Bariatric Revision &
Conversion Surgery
If a previous bariatric procedure hasn't delivered the results you hoped for — or has caused complications — revision surgery can get you back on track. Our experienced surgeons offer the full range of revision and conversion options in Corpus Christi, TX.
Understanding Your Options
There are two distinct types of secondary bariatric surgery. Understanding the difference helps clarify what your situation may call for.
A revision is a second operation on the same type of procedure — correcting a problem with the original surgery without changing the overall approach. Revisions address complications or technical issues.
A conversion changes one procedure type to a different type — typically to achieve better weight loss, resolve complications, or address weight regain after the original surgery stopped working.
Most Common Reasons Patients Seek Revision
Weight Regain After Surgery
The most common reason for revision
- Weight regain months or years after initial success is common — especially with older procedures
- Conversion to a more powerful procedure (SADI-S, bypass, DS) can restore and extend weight loss
- Each case evaluated individually to determine the safest and most effective next step
Gastric Band Complications
Band removal or conversion
- Band slippage, port problems, erosion, or complete failure to achieve weight loss
- If you have an unused or problematic band, evaluation and removal is strongly recommended
- Band can typically be converted to sleeve or bypass in the same operation
Severe GERD After Sleeve
Sleeve to bypass conversion
- A proportion of sleeve patients develop worsening acid reflux (GERD) over time
- Conversion to gastric bypass resolves GERD in over 90% of cases
- This is one of the most commonly performed conversions and has excellent outcomes
Inadequate Initial Weight Loss
Sleeve to SADI-S or DS
- Some patients with very high BMIs or severe metabolic disease need more than the sleeve can provide
- Converting the sleeve to a SADI-S adds an intestinal bypass component for dramatically increased weight loss
- Excellent outcomes — SADI-S after sleeve is one of the most effective revision strategies
Revision & Conversion Options We Offer
| Original Procedure | Converted To | Reason | Outcome |
|---|---|---|---|
| Gastric Band (Lap-Band) | Sleeve Gastrectomy | Band failure, complications, or weight regain | Excellent — sleeve delivers far better long-term results |
| Gastric Band (Lap-Band) | Gastric Bypass | Band failure + GERD or diabetes | Excellent — resolves both weight and metabolic issues |
| Sleeve Gastrectomy | Gastric Bypass | Worsening GERD, weight regain | Very good — resolves reflux in 90%+ |
| Sleeve Gastrectomy | SADI-S | Insufficient weight loss or regain | Excellent — adds powerful malabsorptive component |
| Sleeve Gastrectomy | Duodenal Switch | Very high BMI, severe metabolic disease | Excellent for appropriate patients |
| Any procedure | Repair / Revision | Complications, strictures, leaks | Case by case — evaluated individually |
How We Approach Revision Surgery
Revision surgery is more complex than a first-time procedure. We take a thorough, individualized approach to every case to ensure the safest possible outcome.
Comprehensive evaluation first
Before any revision, we perform a thorough workup including imaging, endoscopy, nutritional labs, and a detailed review of your prior surgical history. This is essential for safe planning.
We follow patients from other surgeons
You don't need to have had your original procedure done at Better Weigh Center. We regularly take on revision cases for patients who had surgery elsewhere in Texas or other states.
Honest, individualized recommendation
Not every patient who comes in asking for a revision needs one — or needs the one they expect. We'll give you our honest assessment of the safest and most effective path forward, even if that's not what you initially had in mind.
Performed at accredited facilities
Revision surgery requires a high level of surgical expertise and hospital support. Our surgeons operate at accredited bariatric facilities in Corpus Christi equipped to handle complex cases safely.
Had Bariatric Surgery That Isn't Working?
Whether you're experiencing weight regain, complications, or just not getting the results you expected — our surgeons can evaluate your situation and give you an honest recommendation on what to do next.
Serving Corpus Christi, South Texas, Victoria, Laredo, McAllen & surrounding areas