Friday, April 12, 2024

What Is The Best Revision Surgery For Gastric Sleeve

Revision Of Sleeve Gastrectomy To Laparoscopic Duodenal Switch

Endoscopic Revision of Sleeve Gastrectomy: explained

When a patient is seeking a revision to their sleeve, we take into account the medical and surgical history of the patient. Patients with a BMI greater than 50 are excellent candidates for revision sleeve to duodenal switch. In the 1950s, a duodenal switch was performed as a staged procedure, with the sleeve gastrectomy as the first stage. Now we perform a duodenal switch laparoscopically as a one stage operation. Therefore, when a patient presents with a failed sleeve gastrectomy, we can very easily convert them to a duodenal switch. For patients who have a very large sleeve, this will be revised at the time of surgery to ensure the best possible weight loss.

Like all of our revision surgeries, we have found no increase in complication rates or recovery time when compared to the original surgery. Typically, a patient can lose 85% of their excess body weight, which is 85 lbs weight loss for every 100 lbs they are overweight, with little to no risk of weight regain.

What A Bariatric Revision Does

Dr. Ibegbu specializes in bariatric surgery and revisions. The revision procedure is non-surgical, and it shrinks the opening to your stomach again, further limiting the its capacity. A bariatric revision can often jump-start your weight loss process and help you to start losing weight or to lose more weight.

The bariatric revision procedure is specifically designed for people who had gastric bypass surgery, and not either sleeve gastrectomy or the adjustable gastric band.

Bariatric revision is typically an outpatient procedure performed under light sedation. The opening to your stomach may have enlarged since your original bypass, especially if you have been eating more than you should. Here, an endoscopic suture is used to shrink the stomach opening back down to its original post-surgery size.

Gastric Sleeve Revision Options

Gastric sleeve revision or GSRE is done to make the stomach size smaller. sometimes a patients stomach stretches out and allows for the consumption of too many calories which causes them to gain weight. A gastric sleeve revision can effectively correct this situation. It is also possible for the patient to undergo a surgical conversion to change their gastric sleeve surgery into a different form of bariatric surgery which is known as gastric sleeve revision surgery.

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What To Expect The Day Of Your Revision Weight Loss Surgery

Knowing what to expect can help set your mind at ease. You will meet with a preoperative nurse to go over any test results and check your vital signs. Youll also meet with the surgeon one last time before surgery. The anesthesiologist or nurse anesthetist will talk with you about your medical history and the anesthesia you will have. They will give you a sedative to help you relax before the team takes you to the surgical suite. With general anesthesia, you wont remember anything else until you wake up in the recovery room.

Help Is Just A Phone Call Away

Weight Loss Surgery in Tijuana, Mexico

Regardless of how much time has passed since having bariatric surgery, patients are encouraged to contact the UC Health Weight Loss Center team anytime with questions or to schedule an appointment with a provider, including dietitians and behavioral health specialists. Patients continue to have annual visits with the Weight Loss Center to review lab results and to check in with their provider.

A free support group to connect and share with others, as well as discounted fitness sessions at Daniel Drake Center for Post-Acute Care, are available.

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If You Need A Revision Surgery Look No Further Than Dr Naims Team

Bariatric surgery can be very effective and has a high success rate, especially for patients who stick with the recommended dietary and fitness recommendations. Yet there are times when the procedure doesnt produce the desired results for one reason or another. The process of considering a revision bariatric surgery starts with a thorough evaluation of your initial experience with the procedure.

  • Some patients need a revision if they have not lost enough weight
  • Other patients may find that they gain too much weight back

When Is Revision Bariatric Surgery Considered

Mercys team of weight loss experts take the time to consider the reason why a bariatric revision surgery is needed, and how to provide the patient with the best possible long term outcome from the revision.

Reasons to seek bariatric revision surgery include:

Weight gain: The most common reason for revision surgery is insufficient weight loss or weight regain that causes the stomach pouch to stretch. Unsatisfactory weight loss may be the result of:

  • Poor diet and exercise
  • Original surgery not performed correctly

While revision surgery can be conducted to enhance weight loss, the revision surgery often is not covered by insurance if the only reason for surgery is weight loss improvement.

