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Some patients after having bariatric surgery, may have issues that are not responding to conservative (non-operative) treatment. 

These issues may include:

• Weight regain, 
• Nutritional deficiency, 
• Severe anemia
• Complications due to intestinal connection (anastomotic), 
• Complications related to gastric band 
• Acid reflux, 
• Marginal ulcers, etc. 

In these patients a “revision” of the initial surgery, for correction or conversion into another procedure is required.