A minority of patients may experience suboptimal weight loss or postoperative problems. We provide a structured assessment and targeted solutions to restore progress and comfort.
Inadequate Weight Loss / Other Postoperative Issues
Common Contributors
• Dietary grazing, liquid calories or high‑energy snacking
• Low physical activity levels
• Anatomical factors (e.g., sleeve dilation, enlarged pouch, wide anastomosis)
• Psychological or behavioural barriers
• Hormonal/metabolic adaptation
Issues We Manage
• Reflux, vomiting, dysphagia; dumping or diarrhoea
• Micronutrient deficiencies (iron, B12, D, calcium, folate, thiamine)
• Abdominal pain, adhesions; hernias or obstruction
• Weight regain or insufficient loss
Our Management Pathway
• Multidisciplinary review (surgeon, dietitian, psychologist +/- endocrinologist)
• Diagnostics: labs, imaging and endoscopy to assess anatomy and function
• Optimisation: nutrition, pharmacotherapy and behaviour strategies
• Revisional surgery when indicated, with shared decision‑making
Why Dr. Spyros Panagiotopoulos?
As a fellowship‑trained bariatric surgeon and clinical supervisor, Mr. Panagiotopoulos offers nuanced evaluation and safe, evidence‑based solutions—from conservative care to revisional procedures.