Roux-en-Y gastric bypass also is a common revision procedure. During this surgery, we use staples to create a small pouch that will hold about one ounce of food at a time, leading you to feel fuller more quickly and eat less food. If you are considering a revision or conversion, here’s what you need to know about the different procedures: Gastric Bypass Revision Roux-en-Y gastric bypass is the most common type of weight loss surgery in the U.S. The revision rates for weight loss procedures range from 2.7 percent for duodenal switch surgery, to 10-20 percent for gastric bypass, and as high as 50 percent for gastric banding. Also, different surgeries are more likely to require revisions. Revision and conversion procedures come with their own set of risks and the chance of complications is higher compared to first-time weight loss surgeries. These complications can affect overall health, so it’s important for us to discover the root cause and resolve it. Malnutrition often is a common cause of revision for duodenal switch procedures. With sleeve gastrectomy, we often do a revision after the stomach begins to stretch or the length of the stapled stomach begins to narrow, making it more difficult for food to pass into the digestive system. Gastric bypass complications that may require revision include a chronic ulcer that will not heal with medication, persistent low blood sugar and severe malnutrition. For example, a patient could experience slippage after lap band surgery, erosion of the band in the stomach, obstruction, reflux or stretching of the esophagus. Unfortunately, complications may happen after surgery.
Stretching of the stomach pouch, which leads to overeating, also causes weight gain after a sleeve gastrectomy and duodenal switch, but it is rare with the latter procedure.
With lap band surgery, f ailure to lose weight could happen because the person is eating the wrong food, which is often caused by a chronic obstruction that occurs when the stomach pouch stretches. With gastric bypass, weight gain often results from either stretching of the stomach pouch or stretching near the opening of the stoma, which makes the person hungry even an hour or two after eating. People gain weight for different reasons, depending on the procedure. These procedures are necessary for two main reasons: weight gain and complications after surgery. For example, a person who had lap band surgery may undergo a conversion to gastric bypass or sleeve gastrectomy, or another patient who had a sleeve gastrectomy may undergo a conversion to a duodenal switch or bypass. A conversion involves using surgery to change one weight loss procedure to another.
We typically use minimally invasive techniques to perform a revision, a procedure that corrects the medical issue responsible for the weight gain or complications. In these cases, we must perform a revision or conversion of the first surgery.
Thousands of people undergo this surgery every year, and some of them may gain weight back years later or experience post-surgery complications that we need to address. Medical Professionals Relevant information for professionals.Īs doctors, we always hope for the best outcome but not every surgery always goes according to plan.Patient Information Information for patients and visitors.Find a Physician Find a physician to meet your needs.Services & Specialties Learn more about our services.Find a Location Find a location near you.