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Jackson South Medical Center

Revisional Surgery

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Overview

Have you regained weight after bariatric surgery? Bariatric surgery, when performed by an experienced surgeon is most often a very safe and effective long term weight-loss solution. As with any surgical procedure however, there are failures that may necessitate a revisional procedure to correct a problem and return the patient to their path to weight loss. Revisional procedures offer a solution to bariatric patients who have regained weight or are experiencing surgical complications.

Generally, revisional surgery is successful in fixing the problems and regaining controlled and safe weight loss. Even though the revisional surgery will make weight loss easier, it still requires significant dietary and lifestyle changes, much like any other bariatric surgery or weight-loss procedure.

Physicians at The Gastric Sleeve Center for Weight-Loss specialize in revisions and can guide you through the process to find out which procedure is right for you.

Adjustable Gastric Band Revision

There are many causes for the failure of a Gastric Band, the most common being basic failure of the band itself. It is estimated that greater than 25% bands will be converted to another bariatric procedure such as a  gastric sleeve or gastric bypass.

Another common reason for band failure is slippage. This may be repaired laparoscopically, or may require band removal with conversion to another bariatric procedure. At the Gastric Sleeve Center, we have one of the most experienced teams in the world who have excellent outcomes with these procedures.

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Gastric Bypass Revision

The most common reasons for failure of a Gastric Bypass are: a dilated gastric pouch, a dilated anastomosis between the gastric pouch and the jejunum, both of these may happen, or a fistula between the gastric pouch and the old stomach may occur.

At the Gastric Sleeve Center, depending on the severity of the cause, we may be able to repair the problems by endoscopically (using a gastroscope through the mouth without incisions) suturing and narrowing or closing the pouch, anastomosis or fistula. When the pouch, anastomosis, and/or fistula are very large, laparoscopic repair may be necessary.

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Vertical Banded Gastroplasty

Vertical Banded Gastroplasty (VBG) usually fails because of a fistula between the pouch created and the old stomach. These operations were done open, and require a higher degree of expertise in being revised, and are at higher risks for complications and conversion to open surgery.

At the Gastric Sleeve Center, we have successfully converted several of these failed VBGs to Gastric Sleeves laparoscopically.

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Non Adjustable Gastric Bands

Non Adjustable Gastric Bands fail intrinsically because of the procedure itself. These operations were done open, and require a higher degree of expertise in being revised, and are at higher risks for complications and conversion to open surgery.

At the Gastric Sleeve Center, we have successfully converted several of these failed Non Adjustable Gastric Bands to Gastric Sleeves laparoscopically.

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Revisional Surgery Risks

Revisional surgery does have risks and patients should choose a surgeon with significant revisional surgery experience. Some of the most common risks associated with revisional surgery are: intestinal leaks, a higher conversion rate to open surgery, infection, longer hospital stays and possible failure to resolve the original issue.

And how do you minimize these risks? Consult with a surgeon who is very experienced in revisional procedures and staff that will help you choose the correct revisional surgery that is right for you.

 

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