Minimally Invasive
Weight Loss Surgery Revision

At DFW Bariatric Institute, weight loss revision surgery, or bariatric revision surgery, is about giving patients a second chance. The decision to undergo a weight loss procedure is only the beginning of the journey. Some patients may not respond well to their first operation with insufficient weight loss. Bariatric revision procedures are for those patients who didn’t lose enough weight in the initial operation. Having performed many gastric bypass, LAP-BAND® System, and gastric sleeve procedures, the DFW Bariatric Institute is uniquely qualified to perform weight loss revision surgeries. Because of our vast experience with this increasingly complex procedure, patients across Texas and beyond seek our expertise when in need of additional weight loss surgery. Some patients may have suffered a complication with their first operation, and our weight loss surgeons are capable of correcting these complications

The DFW Bariatric Institute is a rarity among bariatric surgery practices because we specialize in a wide spectrum of weight loss procedures. Our extensive experience and expansive grasp of the complexities of each weight loss procedure provides the insight needed to understand why some patients do not reach their goals. Our practice appreciates the opportunity to help patients who have struggled with their first weight loss surgery because we strongly believe we can provide patients with effective tools to succeed in their pursuit of a healthier, happier life. In our experience, the DFW Bariatric Institute has also found weight loss revision surgery tends to be one of the most successful procedures; a fact we attribute to the increased commitment to making the right choices as patients pursue meaningful weight loss and a healthy transformation.

In most cases of revision bariatric surgery at our practice, patients have had their first procedure elsewhere. The most common reason patients provide when considering weight loss revision surgery is an unsatisfactory loss of weight after their first procedure; however, the reasons for pursuing a revision surgery can be as varied and complex as the procedures themselves. To fully diagnose a patient’s weight loss needs, and determine if they qualify for bariatric revision surgery, the DFW Bariatric Institute urges potential patients to contact us to make an appointment for a private consultation.

The LAP-BAND® System is one of the most common weight loss procedures. Our surgeons believe the gastric banding system is an excellent tool that allows patients to lose a considerable amount of weight; however, we also believe the procedure is not successful for a specific subset of patients. When a patient has not done well with the banding system, the next step in the weight loss process is often to remove the band and perform the gastric sleeve operation. Below is a list of common reasons for bariatric revision surgery, whether a patient is unhappy with the results of their first procedure, or experienced a complication that hindered their weight loss journey.

  • Failed Weight Loss – the patient is constantly hungry despite numerous band fills, leading to unsatisfactory weight loss.
  • Difficulty Swallowing – despite various inflations and deflations of the band, the patient is either experiencing a band that is too tight, or too loose. When the band is too tight, the patient will often times choke or throw up. When it is too loose, the patient can over eat leading to weight gain. There is no “happy medium”.
  • Limited Dietary Choices – a patient may be limited to eating only mushy or soft foods, which are often very rich in carbohydrates. When they attempt to eat protein-rich foods such as chicken or beef, they experience choking or vomiting. These restrictions often lead a struggling LAP-BAND® patient to make poor dietary choices, or suffer from chronic hunger.
  • Heartburn – also known as GERD (Gastro-Esophageal Reflux Disease) is typically worse at night, and can be severe enough to cause pulmonary infections such as bronchitis or pneumonia. While bariatric surgeons have begun to address this with issue through the routine repair of hiatal hernias during the primary operation, it cannot guarantee GERD will be prevented. GERD is inevitable when the band exceeds lower esophageal sphincter pressure, and cannot be well-controlled with medications for acid reflux.
  • LAP-BAND Slip – either the band has slipped out of position or the pouch is unusually dilated. In most cases, emptying the band does not permanently fix the problem. In fact, an empty band may give a normal X-ray appearance temporarily and, upon refill, almost always lead to another slip. As a large slip can cut off circulation to the stomach, this is a serious cause for concern.
  • LAP-BAND® Erosion – another extremely serious and potentially life-threatening problem occurs when part of the band burrows into the lumen of the stomach organ itself.
  • Weight Loss Plateau – occurs when a patient loses some weight, but experiences a plateau despite increased effort. This can occur months to years after the band was inserted and hamper their ultimate weight loss goals, leaving them frustrated and discouraged.
  • Mechanical Failure – occurs when there is an apparent hole in the LAP-BAND®, either in the port, tubing, or band itself. Instead of choosing to undergo another gastric banding procedure, or risk the continuous and uncomfortable task of having to access the port, patients will often consider other options, including the gastric sleeve.

A number of alternatives to an unsuccessful LAP-BAND® procedure exist for patients struggling to cope with the frustration of insufficient weight loss. One of the most popular choices at our practice is the gastric sleeve surgery, as this procedure often presents a viable solution to a number of the complications listed above.

  • The swallowing reflex is much easier with the gastric sleeve
  • Vomiting and choking are rare because there is no device to restrict passage of food
  • Less maintenance of the device means less office visits
  • A drop in hunger hormones allows patients to better control their appetites
  • Removal of the device eliminates the chance of a slipped band and mechanical failure

While the gastric sleeve surgery presents a number of advantages over the LAP-BAND® system, bariatric revision surgery is still a serious procedure, with its own set of risks and complications to consider. Additionally, as with any weight loss procedure, no guarantee can be made for weight loss success. However, the DFW Bariatric Institute stresses that a positive outlook supported by extensive experience can lead to meaningful weight loss and a second chance at living the life our patients desire. Ultimately, that’s what weight loss revision surgery is all about.

