Instead of a gastric sleeve, the patient may have benefited more from gastric bypass. Many times that first surgery wasn't the correct procedure for the patient. Others may have physical pain due to band slippage or acid reflux and vomiting. Patients that initially had a gastric sleeve or band placement the first time around sometimes find they aren't losing the amount of weight they desire even with a strict food and exercise plan. Incorrect procedure the first time around The roux limb, which is the new passageway created to take food to the intestine, may need lengthening if severe reflux occurs after the initial surgery.Ī preliminary report shows that roux limb lengthening may also increase weight-loss as well as reducing the ill effects of acid reflux. While the initial surgery creates a pouch to divert stomach acids away from the esophagus, there are some patients that present with reflux anyway. One of the more common complications after gastric bypass surgery is acid reflux. In both cases, after careful consideration, revision surgery may be necessary to help aid or correct weight problems. In the years after surgery, it's common for the stomach to stretch, allowing the patient to eat more and gain back unwanted weight. On the other end of the spectrum, if patients aren't careful with their diet and exercise plan, the pounds can easily creep back on. However, sometimes weight-loss stalls completely, and no matter what the patient does, they can't seem to get the pounds off. Factors like exercise and overall nutrition are key to reaching the desired end result. That's not always the case, and some patients may require more time to achieve goal weight. Within the first year or two after gastric bypass, patients usually settle into their goal weight. Many of those patients choose the surgery due to inadequate weight-loss in the first few years or an excessive weight-gain after the original surgery. Inadequate weight-loss or excessive weight gainĪccording to the National Center for Biotechnology Information, patients requiring revision surgery after gastric bypass is anywhere from 9%-17%. Let's take a closer look at each of the reasons why revision surgery might be helpful. However, sometimes revision is necessary. Gastric bypass patients are continually monitored by their doctors, so if any concerns arise, it's easier to try to correct them before becoming too serious. The wrong procedure is done the first time around.The following may be some reasons to consider revision surgery. But sometimes, that's not always the case. At around the six-month mark, patients can see weight loss at about 30%-40% of excess body weight. Who needs revision surgery?Īfter any type of bariatric surgery, patients may feel that the hard work is over, but it's actually just beginning. This type of surgery can account for significant long-term weight loss and a change in eating habits. The new digestive pattern changes hormones to suppress hunger and lets patients recognize when they're full. The smaller stomach pouch only allows for the consumption of smaller meals meaning fewer calories consumed. Then the small intestine is divided with part of it connecting to the new smaller stomach pouch while the other half is connected further down. The surgeon will first create a small stomach pouch by dividing the top part of the stomach. The basics of gastric bypass surgeryįor patients that have tried diet and exercise to no avail and have found they have health problems because of their weight, gastric bypass is an option. Looking for more information? Here's what you should know. While this scenario does happen from time to time, revision surgery has proven to be a successful tool in helping patients achieve their preferred end result. Enduring gastric bypass surgery only to come out of it with an undesired result or additional complications is hard on patients both physically and mentally.
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