Revisional Bariatric Surgery

Laparoscopic conversion is a bariatric procedure performed under general anesthesia. The course of the procedure depends on what surgery the patient underwent earlier and what new treatment method he will take.

Revision operations at KCM Clinic:

• Conversion of the gastric band to gastric sleeve
• Conversion of the gastric band to gastric bypass
• Conversion of gastric sleeve to gastric bypass

KCM Clinic is one of the few specialised hospitals in Central and Eastern Europe that uses modern three-dimensional laparoscopy technology during bariatric surgery. The use of the latest 3D and 4K imaging techniques enables the highest quality image visualization and safety of the procedure. As a result, patients are operated on with much greater accuracy and recover faster.

Patients preparing for bariatric surgery in recent weeks should be on a liquid diet that will allow the stomach and liver to be relieved. This results in more effective weight loss after surgery and a lower likelihood of complications during surgery. It is important to take multivitamin preparations and other supplements, depending on the results of the tests and the doctor’s recommendations after the qualifying visit. The patient should appear at the hospital in the morning with a complete set of examinations, pajamas and variable footwear.

Comprehensive tests and consultations are required to qualify and prepare for bariatric surgery for patient safety. All consultations and tests can be done at KCM Clinic.

Required tests:

• Surgical consultation in a Bariatric Clinic
• Internist-cardiological consultation with ECG and cardiac echocardiography
• Exercise test on a treadmill
• Spirometry
• Chest x-ray in 2 projections
• Abdominal ultrasound
• Gastroscopy with HP test
• Laboratory tests: morphology, lipidogram, iron, creatinine, urea, electrolytes, INR / apTT, glucose, HbA1, TSH, FT3, Ft4, AST, ALT, Lipase, HCV, Hbs anti-body, HbsAg, cortisol, vitamin B12, calcium

Laparoscopic conversion is a safe operation, but remember to follow precautions. First and foremost, follow your doctor’s instructions. Before surgery, it is crucial to follow a properly prepared diet one week before surgery. The effect of using the diet is to reduce the volume of the liver and stomach, which facilitates not only surgery, but also recovery. The diet should be followed before surgery. Do not continue your prescribed diet after surgery.

Laparoscopy allows the patient to return to a normal lifestyle much faster. Usually, a week after surgery, the patient returns to work except for hard physical work, without pain.

The most important change in life after surgery is diet and the amount of food that the patient takes. It will also help prevent postoperative complications.

A very strict diet after surgery may seem exaggerated. But remember, not following this diet can cause complications such as diarrhea, dehydration, constipation, intestinal obstruction or very serious gastric leakage.

Here are some basic rules:

• Consume foods at a moderate temperature
• Chew each bite thoroughly
• Consume small portions (150 g), meals every 2-4 hours
• Fluids 15 x daily 100-150 ml each
• Drink 15 minutes before eating and 30 minutes after eating
• Use supplements – vitamins, minerals
• Take your medications and vitamins as directed
• The use of prophylaxis reduces the risk of embolic complications
• Avoid foods that are too sweet, spicy, sour, fatty, hot or cold
• Stop eating as soon as you feel full, even if it means leaving the food on your plate
• Avoid dishes made of asparagus, spinach, cauliflower and broccoli stalks, green beans, leeks and cabbage
• Avoid eating small products, they can be swallowed whole and there is a risk of getting stuck in the stomach: mushrooms, broad beans, cherries, nuts, pasta
• Cross out high-calorie products and replace them with various low-calorie products to provide your body with a large amount of vitamins and minerals

Laparoscopic surgery makes it possible for patients to recover faster. The patient will be able to drink and get up from the bed a few hours after the procedure, as well as move independently. For safety, a hospital stay of several days is necessary.