Obesity is a complex health issue affecting millions of people worldwide, and finding effective solutions for weight loss is crucial for both physical well-being and overall quality of life. 

While primary weight loss surgeries such as gastric bypass, gastric sleeve, and gastric banding have helped many people achieve significant weight reduction, there are instances where further intervention becomes necessary.

At KCM Clinic, our skilled medical professionals are dedicated to helping you achieve successful weight loss outcomes through personalised and effective revision surgery.

What Is Weight Loss Revision Surgery?

Weight loss revision surgery, also known as revisional bariatric surgery, is a surgical procedure performed to modify or correct a previous weight loss surgery that has not produced the desired results or has resulted in complications. 

This type of surgery is typically recommended for people who have undergone a primary weight loss procedure such as gastric bypass, gastric sleeve, or gastric banding but have not achieved their weight loss goals or have experienced complications like ulcers, pouch enlargement or the loosening of a lap band.

Am I Eligible for Weight Loss Revision Surgery?

Determining your eligibility for weight loss revision surgery requires a comprehensive evaluation by an experienced medical team. Factors such as your current weight, overall health, previous bariatric surgery history and the specific reasons for seeking revision surgery will be considered.

We at KCM Clinic conduct a thorough assessment to understand your unique situation and recommend the most appropriate treatment plan for you.

Gastric Band Revision Surgery

Gastric band revision surgery is a common type of weight loss revision procedure that addresses complications or inadequate weight loss following gastric banding. 

This surgery involves removing, replacing, or adjusting the gastric band to improve its functionality and optimise weight loss. It can be conducted in either a single-stage or two-stage approach. 

In the single-stage approach, the gastric band is removed and the revision procedure is performed simultaneously. On the other hand, the two-stage approach involves the removal of the gastric band first, followed by a waiting period of a few months before returning for the revision procedure.

At KCM Clinic, our skilled surgeons use advanced techniques to ensure the safety and effectiveness of the procedure, helping you achieve the desired weight loss outcomes.

Cost of Revisional Bariatric Surgery in the UK

At KCM Clinic, our priority is to provide patients with the highest-class medical care based on their individual needs and expectations. For over 10 years of working with overweight patients, we have developed, as a multidisciplinary team, an optimal package, containing a number of tests and consultations necessary to perform the procedure.

The Total Cost Estimate of the package includes:

  • Laparoscopic treatment – using J&J or Covidien staplers
  • Hospitalisation in a comfortable room with Wi-Fi and Netflix service
  • Comprehensive diagnostics and all preoperative consultations
  • Personal Coordinator at the Hospital and postoperative care plan
  • Personalised care from a clinical dietitian and psychologist along with a 7-week diet plan
  • Access to our patient support group – KCM Clinic – Weight Loss Surgery Poland
  • Access to our youtube channel – KCM Bariatric Kitchen

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    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

    Before surgery, it is very important to follow a specially prepared, pre-operative diet for a week before surgery. This diet is designed to help reduce the volume of the liver and stomach to facilitate surgery and convalescence. The diet should only be used before surgery and should not be continued later.

    Why should you follow a diet?

    The diet contains low carbohydrates and fats. Therefore, it will reduce glycogen stores (glycogen is a type of sugar stored in the liver and muscles for energy). Please do not be tempted to eat a special or large meal before surgery, because this will completely eliminate the effect of the diet.

    Food guidelines before surgery:

    • The last week before surgery, the diet should consist mainly of fluids (soups, jellies, puddings, juices and at least a liter of water a day). Avoid fatty, heavy foods, sweets or carbonated drinks that stick to your stomach. Vegetables and fruits are acceptable as snacks.
    • We encourage patients to discontinue caffeine-containing beverages, such as coffee and energy drinks, at least 7 before surgery.
    • The diet 7 days before surgery should consist only of liquids.
    • On the day of the operation, do not eat or drink – only non-carbonated water is allowed.

    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.

    About the procedure

    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.

    Preparation

    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
    Diet

    Before surgery, it is very important to follow a specially prepared, pre-operative diet for a week before surgery. This diet is designed to help reduce the volume of the liver and stomach to facilitate surgery and convalescence. The diet should only be used before surgery and should not be continued later.

    Why should you follow a diet?

    The diet contains low carbohydrates and fats. Therefore, it will reduce glycogen stores (glycogen is a type of sugar stored in the liver and muscles for energy). Please do not be tempted to eat a special or large meal before surgery, because this will completely eliminate the effect of the diet.

    Food guidelines before surgery:

    • The last week before surgery, the diet should consist mainly of fluids (soups, jellies, puddings, juices and at least a liter of water a day). Avoid fatty, heavy foods, sweets or carbonated drinks that stick to your stomach. Vegetables and fruits are acceptable as snacks.
    • We encourage patients to discontinue caffeine-containing beverages, such as coffee and energy drinks, at least 7 before surgery.
    • The diet 7 days before surgery should consist only of liquids.
    • On the day of the operation, do not eat or drink – only non-carbonated water is allowed.
    Precautions

    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.

    Convalescence

    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
    Post-treatment care

    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.

    gastric sleeve schema
    gastric bypass RYGB schema
    mini gastric bypass schema

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