Saturday, April 13, 2024

Revision Surgery For Gastric Bypass

Revision Of Sleeve Gastrectomy To Laparoscopic Roux

Scarless Revision Surgery after Gastric Bypass

Much like the bands that were placed over the last ten years, more and more patients are opting for a sleeve gastrectomy as their preferred bariatric procedure. Unfortunately, not all patients are seeing the weight loss they desire when they undergo this surgery. We have found that there are several reasons that revision to a sleeve gastrectomy is needed.

Gastric Bypass Revision Surgery

If you have previously undergone gastric bypass surgery and require a revision the procedure is called a transoral gastric outlet reduction and is used to repair or reconfigure the connection that links the stomach and small bowel.

Sometimes the surgeon can insert some sutures into the gastric outlet using an endoscope using zero incisions. After these stitches have been put in, patients get full faster so they stop eating and lose weight.

A gastric bypass revision performed endoscopically is an outpatient procedure and individuals can go home the same day with a fairly short recovery time.

Who Is Eligible For A Mini Gastric Bypass

There are no absolute contraindications for bariatric surgery. In most cases, patients with a BMI of over 40 will automatically be considered, as will patients with a BMI greater than, or equal to 30 with one or more obesity-related conditions. To find out if youre eligible, book a personal consultation at Texas Endosurgery.

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Revision Of Previous Weight Loss Surgery

Revisional weight loss surgery can repair areas that were altered during a previous bariatric procedure but have stretched out.

During all bariatric surgeries, the size of the stomach is made significantly smaller to restrict the amount of food the patient can eat. Over time, this smaller stomach pouch can become stretched out from overeating, or sometimes it is a result of the bodys natural ability to heal and adapt to changes.

Once the stomach capacity has been increased, the patient is able to eat more, they do not feel full as fast, and do not stay satisfied as long. Weight loss revision surgery can be performed to correct the areas that have become stretched out and restore the restrictive properties of the original weight loss surgery.

Weight Regain After Bariatric Surgery Explained – IBI Healthcare Insitute

Dr. Chris discusses the reasons behind weight regain after bariatric surgery and successful weight loss and how to prevent it.Learn more about weight regain …

Will I Feel Pain

Revision Weight Loss Surgery Melbourne

There will be pain and discomfort after revision weight loss surgery. Pain management is important for your recovery. Dont wait until you feel significant pain before taking medicine stay on a schedule to keep pain at a minimum. Controlling pain lets you complete physical therapy and other rehabilitation activities. Tell your doctor if your pain gets worse or changes in any way. It could be a sign of a complication.

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Revision For Failed Gastric Bypass Surgery

More than 100,000 people in the United States undergo gastric bypass surgery to treat obesity. Generally, most gastric bypass patients achieve excellent weight loss results. However, some patients experience weight regain, inadequate weight loss, and other adverse complications after their initial surgery. In these cases, bariatric revision surgerymay be necessary.

At the Khalili Center, we understand that a failed gastric bypass must be approached accordingly to eliminate complications and improve your quality of life. Our team of experienced surgeons specializes in various weight loss and revisionalbariatric procedures.

Body Metabolism Working Against You

Sometimes, as the food intake of a person is reduced abruptly, as occurs after a weight loss surgery or gastric sleeve surgery, the body tries to adapt to the new low-food low-calorie situation by lowering the basal metabolic rate.

Slow metabolism is one of the major mechanisms of weight gain. It is commonly seen in people with hypothyroidism and genetic obesity.

How to boost your metabolism to stop weight regain after gastric sleeve surgery?

The metabolic rate of a body is controlled by stress hormones, adrenaline and nor-adrenaline, and thyroid hormones.

It is important to get tested for hypothyroidism. Thyroxine replacement in hypothyroid patients can prevent weight regain by boosting metabolism.

To increase the metabolic rates of the body, one can increase the intake of green tea, coffee, and caffeinated beverages.

Alternatively, phentermine is an FDA-approved weight loss drug. It works by boosting the metabolic rates of the body. People with a slow metabolic rate can benefit from phentermine/ topiramate .

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Am I A Candidate For Gastric Sleeve Revision*

If you havent reached your weight loss goals or are experiencing frequent acid reflux, you might be a candidate for Gastric Sleeve Revision. There are a number of factors that will determine if you are a candidate for Gastric Sleeve Revision and your weight loss specialist will help to determine what the best option is for you. Whether you need a procedure to revise your sleeve to a gastric bypass to correct dysphagia or reflux, or to a Duodenal Switch to help further weight loss, TLC offers several bariatric revision surgery options.

What Is My Diet After The Procedure

Endoscopic Gastric Bypass revision (Transoral Gastric Outlet Reduction): How does it work?

In order to allow the pleats to bond to each other, patients are put on a liquid diet for two weeks. The first week consists of a high-protein clear liquid diet, the second week consists of a high-protein full liquid diet, the third week consists of a mushy regular diet, then the patient can return to solid foods.

