If you’re contemplating an obesity surgery revision, quite a bit of testing is required. Your BMI surgeons will want to have a firm grasp on the exact details of your anatomy in order to plan your operation, minimize your risk, and reduce recovery time. Once a thorough workup is complete, including imaging, upper endoscopies, swallowing studies and visits with the dietitian, a decision for surgery is made as a collective group. If, as a group, we feel that we can help improve your life by changing the primary surgery, then we will make every effort to help you.

Revision surgery is almost always performed in a minimally invasive fashion, even if the original operation was done using the ”old-fashioned” open method. In addition, revision weight loss surgery is often performed using the DaVinci Robot. The robot is an excellent way to navigate through dense scar tissues.

In rare instances, the operation may need to be converted to open surgery if that seems the safest way to complete the revision bariatric surgery. It is very uncommon for us to convert to an open operation.

Incisionless Revision

With advances in technology, it has become possible to perform certain operations with out making an incision. BMI surgeons are the only surgeons in San Antonio trained to use the Overstitch device. This is a new device made by Apollo Endosurgery that attaches to a scope which is placed down a patient’s mouth and into the stomach. Using this device, BMI surgeons are able to place sutures to shrink a pouch or tighten a connection and help patients with improved restriction and increased satiety.

These procedures are on the cutting edge of surgery and represent a new generation of weight loss surgery options that will be available in the coming years. Intragastric balloon technology, gastric balloon, intestinal barrier bypass sleeves, and endoluminal pouch revision will all be offered at BMI when the technology becomes approved by the FDA.