Revision Bariatric Surgery is among the most elite and challenging fields of laparoscopic surgery. It is intended for patients who have previously undergone a bariatric procedure (such as an old sleeve gastrectomy, gastric band, or gastric stapling) and did not achieve the desired results — whether due to weight regain, insufficient weight loss, or the development of functional complications such as severe acid reflux.

Here, we do not simply perform a new surgery — we correct an entire course. With Dr. Abdulrahman Al-Sayigh's experience in over 9,000 procedures, anatomical challenges and adhesions resulting from previous surgeries are addressed with a craftsmanship that ensures the patient reaches safety and achieves their long-awaited goal.

Procedure Steps

Given the sensitivity of these procedures, they follow meticulously planned steps:

  1. Precise Anatomical Assessment: Work begins with a comprehensive case study through contrast imaging and diagnostic endoscopy to understand the architecture of the previous surgery and identify the cause of failure (such as pouch dilation or hernia formation).
  2. Laparoscopic Adhesion Release: Dr. Al-Sayigh releases fibrosis and adhesions from previous surgeries using advanced laparoscopic techniques — a critical step requiring skilled hands to preserve the safety of surrounding organs.
  3. Surgical Conversion: The previous procedure is converted to a more effective type (for example: converting a "gastric band" or "dilated sleeve" to a "classic or mini bypass"), ensuring a stronger burning mechanism and better appetite control.
  4. Highest Safety Standards: Revisional procedures use surgical instruments and staplers specifically designed for previously operated tissue, with multiple leak tests to ensure 100% safety of the new connections.
Revision Bariatric Surgery

Advantages & Results

Why is revisional surgery with Dr. Al-Sayigh considered a lifeline?

  • Reclaiming the Dream of Ideal Weight: Gives the patient a genuine, well-planned opportunity to shed the kilograms regained after the failure of the first surgery.
  • Treating Functional Problems: Puts an end to patients' suffering from persistent heartburn, difficulty swallowing, or vomiting resulting from imprecise previous surgeries.
  • Regaining Control over Diabetes and Blood Pressure: Reactivates the metabolic benefits of the body that may have subsided after the failure of the first procedure.
  • Physician Experience as a Safety Factor: Handling previously operated tissue requires years of experience — which is exactly what Dr. Al-Sayigh provides to reduce risks and maximize success.
Revision Bariatric Surgery

Pre- and Post-Operative Instructions

Before the Procedure:

  • Strict commitment to the examinations requested by the doctor (contrast imaging, endoscopy, comprehensive blood tests), as these form the foundation of the surgical plan.
  • Follow a very special diet 14 days before the appointment to prepare the liver and internal tissues.
  • Psychological and behavioral preparation — discussing the reasons that led to the failure of the first surgery to ensure they are not repeated.

After the Procedure (Steps to Lasting Success):

  1. Careful Dietary Progression: In revisional procedures, extra caution is taken — the liquid phase may be extended slightly to ensure complete tissue healing.
  2. Close Follow-Up: Strict adherence to follow-up appointments with the doctor and nutrition team is essential to monitor the body's new response.
  3. Vitamins and Supplements: Absolute commitment to nutritional support — the body in the second round requires greater attention to ensure high energy and activity levels.
  4. Lifestyle Adjustment: Revisional surgery is a "second beginning" — commitment to dietary rules (thorough chewing, separating fluids from eating) is essential for sustained results.
  5. Movement: Light daily walking from day one, while avoiding any strenuous physical effort for at least two months to ensure the safety of internal wounds.