With thousands of gastric sleeve surgeries performed, and a complication rate of less than 1%, patients have come from across the U. S. for a consultation at the DFW Bariatric Institute, whether they are considering their first weight loss surgery, or bariatric revision surgery. If you are unsatisfied with your weight loss following the LAP-BAND® procedure, or another weight loss surgery, and you are willing to commit to the pursuit of a healthier lifestyle, you owe it yourself to contact the DFW Bariatric Institute to review the available options in a one-on-one consultation with one of our experienced surgeons.

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Patient Testimonials


Janet S.

Lost 93 pounds*

"93 pounds later, I have a whole new life. I’ve gone from a size 24 down to 10-12. I no longer have high blood pressure or high cholesterol. My knees, which were in sad shape before surgery, don’t hurt anymore. I joined a gym and participate in water aerobics and a latin impact aerobics class. My whole life has changed. I have much more confidence in myself and love to be with people."

Erlinda N.

Lost 120 pounds*

“I have experienced incredible changes in my life after losing over 120 lbs with weight loss surgery. I no longer have high blood pressure. I also no longer have sleep apnea or have to use a CPAP machine. I take a yoga class, walk, swim, and have a new passion…golf. I’m having a blast! I’m looking forward to going to a water park for the first time ever and having adventures I never thought possible. I am so happy that I took this life changing step and highly recommend DFW Bariatric Institute.”

Vivian P.

Lost 140 pounds*

“First off….this surgery will give you your life back. It is a total life changing surgery and I feel like I owe DFW Bariatric my life since they restored mine to me. My weight ballooned up to 273 lbs before my surgery. I have successfully lost and maintained a 140 lb weight loss… This is the most amazing journey that anyone could ever take and the DFW Bariatric Institute staff will all be there to hold your hand and lead you down the road to your success.”

Sherrie M.

Lost 110 pounds*

“I am currently 29 years old and weigh 130 lbs. Before surgery I weighed almost 240 lbs…This is the best thing I have done with my life and would do it again today. It changed my life drastically. My surgeon said to me, 'I can do 50% for you and give you the surgery, but the other 50% is up to you. Your eating, your exercise, your total outlook on life make up the other 50%. And what you want from the surgery is what you will get, and the life you will gain.'”

John E.

Lost 90 pounds*

“I went to a seminar and left there with complete ease, feeling like everyone cared about me and my health. On first office visit I was totally impressed…I never felt rushed in the office, and always felt everyone cared. My surgery was completed and I am now down 90 pounds…The biggest part of recovery comes from the encouragement DFW Bariatric gives. Everyone is always positive and takes the time to explain things in a positive way.”

Kathy D.

Lost 161 pounds*

“There are no words to express the amount of change that weight loss surgery has brought to my life. I am a 54 year old female. There were so many things I was unable to do before the surgery that I blamed on age. It wasn’t my age at all, it was the weight. I am 30 again…The day of my surgery, I weighed 299 pounds. Today I weigh 138 and wear a size 6…I feel so good about myself now. The surgery saved my life!”

Brian S.

Lost 130 pounds*

“After losing 130 pounds, I feel like I have a new lease on life. I was able to stop all of my diabetes, high blood pressure, and my cholesterol medicines. I have always had chronic knee problems and now I am able to run three miles per day without any pain. If I had a choice of doing this surgery again or not, I would definitely do it again. I feel that by having the surgery it not only gave me my life back but it also saved my life.”

Lorna Q.

Lost 107 pounds*

"I have lost the astonishing amount of 107 pounds in less than a year. I feel like I have my life back and I am in control again. All my family and friends are always telling me that I look happier than before and they are right, I am much, much happier than before. I have to thank DFW Bariatric and my husband for helping me throughout this very emotional and amazing journey. I do not regret at all having the surgery, it is one of the best decisions I have ever made in my life.”

Danielle L.

Lost 154 pounds*

“My outlook on life was so different before having my weight loss surgery. I was taking medicine for diabetes, high blood pressure, and depression, and my back, legs, and shoulders hurt all the time which kept me from sleeping. My start weight was 298 pounds. And I am now 144. I’m no longer on any type of medications. My body is the best shape I have ever been in. I am so happy to be where I am today mentally and physically. With my hard work and dedication and with the aid of DFW Bariatric, I am where I want to be. I trust this team with all my heart.”

Dennis H.

Lost 170 pounds*

“At 365 pounds, I was medicated for high blood pressure, diabetes, joint inflammation, and high cholesterol…I was a living example of morbid obesity. I knew then that it was time to do something with my weight…It was not easy to get through all of the hoops that my health plan demanded, but the DFW Bariatric team helped me every step of the way. Today I weigh 195 pounds and feel great! From the time I left the hospital after surgery I have been free from all prescription medications. I can never thank this team enough for giving me back my life."