Revisional Bariatric Surgery in Turkey

What is Revisional Bariatric Surgery?

Revisional bariatric surgery or sometimes known as revision surgery, refers to a weight loss surgery that corrects or improves a previous weight loss surgery, such as Gastric Band, Gastric Sleeve, Gastric Bypass, or Mini Gastric Bypass, that did not trigger enough weight loss or had major complications. Even though it is rare, there could be many reasons Bariatric Surgeries can fail to trigger enough weight loss, each surgery’s page contains more information on why it could fail.

Weight Loss surgeries are typically very effective when patients follow their dietary restrictions and often exercise, but in some cases weight loss may simply not happen. As each individual is unique, sometimes their body does not respond well to a particular obesity treatment.

Revisional Bariatric Surgery is recommended in case the weight loss is not optimal, weight is regained, or complications such as ruptured or displaced gastric bands, problems swallowing, Gastroesophageal reflux disease, or enlarged gastric pouch are present.

How Does Revision Surgery Work?

Any Bariatric surgery can be revised it any other Bariatric surgery, including itself, i.e. Gastric Sleeve can be revised into Gastric Sleeve.

Each revision surgery can be defined by the surgery it's revising and the surgery it's revising into. The surgery being revised poses a higher complexity compared to performing the surgery without it being a revision, this is due to the patient's digestive system being modified from the previous Bariatric Surgery.

The revision surgery triggers weight loss the same way as the surgery it revises into, and the expected weight loss is the same as well.

How is the revision surgery done?

Revision surgery is a surgical intervention that is more difficult and requires more expertise than the first surgery. The first surgery can be transformed into many different surgeries with revision surgery. Some of the revision surgeries include:

Gastric Sleeve to Gastric Sleeve Revision

Resleeve can be offered when the patient regains weight after a Sleeve Gastrectomy surgery. The Patient’s expected weight loss can vary depending on how much weight was regained after the Sleeve Gastrectomy, Sleeve Gastrectomy revision is very effective at restoring the structure of the sleeve by reshaping the stomach, which will reinitiate weight loss.

Gastric Band to Other Bariatric Surgery Revision

Due to the surgical simplicity of the band and unaltered anatomy, band patients seeking a revisional procedure typically have many options. Depending on the patient’s goals, health circumstances, history, and anatomy, the patient may be able to choose between having a Sleeve Gastrectomy, Mini Gastric Bypass, or Roux en Y Gastric Bypass. Once the band has been removed, these procedures are done as they would be if done as the primary procedure.

Gastric Sleeve to Gastric Bypass Revision

Most commonly, if the pouch created during Gastric Sleeve was left too large, patients will have an inadequate amount of restriction on their eating capabilities, and therefore will have less weight loss. Or if there is a severe acid reflux that is not alleviated sufficiently through medicine, revision into Gastric Bypass is a good option. The Roux En Y Gastric Bypass is applied to the modified digestive system, and the result is the same as a non-revisional Gastric Bypass. The surgery will result in increased weight loss and reduced Acid Reflux.

Gastric Bypass to Gastric Bypass Revision

There are two parts to the gastric bypass that is to be revised: the stomach pouch and the bowel rearrangement, which is the malabsorptive portion of the surgery. Before the patient's revision, an Upper Endoscopy, also known as an EGD, will be performed to size the stomach pouch. Ideally, the surgeon tries to revise the stomach to a much smaller pouch to provide a better weight loss. The intestinal loop is separated and reunited with the bypass as well, which will increase the skipped length of the small intestines.

A Bariatric surgeon will make a recommendation for which revision is the most suitable for the patient depending on their health history and initial weight loss, contact a Patient Coordinator for the details.

How to Prepare for Revision Surgery?

Preparations for revision surgery is similar to that of other Bariatric Surgeries.

