Revisional Bariatric Surgery in Antalya
Revisional bariatric surgery is a secondary procedure that may be considered in patients who have undergone previous obesity surgery and present with weight regain, insufficient weight loss, uncontrolled reflux or surgical complications. In Antalya, Op.Dr.Gökhan ATEŞ provides individualised evaluation for eligible patients.
What is revisional surgery?
It is a procedure performed in patients with previous bariatric operations (sleeve gastrectomy, gastric bypass, gastric band, etc.) to restructure the anatomy or convert to another bariatric procedure.
It is technically more complex than the first surgery; detailed evaluation is essential.
When is it considered?
The decision is made based on clinical findings, imaging and endoscopy.
- Insufficient weight loss after the first operation
- Significant weight regain
- Severe reflux not responding to medication
- Complications after gastric band or its removal
- Dilation or reflux after sleeve gastrectomy
- Anatomical complications (strictures, fistulas, hernias, etc.)
Which techniques are used?
The revision technique depends on the prior surgery, anatomy and symptoms. Common approaches include conversion to gastric bypass, mini-bypass or SADI-S, as well as corrective surgery for specific complications.
Pre-operative evaluation
The pathway includes detailed examination, endoscopy, imaging, blood tests and, where needed, manometry/pH studies. Endocrinology, dietitian and psychiatric consultations are standard.
How is the surgery performed?
Revisional surgery is performed laparoscopically whenever possible. Due to adhesions and altered anatomy, operative time and technical complexity may exceed those of the first operation.
Recovery and follow-up
Hospital stay is usually 3–5 days. A staged liquid–puree–soft–solid diet is followed, with long-term vitamin and mineral supplementation and regular blood tests.
Risks and considerations
Revisional surgery may carry higher complication risks (bleeding, leak, infection, thrombosis) than primary procedures. Patient selection and evaluation are therefore particularly important and are discussed during consultation.
Process in Antalya
Op.Dr.Gökhan ATEŞ practices in Muratpaşa, Antalya, and welcomes patients from Konyaaltı, Lara, Kepez and from other regions of Türkiye and abroad.
Frequently Asked Questions
Is revision needed in every case after previous bariatric surgery?+
No. The decision is based on symptoms, weight trend, endoscopy and imaging. In some patients, medical follow-up and lifestyle adjustments are sufficient.
I regained weight after sleeve gastrectomy. Can revision be considered?+
In significant weight regain and a suitable clinical profile, revision such as conversion to gastric bypass can be evaluated. The decision follows a thorough assessment.
Is revisional surgery riskier than the first operation?+
Adhesions and altered anatomy can make it technically more difficult and the complication risk is generally higher. Patient selection and surgical experience are therefore important.
What are the hospital stay and recovery times?+
Hospital stay is usually 3–5 days. Return to work may be possible within 14–21 days; the decision is made during follow-up.
Can a gastric band be removed?+
Yes. In cases of complication or failure, the band can be removed and, in eligible patients, a bariatric revision can be considered.
Do vitamin and mineral supplements continue?+
The supplementation protocol is updated according to the new surgery and continued in the long term.
How is the process planned for international patients?+
Initial consultation can be arranged on WhatsApp; previous operative reports and imaging are reviewed in advance, with examination and tests scheduled. Communication is available in English, German and Russian.
This content is for general information only; diagnosis and treatment require an individual medical evaluation.