi J Laparosc 2016;1:5-8. http://www.saudijl.org/article.asp?issn=WKMP-0131;year=2016;volume=1;issue=1;spage=5;epage=8;aulast=Ghanem. http://www.saudijl.org/article.asp?issn=WKMP-0131;year=2016;volume=1;issue=1;spage=5;epage=8;aulast=Ghanem
- Souto-Rodríguez R, Alvarez-Sánchez MV. Endoluminal solutions to bariatric surgery complications: A review with a focus on technical aspects and results. World J Gastrointest Endosc 2017; 9(3): 105-126. https://www.wjgnet.com/1948-5190/full/v9/i3/105.htm. https://www.wjgnet.com/1948-5190/full/v9/i3/105.htm