The patient should not consume any food or liquid 12 hours before the surgery in order to make sure the stomach is empty before surgery. The following dietary and medicinal restrictions have to be followed before the surgery as well:

  • Usage of vitamin K should be stopped 30 days before surgery as it is an anticoagulant, i.e. blood thinner, and increases the rate of complications associated with internal bleeding.
  • Oral contraceptives and any other contraceptives that have estrogen or progesterone, like coils, HRT patches, or birth control implants, must be stopped or taken off 30 days before the surgery as they increase the rate of complications arising from blood clots. Hormonal and oral contraceptives can be used 30 days after surgery. Non-hormonal implants are safe and recommended if considering a mini gastric bypass.
  • Smoking should be avoided starting a week before surgery until three weeks after surgery. Smoking causes the veins to constrict and limits blood circulation, potentially causing complications such as leakage.
  • Alcohol consumption should preferably be avoided in the last 3 months leading up to the surgery. Alcohol consumption a week before surgery should especially be avoided as it will increase the burden on the liver and might cause complications with anesthesia.
  • The patient will have a consultation with an internal diseases specialist, radiologist, anesthesiologist, and a general surgeon before the surgery.
  • Preoperative tests at the hospital will include full abdominal ultrasound, chest x-ray, breath functioning test, electrocardiogram, endoscopic investigation of the stomach, and full blood test as pre operation test and exams.

When should Revision Surgery be applied?

Revision surgery may be needed if the patient cannot achieve adequate weight loss, or if the patient has regained weight as a result of the operation not being performed optimally.

The first surgery can be transformed into almost any other Bariatric Surgery with revision surgery.

Do diseases such as diabetes, asthma, and blood pressure prevent revision surgery?

Patients with obesity related illnesses are evaluated by a Bariatric Surgeon and decide whether the patient is suitable or not, and similar to other Bariatric Surgeries, Revisional Bariatric Surgery will alleviate these conditions.

Will there be weight gain again after revision surgery?

Revision Surgeries are successful for most patients with regards to permanent weight loss. However, in order to achieve this success, the patient needs to make lifestyle adjustments and change their diet. It should also be known that there is no guarantee of weight loss if these are not done.

Can you have a revision after a Gastric Bypass?

If the pouch between the stomach and the intestine is found to be widened, the “passageway” can be narrowed again endoscopically during the revision operation. The revisional operation also includes the separation of the intestinal loop and it being reunited with the bypass, which will shorten the effective digestive tract.

feet
inches

BMI Calculator

Your BMI is ??


GET FREE OFFER
Booking Surgery
Dominique Roberts reviewed Completing part of my journey

This is my second time using BookingSurgery.Com, first was 12 months ago having a Gastric sleeve with Dr Tardu and this time having a 360 TT, Lipo, Muscle repair and arm lift with Dr Omer. Each and every staff member deserve a medal, they are so kind and caring and nothing is ever too much for them, they make you feel safe and well cared for. My coordinator David Turker has been fabulous answering all my questions and communicating with me throughout the process, again nothing has been too much trouble for him. A massive thank you to Dr Omer who really is such a lovely caring person, checking in on me regularly throughout my visit. Although only a week post op I’m completely overwhelmed by my results, they have far exceeded my expectations.. he truly is a genius! I genuinely cannot praise this company enough and have recommended them to a number of friends.

Mrs D Reilly reviewed Just back from my second procedure…

Just back from my second procedure through Booking Surgery with Penny River as my coordinator. First trip was gastric sleeve with Dr Ali Tardu at Optimed hospital and second trip was arm and thigh lifts with Dr Yalcin at Medistanbul hospital. I had the best experiences on both trips and could not fault a thing. From booking initially to arriving to doctor/nurse care to cleanliness to transfers. Everything went according to plan. I would never book with anyone else. This company go above and beyond for their patients.

Emily reviewed I had my surgery in January 2025 and it…

I had my surgery in January 2025 and it was great. All staff were friendly and would do anything for me. Whenever I asked for anything like pain killers etc I would have it within minutes. Bruce was my co ordinator. Himself and his brother went above and beyond to make my experience so smooth. Bruce supported me in Turkey and my family in the UK which is more than I could ask for. Thank you all for your help.

