Am I a Candidate for Revision?

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Lap Band to Gastric Bypass Revision Houston

A lap band to gastric bypass revision is for patients who have undergone laparoscopic adjustable gastric band surgery and are now experiencing weight regain or complications. Gastric bypass surgery involves creating a small stomach pouch and rerouting the small intestine to this new pouch, which restricts the amount of food that can be consumed and reduces calorie absorption. This results in significant weight loss for patients struggling with obesity, allowing a patient to get back on track toward a healthier weight.

Dr. Ricardo Bonnor, MD, FACS, FASMBS is a board-certified surgeon at Texas Endosurgery Associates who specializes in bariatric surgery, including gastric bypass and revision procedures. He understands the challenges that patients face when dealing with weight loss surgery, and he works closely with each patient to develop an individualized treatment plan that meets their unique needs.

If you are experiencing problems with a lap band, don’t hesitate to reach out to us. Our team is ready to help you achieve your weight loss goals and improve your overall health. Call us at (281) 579-5638, or complete an inquiry form to schedule your consultation today.

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American Society for Metabolic and Bariatric Surgery 

About Bariatric Surgery

Bariatric surgery, also known as weight loss surgery, is a life-changing procedure for individuals who are struggling with obesity and related health issues. In fact, in the United States alone, more than 228,000 people undergo weight loss surgery every year. (1) These surgeries can include various techniques, such as gastric banding, sleeve gastrectomy,  and Roux-en-Y gastric bypass, to help patients achieve significant weight loss. However, not all patients experience long-lasting results, and sometimes complications or insufficient weight loss may require revision surgery.

At Texas Endosurgery Associates, we understand the importance of achieving a successful outcome after bariatric surgery. That’s why our highly experienced surgeon, Dr. Bonnor, specializes in revision surgery to help patients who have undergone lap band surgery but need further assistance in their weight loss journey.

The Adjustable Gastric Band

Laparoscopic adjustable gastric band surgery is a common bariatric procedure that involves placing an inflatable silicone band around the upper part of the stomach to reduce its size and restrict food intake. In many cases, gastric banding is a way for patients to achieve dramatic weight loss in a relatively short time frame. However, it is not always successful.

What Can Go Wrong With A Gastric Band? (2)

  • Band slippage: One of the most common complications, this happens when the band moves out of its original position and slides down the stomach. This can cause discomfort, difficulty eating, and even blockage.
  • Band erosion: Over time, the band can erode into the stomach tissue, causing pain, infection, or bleeding.
  • Pouch dilation: As the stomach adapts to the band, the pouch above it can stretch, reducing the effectiveness of the band. This can lead to inadequate weight loss and possibly weight regain.
  • Esophageal reflux: Some patients may experience acid reflux due to the band restricting food from entering the stomach.
  • Infection: The port used to adjust the band can become infected, causing pain, swelling, and possible leakage.
  • Port site pain: Patients may experience discomfort or pain at the site where the port was placed.
  • Obstruction/Blockage: If food becomes lodged in the stomach above the band, it can cause a blockage, which may require emergency intervention.
  • Vomiting/Nausea: Some patients may experience frequent vomiting or nausea, especially if they eat too quickly or consume large portions.
  • Weight regain: Despite the band, patients may still regain weight if they do not make necessary lifestyle changes, such as a healthy diet and regular exercise.

Revision Surgery

For patients who have experienced complications or inadequate weight loss following lap band surgery, gastric bypass revision may be a viable option. 

Revision surgery involves the permanent removal of the gastric band and the refashioning of the stomach to create a gastric bypass. Gastric bypass surgery involves dividing the stomach into two parts, creating a smaller pouch at the top, and bypassing the rest of the stomach and part of the small intestine. This allows for malabsorption in addition to restrictive aspects of the surgery, which can result in more significant weight loss and improved health outcomes for patients.

Personal Consultation

The first step in determining whether a revision surgery is right for you is to schedule a personal consultation with Dr. Bonnor. During this meeting, Dr. Bonnor will review your medical history and assess your case to determine the best course of action for your needs. He will also discuss the various options available to you, including Roux-en-Y gastric bypass (RYGB), which is an effective solution for patients who experience lap band complications.

If you are considering Lap Band to Gastric Bypass Revision surgery, contact us today at (281) 579-5638 to schedule a consultation with Dr. Bonnor at our Houston practice. 

FAQ

What are the benefits of a revision bariatric procedure?

Gastric Bypass Revision provides many advantages over traditional Lap Band surgery. With this revision, patients experience greater weight loss success and improved long-term weight management. Additionally, the risk of medical complications such as band slippage and erosion is significantly reduced with a gastric bypass procedure.

What is the recovery time for lap band to gastric bypass revision?

Recovery time after a Gastric Bypass Revision varies depending on individual circumstances and the extent of the revision surgery. However, most patients can expect to return to work and normal activities in one week following the procedure. Post-operative care, including nutrition and exercise regimen, is essential for optimal results.

Is lap band to gastric bypass revision right for me?

Determining whether a revision to gastric bypass is right for you requires an evaluation  During a consultation, we will discuss any previous bariatric surgeries you have had, your current health status, and your desired outcomes. We will also explore other revision options, such as gastric sleeve surgery, if appropriate.

References

  1. Gasoyan H, Tajeu G, Halpern MT, Sarwer DB. Reasons for underutilization of bariatric surgery: The role of insurance benefit design. Surgery for Obesity and Related Diseases. 2019;15(1):146-151. doi:https://doi.org/10.1016/j.soard.2018.10.005 
  2. Eid I. Complications associated with adjustable gastric banding for morbid obesity: a surgeon’s guide. Canadian Journal of Surgery. 2011;54(1):61-66. doi:https://doi.org/10.1503/cjs.015709 
  3. Crossan K, Sheer AJ. Surgical Options In the Treatment of Severe Obesity. PubMed. Published 2023. Accessed June 1, 2023. https://www.ncbi.nlm.nih.gov/books/NBK576372/#:~:text=Severe%20obesity%2C%20those%20with%20a