Benefits of the StomaphyX procedure include:

  • Overall risks are much lower than with traditional surgery
  • Does not require abdominal or internal surgical incisions
  • Since there are no visible incisions, there are no visible scars
  • Reduces risk of infection from surgical incisions
  • Reduces size of stomach pouch, which limits food intake
  • Reduces enlarged stoma, which slows passage of food into the small intestine and causes earlier satiety
  • Can usually be performed on an outpatient basis
  • Virtually painless
  • Lower mortality rate compared with gastric bypass revision

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What Is A Bariatric Revision

Bariatric revision is an endoscopic procedure designed to help patients who have already had a gastric bypass procedure but have since gained some weight back. This procedure is sometimes called a transoral gastric outlet reduction.

During the procedure, we place sutures endoscopically in specific locations to reduce the size of the pouch/outlet attached to your small intestine. The diameter is typically reduced from the size of a silver dollar down to the size of a dime.

Because the outlet size is reduced, you feel fuller sooner, which then assists with weight loss.

Here at Atlantic Medical Group, weve partnered with Apollo endosurgery to help you achieve your weight loss goals via the Apollo OverStitch procedure.

Am I A Candidate For The Lap Band Revision Surgery

If you are experiencing weight gain, discomfort, or severe symptoms due to your Lap Band procedure, you may be a candidate for a Lap Band revision surgery. If you are experiencing pain or severe symptoms, it is important that you contact us right away. Contact us today to learn more about lap band revision surgery.

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Questions To Ask Your Doctor

Making a list of questions can help you remember everything you want to ask about your procedure. Questions you may want to ask the doctor include:

  • Why are you recommending this type of revision surgery for me? How do the outcomes compare with other revision techniques?

  • How many of these procedures have you performed? How often do you see complications?

  • What is involved in this revision surgery? What other treatments will I need?

  • How long does the surgery take? When can I go home?

  • What restrictions will I have after surgery? What kind of assistance will I need at home?

  • When can I return to my regular activities?

  • How will you manage my pain?

  • What changes, if any, to my medication plan do I need to make?

  • When should I follow up with you?

  • How should I contact you after hours if I have a problem?

Bariatric Revision Surgery: Weight Regain Explained

Lap

It is not uncommon for patients who have had bariatric surgery to relapse and regain the weight. In fact, statistics show that one in five people who undergo weight loss surgery regain weight within the first several years. Today we will be talking about bariatric revision surgery.

One would think that reducing the size of the stomach through weight loss surgery would ensure that the results are permanent. Unfortunately, it is not that easy and is a bit more complicated than that. Many factors can cause individuals to gain weight after bariatric surgery, and sometimes its simply because the surgery that was performed did not really fit the patients needs. To understand why we should take a look at how weight loss surgery works.

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Estimated Weight Loss And Milestones

Gastric bypass surgery is for people who are morbidly obese or obese, based on their body mass index . People people who have a BMI greater than 40 are typical candidates for gastric bypass surgery. People who have a BMI greater than 35 and have a chronic health condition, may be candidates for surgery as well.

Once an individual undergoes gastric bypass surgery, they will begin to lose excess weight. Excess weight loss is the amount of weight you could lose after bariatric surgery to obtain your ideal body weight. To calculate your excess weight loss follow the formula below.

Current weight ideal weight= amount of excess weight

450lbs 176lbs= 274lbs of excess weight

Therefore, you need to lose 274lbs to be in your ideal body weight range.

People who undergo gastric bypass surgery typically have 2-3 years of rapid weight loss post-op. Lets review the timeline of typical excess weight loss below.

  • 3 months after surgery: 30% of EWL
  • 6 months after surgery: 50% of EWL
  • 12 months after surgery: 65% of EWL

Weight regain typically occurs 3-5 years after gastric bypass surgery and can increase over time. At 10 years post-op, EWL drops to around 52%, meaning weight regain occurs.

Why Should You Consider Revision Surgery

There are two primary reasons to consider revision surgery

  • If you are not satisfied with the results of primary gastric bypass.
  • Examples of this include

  • If you experience significant side effects from your original surgery
    • Dumping Syndrome
  • If you have experienced some weight loss but still are suffering from obesity-related diseases or morbid obesity
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    What Is Bariatric Surgery

    Bariatric surgery is a term used to describe one of several procedures that alter the digestive tract temporarily or permanently, and the altered state helps the patients lose weight by controlling the amount of food that can be ingested at one time, limiting the number of calories that are absorbed by the body, and helps control the feeling of being hungry.

    Individuals who have a body mass index of 40+ qualify for bariatric surgeries or procedures. Also, if a patient has a BMI of 35+ and has a weight-related health issue like type 2 diabetes, they would be a candidate for weight loss surgery.

    Some People Cant Tolerate Gerd:

    Gastric Bypass Revision Surgery

    GERD is a common complication of gastric sleeve surgery. People with preexisting GERD may develop intractable symptoms and may opt for revision to gastric bypass surgery.

    Gastric bypass surgery is not associated with GERD. This could be one of the reasons why patients opt for gastric sleeve revision to bypass surgery.

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    Conversion To Duodenal Switch

    Patients requiring gastric bypass revision surgery especially patients who were super obese prior to gastric bypass surgery may find a conversion to duodenal switch surgery to be the best option.