Emma reviewed This is my second time with booking…

This is my second time with booking surgery. First was with Ali tardu a year ago for a gastric sleeve, lost 9 stone in a year. He was amazing . I am travelling back today from medistanbal after breast uplift, implants and skin removal from my bra line with dr Omer . What an amazing team I had . Dr Omer was smiling all the time and asking what I wanted and if needed anything or had any questions . He visited most days after surgery . The nursing team and everyone else on the 4th floor were so caring, kind and helpful . Always around to help with a translator but most of the time there English was great and if they wanted they used google translate . The rooms are lovely and nothing is too much trouble. The hospital could do with a microwave that would make life a little easier with food as the food is terrible lol but right next door is a mall with lots of shops and a supermarket so it wasn’t the end of the world . There is a toaster and kettle with some basic supply’s for everyone . Hair dryer in the room and towels provided if asked for . I am back again in October and I feel in very safe hands . Thank you to my 2 coordinators David Turker and rossie Williams

customer reviewed Hair Transplant, Fantastic Service, Great Coordinator (Bruce Grayson)

Great service from initial contact and throughout the entire procedure, including the hight level of after care. Bruce Grayson the coordinator was fantastic, contactable to answer any questions prior to the trip, during and after once I returned to the UK. The hospital was very clean and modern, all the staff made me feel welcome.

Vicci reviewed My experience here was amazing

My experience here was amazing. The staff, coordinator Bruce Grayson and surgeon were all very attentive, they seriously couldn't do enough. The moment we got to airport we were met and taken to hospital, we filled all paperwork out and then had all pre op. The morning of the operation was seen by surgeon and went down 9.30am went down and was back by lunch time. I have never felt so taken care of. I ended up needing a blood transfusion, but again the team were amazing, told me there was a small charge but I mean you can't put a price on health and I felt so much better afterwards. The Room was cleaned twice a day they were so friendly, left the place gleaming, even the staff that brought us food 3 times a day really cared about their jobs. Cannot recommend them enough. My Breast reduction and Lift was the best decision I have ever made Dr Hakan Fatih Merev was superb 👌🏼 I would definitely go back to him.

Lucie Corcoran reviewed Excellent, efficient company.

Cannot praise this company enough. From being picked up from the airport until I was taken back on the return journey every aspect of the experience was fantastic. I had a 360FDL and arm life and travelled alone. Dr. Emin is a genius but the coordinator (Robert), nurses, translators, cleaners, catering staff and taxi driver were all amazing. I felt extremely safe and looked after. Booked again to go back in April and have no worries. Robert has been amazing answering any questions to reassure me and nothing was too much trouble. Would highly recommend Bookingsurgery.com for efficiency, perfection and care.

Crystal Rudd reviewed VSG jan 2023, 360fdl&arms jan 2025

January 2023 I went with booking surgery for my gastric sleeve, my surgeon was Dr Servet Karagul. I had Penny River as my coordinator, i was so anxious about the whole thing. Penny was phenomenal and helped so much with my mental state. From the transport to the hospital and the care from BHT clinic hospital and the staff with Bookingsurgery I had an amazing experience, clean room, fantastic staff & great translators. It's now 2025 I'm over 2 years post-op sleeve and I went back with booking surgery for my first round of plastics (lose skin removal) i had a 360fdl tummy tuck and arm lift with also lipo to my outer thighs. This time I was greated with a bunch of flowers at the airport alongside Penny personally being there. (I gave permission for booking surgery to document my arrival and pre-op tests/ surgery) upon arrival at the hospital medistanbul I had pre-op tests within the hour of arrival and also Penny went to Starbucks to get myself and my mother something to eat (as we arrived on Sunday evening) 13th jan 2025 I had my surgery with Dr Yalcinl it is early days but the work he's done is insane and I've had many people comment at the precision of his work. Through my whole stay at medistanbul I was looked after from both nursing staff of the hospital and booking surgery nurses & their translators if i needed any support within the language barrier. This was a differnt hospital from where I had my sleeve and I was slightly anxious but bookingsurgery was still the same. They go above and beyond for their patients to ensure we are alright and address and needs or issues we may have. I cannot wait to go back again with bookingsurgery to have my Thighs and breasts done. Absolutely 10/10. Thank you