Faulty surgery: If a surgeon performs a weight loss procedure incorrectly, its important to have that corrected. Faulty bariatric surgeries are more common in patients who received the procedure years ago using less effective methods.

Health concerns: In some situations, a patient will have health complications that will require a bariatric revision. This could include:

  • Inability to absorb crucial vitamins and minerals
  • Development of an opening between the stomach pouch and bypassed stomach
  • Leaking along staple lines

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Shrink The Stoma By Injecting A Sclerosant

Your surgeon may decide that injecting a sclerosant into the stoma is the best way to address the relatively common problem of stoma dilation.

The injections which will most likely need to be done over the course of two or three procedures attempts to create scarring that reduces the stomas size. One study showed that 64% of patients lost at least 75% of their weight regain after their injections .The only complication that occurred was symptoms of stomal stenosis that required the stomach to be stretched back out with the use of a special balloon. Another study revealed that out of 231 patients who underwent 575 sclerotherapy sessions :

  • 12 months from the last sclerotherapy session, weight regain stabilized in 78% of the patients
  • Patients who underwent two or three sclerotherapy sessions had much higher rates of weight regain stabilization than those who underwent a single session
  • The average sclerotherapy patient lost 10 pounds in six months
  • There were high responders who lost an average of 26 pounds, which was 61% of the weight regain
  • Those who had higher regain after bariatric surgery responded better to sclerotherapy

The procedure does carry a low risk of minor complications including:

  • Transient, self-limited diastolic blood pressure elevation

Due to the relatively high risk of blood pressure elevation, patients with cardiac risk factors should most likely stay away from this procedure.

Where Can I Find Gastric Bypass Revision Surgery Near Me

Gastric Bypass vs Sleeve, update for 2021

It can be concerning to regain the weight you have lost after bariatric surgery. If you are experiencing weight regain, you are not alone and there is help! Contact IBI Healthcare Institute today and do not let the situation escalate. One of the IBI Healthcare Institutes caring experts can help you formulate a plan to get you back on track.

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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.

How Do I Improve My Health Before The Procedure And Prepare For Sis

You can meet with your doctor to ask any questions you may have about SIS. We know it can be depressing or discouraging for some patients to regain weight after a sleeve gastrectomy procedure. We offer psychological support to patients who are undergoing revision treatments by collaborating with mental health specialists. We also have dieticians who can work with you before and after the procedure to adopt and maintain a healthy lifestyle.

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What Is Revision Surgery For Gastric Bypass

Gastric bypass revision is also relatively uncommon. Like sleeve gastrectomy, it is possible for the stomach to stretch over time. There are three main options to revise a gastric bypass. This includes placing a gastric band, reducing the stomach size with a sleeve procedure, and bypassing more of the small intestine. Some surgeons may also offer a procedure to reduce the opening between the stomach and small intestine.

Things To Try Before Revision Surgery

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SECTION SUMMARY:

  • Ask for more support
  • Ask about medication

Regardless of your reason for wanting a gastric sleeve revision, surgery should be the last resort. Just like your initial surgery, its time-consuming, costs money, carries risk, and isnt guaranteed to work long-term.

You should explore the options below before you get serious about surgery.

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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.

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 …

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Pursuing The Second Gastric Sleeve Surgery

After the surgery, Venita recalls that she did well at first. I was on it I was really on it! She was working out, attending exercise classes and lost nearly 100 pounds. But she admits life kicked in. Im not going to lie, I did a lot of things, she says. And within two years, she had gained her excess weight back.

Facing the weight regain head on, Venita confidently persevered and made the decision to return to the UC Health Weight Loss Center. Her weight was 287 when she had her second gastric sleeve surgery in October 2019.

Her demeanor changes when talking about her revision gastric sleeve surgery. This time around, shes rewriting her success story long term. I am two years post-op. I didnt even make it to two years with my first surgery. Two years out, shes lost more than 130 pounds. I now weigh 153 pounds and wear a size 6. Previously, she wore a size 22.

This time has been easier, she says. She focuses more on what she puts into her body. I eat a lot of protein, she adds. Protein, protein, protein. One of her favorite foods is black-eyed peas. I also still do my protein shakes every morning with my coffee.

