Our goal is one surgery, one great outcome, one happy patient, many lives changed.
every patient deserves lasting results
While surgical revision after weight loss surgery is uncommon, it’s sometimes necessary—and it can make a world of difference.
a patient can struggle with side effects or poor weight loss following a bariatric surgery that was not well-chosen for them
life changes, health conditions change, your body's needs change; and a person’s surgery may need to change as well
some patients face a lifelong battle with weight and despite a successful weight loss surgery, will continue to benefit from additional treatment over the course of their lives
For our patients who pursue weight loss surgery, every effort is made to ensure their surgery is chosen properly and executed to perfection—the first time. This is unfortunately not the case everywhere. The following truths exist:
Dr. Roth is southeast Idaho’s leading provider for comprehensive evaluation, medical optimization, and surgical revision of weight loss procedures that are no longer performing as desired.
Nearly all of our patients with a history of previous weight loss surgery coming from elsewhere are still able to make progress towards their goals.
Medical Therapy
With appropriate guidance, many patients find success with non-surgical therapies such as nutritional intervention, lifestyle modification, and weight management medication.
Surgical Therapy
For other patients, surgical revision can greatly improve quality of life, or once again allow them to make progress on their weight loss goals.
your path forward
Finding New Success After Previous Weight Loss Surgery
Acid reflux or heartburn
Swallowing difficulties secondary to a hiatal hernia or lap band
Weight regain or less than desired weight loss with first bariatric surgery
Each revision plan is tailored to your unique needs, lifestyle, and health goals—because your story is still being told.
For patients with negative side effects or significant weight regain following bariatric surgery performed elsewhere, there’s hope!
common reasons to consider a revision:
Lap Band Removal
Lap Band to Gastric Bypass Revision
Lap Band to Duodenal Switch Revision
Dr. Roth specializes in a wide range of revisional procedures, including:
Sleeve to Gastric Bypass Revision
Sleeve to Duodenal Switch Revision
Gastric Bypass Revision
Hiatal Hernia Repair
Lap Band to Gastric Sleeve Revision
Frequently Asked Questions
revisional weight loss treatments
Answers to common questions about revisional weight loss.
Most patients who have bariatric surgery will deal with some form of weight regain at some point. If nutritional and lifestyle habits are sound, weight regain can usually be addressed with nutritional and lifestyle intervention, weight loss medications, or additional weight loss surgery.
The gastric sleeve is a higher-pressure system than the original stomach, and some patients will have worsening acid reflux after the gastric sleeve than before.
Surgical revision can help with additional weight loss in certain circumstances.
Yes. Lifestyle interventions and weight loss medications are usually just as effective as revisional surgery for treating weight regain. Revisional surgery is the last resort for treating significant weight regain.
Yes. Weight loss medications are very effective after weight loss surgery. Many patients are actually able to tolerate higher doses of GLP1 medications after weight loss surgery compared to before, with fewer side effects. The two treatments are complementary and synergistic, meaning the combined benefit is greater than the sum of the two individual treatments.
Nutrition and lifestyle are essential to maintaining success after weight loss surgery - but if significant weight regain has already occurred, it can be difficult to reverse this with diet, habits, and exercise alone. After the lifestyle has been optimized, weight loss medications or additional surgery may be recommended to treat significant weight regain.
- For patients with prior gastric sleeve and severe heartburn, revision to gastric bypass is a commonly performed revision
- For patients with prior gastric sleeve, revision to duodenal switch may be performed to help with additional weight loss and metabolic control
- For patients with lap bands who would like to transition to a higher performing procedure, lap band removal and conversion to gastric bypass, gastric sleeve, or duodenal switch are all common revisions.
Yes. Gastric sleeve to gastric bypass revision is one of the best treatments for severe acid reflux after gastric sleeve. This is a relatively straightforward revision and one of the safest bariatric revisions to undergo.
Lap Bands can be revised or removed for patients with unwanted side effects such as swallowing issues, heartburn, or port site concerns such as pain or excessive mobility. For patients with less than desired weight loss or weight regain after Lap Band surgery, revision to a different surgery such as gastric bypass can only occur after the lap band has been removed.
Sometimes. True revisional surgeries are typically longer and more complex than primary bariatric surgeries. This increases risks associated with both the surgery and the recovery afterwards. Certain revisions, such as lap band removals or sleeve to gastric bypass revisions, are generally considered lower risk.
Expectations for revision surgery will depend entirely on the counseling of the performing surgeon. Patients pursue surgical revision for many different reasons. Surgical revision for weight regain is typically much less successful than the primary operation. By comparison, surgical revision for acid reflux or swallowing issues is usually very successful and will resolve or significant improve symptoms immediately.
Usually, although it depends on the revision. When surgery is performed for ongoing obesity or lifestyle limiting side effects of the original surgery, it is more likely the revision will be a covered benefit. Certain insurance companies will have more stringent criteria for revisions than others.
Your health.
Your confidence.
Your freedom.
It’s all possible with the right surgical plan—learn which procedure is the best fit for you.
