1/30/2024 0 Comments Rny revisionsIf you underwent a sleeve gastrectomy, the sleeve or banana-shaped stomach formed in your original surgery may also stretch, and you may need to have a second bariatric surgery to lose more weight.A second procedure makes your stomach smaller to restrict eating or can shorten the small intestine segment that absorbs calories and can make the procedure more malabsorptive. If you had a Roux-en-Y gastric bypass surgery, the tiny stomach pouch created in the original operation can stretch and become too large.A surgery can adjust or replace your band. If you underwent gastric band surgery, the band can slip or may no longer inflate properly to limit eating. Your physician may suggest a second procedure if you’re not reaching your weight goals from your first surgery and are still obese, or if you have regained a significant amount of the weight you lost.Ĭomplications and medical conditions may also prompt the need for bariatric revision: Please contact our office to schedule a consultation and understand more about the surgical options to correct weight regain.There are several reasons why you might need to get revision bariatric surgery. If, indeed, the patient has lost their way in the post-bariatric diet, we offer a comprehensive back-on-track program to help return them to their former regimen.Ī revisional surgical procedure should be undertaken only when all other options are exhausted since there is a greater risk of complications. Once the determination has been made that it is not a behavioral issue, we will be able to discuss surgical options. For that reason, patients should come to our office prepared with a food journal detailing a week or more of meals and exercise. Before any revisional bariatric procedure, it is critical to ensure that the weight regain is indeed caused by something other than overeating. Patients in need of revision will usually come to our office complaining of significant weight regain. Chiasson) Gastric band to gastric bypass. Duncan has also developed a proprietary revisional technique that minimizes risk and pain while restoring most if not all of the gastric bypass’s restriction and malabsorption. Revision procedures that may be performed include: Gastric band to vertical sleeve gastrectomy (Dr. The duodenal switch procedure maintains the bypass’s combination of restriction and malabsorption.ĭr. The duodenal switch essentially reactivates the portion of the stomach that was cut away. The most commonly performed revision to a gastric bypass is the duodenal switch, which itself is sometimes used as a primary procedure. Sleeve Gastrectomy Roux-en-Y Gastric Bypass Adjustable Gastric Band. Since the gastric bypass affects both the stomach and small intestine, there are fewer options to definitively restore the previous function than the gastric band or sleeve. This results in less food intake and changes how the body absorbs food for energy. The gastric bypass, like all bariatric surgery procedures can be revised. gastric bypass or duodenal switch Gastric bypass revisions. Other less common reasons for a revision can include a stricture, where scar tissue partially blocks the opening to the small intestine and serious dumping syndrome. The decision to get bariatric revision surgery can be as complex as the procedure itself. If pouch dilation does, in fact, occur it usually becomes apparent several years after the procedure. But the stomach is a very flexible organ and, with improper aftercare, can increase in size. People feel discouraged with dieting alone as a. Many people have experienced weight gain after going on a diet. During the primary gastric bypass procedure, the stomach is reduced to about 20% of its original size. Revision after Gastric Bypass Is it possible. Of course, as the stomach gets bigger, the patient is able to eat more. This may mean investigating different weight loss surgical procedures on your own. The gastric bypass procedure can ultimately fail for several reasons, the most common of which is gastric pouch dilation, where the stomach increases in size over time. Investigate all your options and consider the long term outcomes.
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