At 39 years old, Venita shares that she had to get acquainted with the new Venita. She admits that she had to go through a bit of a grieving process to get used to her new body, but its been worth it every step of the way.

How Long Is The Recovery Period

Weight Loss Surgery Options ð¤ Top 4 (Gastric Bypass, Sleeve, Band Duodenal Switch)

The recovery period is very minimal following the StomaphyX procedure. Since the procedure is done through the mouth, there are no incisions and no visible scars. Most patients can return to work in a few days. Your individual post-operative plan will be set-up by Dr. Gonzalez this includes your diet, activity level, and your return to work.

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What Options Are There For Weight Loss Surgery

If you are struggling with your weight, you may be considering weight loss surgery. This can be a difficult decision, and it is important to know all of your options before making a choice. There are several different types of weight loss surgery, and each has its own benefits and risks. In this blog post, we will discuss the different types of weight loss surgery and help you decide which one may be right for you.

Gaining Weight After Bariatric Surgery

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 To Know If Revision Surgery Is Right For You

The decision to have gastric bypass revision surgery is not something to be taken lightly.

Before you have revision surgery you will need to rule out any causes of weight regain, inadequate weight loss, and/or adverse side effects.

You will need to do a thorough assessment of your diet and lifestyle to ensure that these are not factors contributing to your undesired results. You will likely have to try diet and modifications before being approved for surgery.

Once diet and lifestyle factors are ruled out, your doctor will perform a series of tests and scans to determine if there is a physical cause preventing you from losing weight or causing adverse side effects.

Once all assessments are complete your doctor will then determine if you are a good candidate for revision surgery.

How Does Gastric Sleeve Revision Work

Revision Weight Loss Surgery Melbourne

The first step in Gastric Sleeve revision surgery is determining with your bariatric surgeon which procedure will best optimize your weight loss. If you have a stretched out sleeve, it might be as easy as a resleeve. Other patients may need a revision that requires a more in depth procedure if their Gastric Sleeve is not allowing for optimal weight loss.

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Why Is The Stomaphyx Procedure Performed

Although gastric bypass surgery is successful in achieving an average of 60 to 80% excess weight loss, some patients start to regain weight a few years after surgery. The stomach pouch and stoma can gradually stretch over time as the bodys digestive system becomes accustomed to the changes and the patient returns to unhealthy eating patterns. The StomaphyX procedure reduces the stomach pouch and stoma to a size similar to the original gastric bypass surgery, once again limiting food intake and slowing the emptying of the stomach into the small intestine. This results in earlier satiety and more weight loss. Without having to undergo additional traditional surgery, StomaphyX helps gastric bypass patients eat less and lose more weight.

Healthy Recovery And Aftercare

In approximately three weeks from the day of surgery, you can expect to return to physical activity.

The recovery process varies depending on the extent and type of operation. With the advent of robotic-assisted surgery, recovery takes days rather than weeks. In addition, during your procedure, Dr. Bonnor has developed a technique to inject a non-opioid analgesic named Exparel in the abdominal wall which provides additional pain relief for 72 hours post surgery. This will facilitate a faster recovery and return to baseline function. As with any bariatric operation and more so with revision cases patients should be taking vitamins regularly. Here at Texas Endosurgery, we are Houstons leading provider of bariatric surgery and weight loss surgery revision with an emphasis on patient safety and outstanding outcomes.

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How Your Appetite Increases Over Time

All patients progressively increase their capacity for food. Your body adapts to the new stomach size, neurohormonal changes occur and will adjust after gastric sleeve surgery.

For example, after gastric sleeve surgery, patients appetites tend to increase as shown below.

  • 1 month: 2 to 3 bites per meal
  • 6 month: 3-4 ounces of food per meal
  • 1 year: 6 ounces per meal
  • 3 year: 8 ounces per meal
  • 5+ year: 8+ ounces per meal

The goal is to avoid increasing your stomachs capacity more than it will naturally. Remember, the slightest boost of eating more food can grow exponentially over the course of a few weeks and cause weight gain after gastric sleeve surgery.

Solution: Ask for support from your dietitian, psychologist, or personal trainer

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