Bariatric revision surgery

Bariatric revision surgery is intended for patients who have already undergone obesity surgery and whose result is insufficient, who have regained weight, or who have a complication of their first procedure: disabling reflux after a sleeve, intolerance to a gastric band, pouch dilation, among other situations. Each case is unique and requires an in-depth assessment: endoscopic and radiological evaluation of the existing construction, analysis of eating habits and of the weight-loss history, and discussion by the multidisciplinary team. The proposed strategy may involve converting a sleeve into a bypass, removing a band and performing a new procedure, or correcting the existing construction. These procedures are technically more demanding than a first surgery, because of adhesions and existing anatomical changes. They require an experienced surgical team and comprehensive technical facilities. Clinique Pasteur Tunis, thanks to its high volume of bariatric activity, has the experience needed to manage these complex situations, including for patients initially operated on in other institutions, in Tunisia or abroad.