Revisional Bariatric Surgery for Management of Late Complications

Abstract

Bariatric and metabolic surgery has demonstrated safety and efficacy with an acceptable risk profile leading to significant growth in recent decades. Bariatric interventions alter gastrointestinal anatomy that can lead to unique late complications requiring specialized referral and management. Following available dietary, behavioral, and medical treatment options, patients with refractory complications may require endoscopic or surgical revision or conversion to other surgical procedures. Such chronic complications requiring revision are discussed following primary laparoscopic sleeve gastrectomy, laparoscopic Roux-en-Y gastric bypass, and biliopancreatic diversion with duodenal switch.