    For example, one study evaluated 12 patients undergoing a conversion from Roux-en-Y gastric bypass to a duodenal switch. The patients had an average original BMI of 53.9, an average low BMI after gastric bypass of 31.6 and an average pre-conversion BMI of 40.7. About one year after revision surgery, their average BMI was 31 .

    What Are The Risks And Potential Complications Of Revision Weight Loss Surgery

    All surgeries involve risks and the possibility of developing complications. Surgical risks are generally higher with revision surgery compared to the original surgery. The risk is increased if you have extensive scarring. Because of this, doctors recommend trying other strategies first to resolve issues from the original surgery.

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    Improved Quality Of Life

    The primary goal of bariatric or Roux en Y Gastric Bypass Revision surgery is to improve the quality of life for the patient following their operation. From this surgery, a significant majority of patients report substantial loss of their excess weight and numerous improvements to their health and wellbeing. The average weight loss after gastric bypass revision surgery can be up to 80% of excess weight. Other benefits aside from the weight loss include reduced joint pain, improved quality of sleep, remissions from type 2 diabetes and improved cardiovascular health.

    These benefits of weight loss and a healthier outset are only possible if the patient has a commitment to maintaining a healthier lifestyle. While gastric bypass revisions are undoubtedly successful, the operation will only continue to provide successful weight loss if the patient continues to implement regular exercise and a balanced diet.

    Although many choose to undertake their first gastric bypass surgery with the hopes of tackling chronic health issues and reducing their, they do not always manage their desired outcomes. Some cannot keep their excess weight off or remedy their chronic health issues, whilst others may experience weight regain as a result of not sticking to a healthier lifestyle.

    Gaining Weight After Bariatric Surgery

    Bariatric Revision Surgery Plano, TX

    Usually, patients who have bariatric surgery will see significant weight loss in the first several months. Much of this can be attributed to the smaller stomach size, the body having to heal from surgery, and the very restricted diet patients must follow. The human metabolism can speed up or slow down adapting to change as part of the bodys natural preservation ability.

    The body may even alter the reconfigured stomach and digestive system after the surgery, or individuals may over-eat and stretch out their smaller stomach which allows them to continue to eat too much. If this happens and the stomach stretches, then most of the benefits of bariatric surgery will be ineffective.

    These issues can cause weight regain or prevent a patient from losing weight in the first place causing them to seek out their doctor for a solution. Sometimes, the surgery previously performed causes unpleasant complications that the patient cannot tolerate so they go back to their doctor for help. Often, bariatric revision surgery is the answer and will help facilitate weight loss and alleviate unpleasant symptoms.

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    How Much Does Gastric Bypass Revision Surgery Cost In The United States Or Canada

    If you undergo Bariatric Revision Surgery in the United States the cost can be around $15,000 USD, up to 73% more in comparison with Tijuana.

    In addition to poor weight loss results, incorrectly performed bariatric surgery can lead to serious symptoms, including dumping syndrome, intolerance to solid foods, and severe constipation. If you are experiencing any of these symptoms after surgery, you should seek professional help immediately.

    The preoperative bariatric diet should be taken by the patient at least three days before and consists of high portions of protein, low in calories, and easy-to-digest. foods.

    Two or three days before surgery youll need to switch to an all-liquid diet. Restrict your food intake to water, broth, gelatins, and low-calorie sports drinks .

    After a weight loss surgery in Hidalgo Bariatrics our team of professionals will be available to help you creating a nutrition and lifestyle plan so you can experience a successful weight loss, you also have access to our post-bariatric surgery support group.

    Gastric Bypass Surgery Basics

    Gastric bypass surgery involves taking a small portion of your stomach and creating a new small pouch for food to pass. The new pouch is also rerouted and attached to a different section of your small intestine.

    Gastric bypass surgery leads to weight loss in two different ways, which include food restriction and decreasing food and nutrient absorption. Food restriction is obtained by creating a new, smaller stomach which restricts your food intake. Thus, gastric bypass patients will reach satiety faster. In addition, rerouting and bypassing a section of your small intestine prevents calories and some nutrients from being absorbed. Both factors lead to excess weight loss.

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    What Is Revision Weight Loss Surgery

    Revision weight loss surgery modifies or changes a previous bariatric surgery. Most bariatric surgery patients have long-term success with their procedure. However, some people develop problems. Revision surgery can help resolve issues that develop following the first surgery. There are several types of revision surgeries. The one that is right for you will depend on what kind of bariatric surgery you originally had. Reoperative bariatric surgery and revision bariatric surgery are other names for these procedures.

    Stomaphyx Incision Less Revisional Surgery

    Gastric Bypass Revision Surgery with Bariatric Surgeon Dr. Wade Barker

    The Center for Obesity Surgery of Dallas strives to offer the best, cutting-edge, safest and most effective procedures for our weight loss patients. As a leader in weight loss surgery, we are excited to be one of the first practices in the United States to offer a new and much less invasive procedure which offers substantial benefits to our patients. Dr. Victor Gonzalez is one of the most experienced specialists to be performing procedures with the StomaphyX.

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