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"If you're in need of a Laparoscopic 
Revision Bariatric Surgery, 
you've found the right place."

-Vishal Mehta MD
"If you're in need of 
Revision Bariatric Surgery, 
you've found the right place."

-Vishal Mehta MD
Revision of Gastric Bypass
This video is of a patient who had gastric bypass years ago and stretched out their stomach pouch and outlet. You can see Dr. Mehta folding and stitching the stomach pouch making it much smaller so the patient can feel full after eating much smaller amount. There is no cutting of the stomach or the intestines, thereby increasing safety of this procedure. The stomach can be made significantly smaller, maximizing weight loss. This procedure takes about an hour, and patients can return to work in 2-3 days. The same can be done for a patient who stretched out their gastric sleeve. 

Revisions are different than the initial operation. There are many options available. Some are riskier than others. Some lead to more weight loss than others, whereas others can lead to significant malnutrition long term. It should come as no surprise that many surgeons choose to not perform revisions at all, or only do so reluctantly. 

Since Dr. Mehta had in-depth revision training during his fellowship, and has been performing revision cases his entire 17 year career, he is able to design and offer modified techniques to patients in search for revision bariatric surgery, with safety and long term efficacy being the priority. These Revision Plication cases were modified by Dr. Mehta thereby eliminating re-cutting of the stomach or intestine, and creating a tiny stomach pouch for maximal weight loss. Additionally, a gastric band can be added to the revision procedure for enhanced long term restriction. Dr. Mehta offers many revision options, and they are tailored to the patient's needs. 
  •  Revision Plication of Gastric Sleeve
  •  Gastric Band over Gastric Sleeve
  •  Combination: Revision Plication of Gastric Sleeve with placement of Lap-Band over the Sleeve 
  •  Conversion from Sleeve to Gastric Bypass
  •  Conversion from Sleeve to Duodenal Switch
  •  Endoscopic Suturing of Gastric Sleeve Pouch
  •  Revision Plication of Gastric Bypass
  •  Lap-Band over Gastric Bypass
  •  Combination: Revision Plication of Gastric Bypass with Lap band placed over Gastric Bypass 
  •  Revision Plication of Gastric Bypass with increasing the amount of intestine bypassed. (aka: Long limb gastric bypass)
  • Removal of band w/ conversion to a Gastric Sleeve
  • Removal of band w/ conversion to Gastric Bypass
  • Removal of band with conversion to Duodenal Switch

Many people had bariatric surgery but never quite lost all the weight they wanted. There are others who did lose the weight, but started regaining it back years later. Often, this is due to the stomach pouch stretching out from the initial surgery, imperfect eating habits, or a combination of both.  This allows one to not only eat larger amounts of food, but also feel hungry soon after eating...hence the weight gain.  We see a countless number of patients from all over who've already had bariatric surgery, and are desperately seeking additional help, but have been told to see a nutritionist, and are left on their own means to try and lose weight. They often start believing that they cannot be helped. This is usually NOT the case. Dr. Mehta performs a quick upper endoscopy to see if the stomach pouch has stretched out, as this is often the case.

Revision surgeries, when performed the traditional way, can carry higher risks than the initial procedure. Understandably, many surgeons shy away from specializing in these surgeries. Dr. Mehta has modified some of the older revision surgery techniques to create options that are now less invasive, less complex, have a quicker recovery, and significant weight loss. Most revisions are performed laparoscopically in about an hour, and some patients go home the same day. 

If the stomach pouch from an old gastric bypass is stretched out, it can be made significantly smaller again by folding it inwards and suturing it (Plication of Pouch), instead of cutting and restapling (Traditional Revision Surgery).  Not having to cut the stomach for a second time decreases the chance of a leak significantly bringing it close to 0%.  Our experience has shown the weight loss to be comparable to more complicated procedures such as recutting and redoing the entire surgery. 

Endoscopic Procedures that attempt to fold the stomach inwards by inserting a camera through the mouth and stitching the inner lining of the stomach, thereby making it smaller, generally do not  lead to significant weight loss. The main reason is that when the stitching is performed, it only takes partial thickness bites of the stomach wall which doesn't hold long term. Also the outer part of the stomach is adhered to surrounding tissues and will not fold unless these adhesions are released... something that cannot be done endoscopically. Dr. Mehta performed these procedures years ago, when they were first introduced, and chooses to no longer do them because of their ineffectiveness.

Our philosophy regarding revision surgery is straight forward: Keep it SIMPLE, SAFE & EFFECTIVE.

The decision to have Revision Surgery is not made easily. You should know that Dr. Mehta is a highly experienced bariatric surgeon, with one of the most in-depth training in revision surgeries. He did his fellowship under tutelage of Bariatric Surgery pioneer Dr. Brolin, where he was trained in many type of revision operations including variations of older Gastric Bypasses, Long Limb Gastric Bypass, Duodenal Switch, Jejuno-ileal bypass, Fobi-pouch, Marginal ulcers...etc. This type of training is rarely found these days, and is key into having knowledge and in-depth experience, which cannot be easily substituted. He has been performing laparoscopic revision surgeries over his entire career and has treated many patients who traveled far distances for his expertise. 

