<unk>  is a surgical procedure that is performed on patients who have already undergone a form of bariatric<unk> , and have either had complications from such<unk>  or have not achieved significant<unk>  loss results from the initial<unk> . Procedures are usually performed laparoscopically, though open<unk>  may be required if prior bariatric<unk>  has resulted in extensive scarring. With the increase in the number of<unk>  loss<unk> es performed every year, there are growing numbers of individuals who have experienced an unsatisfactory result from their bariatric procedures. There are several<unk>  loss<unk>  options, some of which may limit later options for<unk> .
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