Bariatric Revision Surgery in Mexico
Have you previously undergone weight loss surgery but faced complications, weight regain, or didn’t achieve your expected results? Around 15% to 35% of bariatric patients may struggle to reach their goal weight and could need further intervention. It’s important to first rule out any issues with diet and exercise before considering another procedure.
Factors such as age, diabetes, hypertension, depression, pre-surgery BMI, lifestyle habits, and prior abdominal surgeries can influence poor weight loss outcomes.
At Hospital Azar, our experienced surgeons offer a range of solutions to revise or reverse your previous procedure, making it more effective. We specialize in:
- Revising unsuccessful procedures like gastric sleeve, gastric bypass, or mini-gastric bypass.
- Reversing outdated surgeries such as lap-band, gastric plication, and vertical banded gastroplasty.
Types of Bariatric Revision Procedures We Specialize In
Hospital Azar offers over 30 specialized options for bariatric revision and reversal surgeries, customized to meet your health needs and the specifics of your previous procedure. Our team of double board-certified surgeons, among the top experts in Mexico, has successfully performed thousands of surgeries at our accredited bariatric-specialized facility, ensuring the highest standards of safety and care.
Gastric Band (Lap-Band) Revisions:
Gastric Sleeve (VSG) Revisions:
Gastric Bypass (Roux-en-Y) Revisions:
Duodenal Switch (BPD/DS & SADi-S) Revisions:
Endoscopic Sleeve Gastroplasty (ESG) Revisions:
Intra Gastric Balloon Revisions:
Vertical Banded Gastroplasty (VBG) Revisions:
Gastric Plication Revisions:
Reversal Options:
Bariatric Revision Surgery Package
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Revisional Options After Laparoscopic Sleeve Gastrectomy (LSG) Failure
If laparoscopic sleeve gastrectomy (LSG) does not achieve the desired weight loss, patients may opt for revisional procedures like RNY Bypass, Mini Bypass, Duodenal Switch, or a re-sleeve. A thorough evaluation of the patient’s medical history can often reveal if the current sleeve is ineffective. These three options can help boost weight loss:
- Gastric Sleeve to Gastric Bypass – Transitioning from a sleeve to either a gastric bypass or mini bypass has proven to be one of the most effective revision options.
- Gastric Sleeve to Duodenal Switch – This procedure, known as biliopancreatic diversion with a duodenal switch, offers a comprehensive approach for substantial weight loss.
- Re-Sleeve – Ideal for patients whose original sleeve has stretched or was not performed correctly. The re-sleeve can be done laparoscopically and, in some cases, through endoscopic techniques (mini-ESG).
Reasons for Vertical Sleeve Gastrectomy (VSG) Failure may include:
- Incorrectly sized sleeve
- Stomach stretching and hormonal adaptation
- The body adjusting to reduced calorie intake
If a Roux-en-Y gastric bypass does not result in adequate weight loss or leads to excessive weight loss, a revision to another procedure may be necessary. While gastric bypass is considered semi-permanent, patients can transition to different options, including the duodenal switch or placing a Lap-Band around the stomach to support further weight loss. Additional revision techniques include:
- Stoma Shrinkage via Sclerotherapy – This involves injecting a sclerosant to reduce the size of the stoma.
- Laparoscopic Pouch Reduction – A surgical method to shrink the stomach pouch.
- Endoscopic Gastric Outlet Reduction (TORe) – Reduces the size of the gastric outlet endoscopically.
- Lap-Band Placement – A band can be placed around the stomach for added restriction.
- Roux Limb Lengthening – Extending the Roux limb to enhance malabsorption and induce weight loss.
Gastric Bypass Failure can be due to:
- Enlargement of the stomach pouch
- Disruption of the staple line
- Stoma enlargement or malfunction
- The body adapting to lower calorie intake
The growing consensus among patients and surgeons is dissatisfaction with gastric banding as a long-term obesity treatment. Many patients experience either inadequate weight loss or complications. The most common revision surgery for Lap-Band patients is transitioning to a gastric sleeve, which maintains the familiar restriction of the Lap-Band but adds the benefit of appetite suppression. Options for revisional surgeries include:
- Re-adjusting Lap-Band Placement
- Converting Lap-Band to Gastric Sleeve
- Converting Lap-Band to Gastric Bypass
Statistics show that within 10 years post-operation, about 60% of patients have their Lap-Band removed. Reasons for Lap-Band Failure include:
- Band Erosion
- Band Slippage
- Pouch Enlargement
- Difficulty in accessing adjustments
- Lack of significant weight loss in certain patients
Vertical Banded Gastroplasty doesn’t produce significant weight loss and can allow patients to regain their weight.
Surgeries VBG can be revised to:
- Gastric Sleeve Surgery (Likely)
- Gastric Bypass Surgery (Less Likely)
Complete the Consent Form: The link will be sent in your booking confirmation email.
Upload a Copy of your Passport/Identification: To ensure crossing the border is smooth, we verify your identification which you can attach to the consent form.
Send Us Your Flight Itinerary: Make sure to have your arrival time before 12:00 PM (noon) and departure time after 2:00 PM.
Proof of Final Payment or pay online (21 days prior)
Patients Packing List – Our patients collectively came together to make this list to prepare for Weight Loss Surgery in Tijuana, Mexico. Don’t forget your required travel documents including your passport.
Whether is gastric sleeve surgery, gastric bypass surgery, mini bypass, or gastric balloon – here is the packing list to bring to Mexico for bariatric surgery! Don’t pack too much, remember you are not traveling for a fashion show. You are traveling for weight loss surgery.
- Just a small suitcase and a carry-on!
- Don’t waste luggage space with your own pillow, you probably will never use it. Although bringing a pillowcase is helpful.
- Bring a neck pillow.
- Bring some spending cash, preferably smaller bills. Although tipping is up to you, having extra money for your travels may be worthwhile.
- Bring slippers that easily slip on when you get out of the hospital bed.
- Bring extra washcloths.
- Loose, stretchy clothes. You don’t just magically become skinny immediately after surgery. Easily accessible clothing is a must.
- Pack headphones with your own music for extra comfort.
- Bring extra underwear.
- Bring a Gas-X strip with you. If not MBC has a limited number of Gas-X strips for sale – ask the staff!
- Bring a warm jacket or a sweater for the plane ride, just in case you’re cold in the hospital.
- Sleep masks and earplugs.
- Heating pad.