You should also find comfort in knowing that Dr. Mehta has modified many revision operations over the years, using minimally invasive techniques, and modifying the way they are being done in an attempt to making them simpler and safer for patients. Many of the revisions can be done without cutting the stomach or the intestines, thereby substantially decreasing the chance of a leak, and increasing patient safety. 

Additionally, Dr. Mehta personally performs each and every surgery, including revisions, laparoscopically in their entirety from beginning to end.  It's been well over a decade that a patient had to undergo an open procedure.  Surgeries are NEVER handed off to an assistant surgeon, a junior partner, or a resident. Very often this is the case in teaching hospitals, or in groups with less experienced surgeons. Dr. Mehta also personally checks on each and every patient himself after the surgery, including on weekends. He also gives out his personal cell phone number to his patients so they have quick access to him should they have any questions or concerns. Spend some time reading his testimonials to see what his patients have to say.

If you've been told that your revision surgery can't be done, or has to be with an "open" incision, you may want to consider getting a 2nd opinion from Dr. Mehta. He has been performing revision operations laparoscopically for 17 years, including on patients who had prior open bariatric surgeries.
"Dr. Mehta and his staff (especially Lulu) are great!! Dr. Mehta has a great bedside manner and takes the time to talk to you and answer any and all questions that you may have. My situation was different than most. I had an old gastric banding placed in back in 1985. My surgery was performed by a surgeon who no longer practices. The banding had gone bad and eroded through my stomach causing a lot of pain. I had gone to many doctors and finally met Dr. Mehta who decided to help me by performing corrective surgery to remove the band and perform the new gastric bypass. I was back up to 225 lbs and I am now down to 140 lbs. My husband met with Dr. Mehta while he was in the hospital and liked his manners and asked me to call him. I had no problem getting an appointment and he explained everything I needed to know. I had the surgery and I am now feeling great and no longer in pain. I love Dr. Mehta and his staff. I felt I made a great choice and I am glad he took my case on and helped me out." 
After a lifetime of losing and gaining weight, including a "stomach-stapling" surgery 13 years earlier, my personal physician recommended gastric bypass surgery. The referred surgeon said I would require "open" surgery because of my previous stapling surgery, and since he only performed laparoscopic, I needed to find another surgeon. While researching I located Dr. Mehta's website and attended several of his seminars and support group meetings. These were very open discussions of the surgical procedure and the risks and benefits associated with it. It was obvious that Dr. Mehta's patients had a great respect for him as a person and in his skills as a surgeon. During my consultation, Dr. Mehta discussed the possibility of doing the revision surgery laparoscopically. Once the day of surgery was over, I was thrilled to find that the gastric bypass was successfully completed in this minimally invasive way. Without Dr. Mehta's skills and confidence to attempt this surgery laparoscopically, I would have had several more weeks of pain and recovery time associated with "open" surgery. My recovery went very smoothly, and I benefited from the support I received from the support group and the wonderful office staff. The availability of a dietician and personal trainer’s gives you all the tools needed to make the most of this life changing procedure. At the time of surgery, I weighed 250 lbs. It has been nine months since surgery, and I am down 85-90 pounds (and still losing) and I feel great. I would highly recommend Dr. Mehta and his comprehensive practice to anyone seeking this type of surgery. He is an exceptional surgeon and a very caring person.

A really old video!
Revision operations are often covered by insurance, with the approval process being surprisingly easy. You should know that Dr. Mehta does not balance bill patients.  Our office manager, Lulu, is extremely knowledgable & efficient in dealing with insurance companies to get your surgery approved. If you decide to self-pay, you should find it comforting that our fees are very reasonable for revision procedures, and we offer the convenience of 0% interest financing using Care Credit® or HSCLoans®. 

Self-pay patients can often have the surgery within 2 weeks of the initials consultation.

Schedule a one to one consultation with Dr. Mehta
While internet is the easiest and fastest way to gather general information, it's no substitute for a one to one consultation with Dr. Mehta who can take everything about you into account, including: your age, sex, medical & surgical history, medical co-morbidities, overall weight loss goals...etc. Processing all this information and relying on experience of thousands of patients, 17 years experience, and up to date knowledge allows Dr. Mehta to give you sound advice on all your options and guide you towards what's best for YOU, specifically.  This is especially the case if you're in need of a revision bariatric surgery procedure.
800 Bunn Dr, Suite 303. Princeton, NJ 08540
Ph:(732)745-0999   (888)NEW_BODY
Text: (609)455-0138 (917)364-5644
2 Lincoln Hwy, Suite 311B. Edison, NJ 08820
Ph: (732)745-0999 (888)NEW_BODY
Text: (609)455-0138 (917)364-5644