Gastric Bypass Revision
WHAT IS A GASTRIC BYPASS REVISION?
The gastric bypass procedure is one of the most sought-after treatments for obesity. However, sometimes, due to hormonal imbalances, medical conditions, lack of dietary control and exercise, and/or technical issues with the gastric bypass procedure, the intended results may not be achieved. In cases like this our gastric bypass revision New Jersey team become extremely valuable.
WEIGHT GAIN AFTER A GASTRIC BYPASS
You may begin to gain weight drastically and may soon regain all the weight you had lost right after the bypass surgery.
This can take a huge toll on your psyche. Thankfully, gastrointestinal experts like Dr. Val Prokurat are extremely experienced in gastric bypass revisions. They can easily identify and correct the problems you are facing with your gastric bypass procedure and prevent you from gaining weight.
If you’ve suddenly gained an incredible amount of weight, despite having undergone a gastric bypass procedure, a gastric bypass revision New Jersey Advanced Surgical Solutions can provide you with may be your best option. Be sure to contact Dr. Prokurat for help.
WHEN SHOULD YOU CONSIDER A GASTRIC BYPASS REVISION?
Ideally, you should consider a revision surgery only when:
- You experience immense difficulties in reducing or stabilizing weight after the bypass surgery.
- The weight gain is starting to affect your personal and professional life.
- Your health is being compromised due to the weight gain.
The perfect candidates for the gastric bypass revision surgery are those patients who:
- have regained weight even after the gastric bypass surgery.
- are in relatively good health.
- wish to find more effective ways to manage weight.
FIRST STEP: CONSULTATION
During the initial consultation, Dr. Prokurat will sit with you to understand whether the revision surgery is the best procedure for you or not. He will understand the history of your gastric bypass surgery to analyze if the revision should be performed and when.
When talking to him, be sure to provide information about when, where, and what type of gastric bypass surgery you underwent, since it will help him make a more informed decision. Dr. Val Prokurat is a highly-skilled surgeon, and you are in safe hands with him.
TYPES OF GASTRIC BYPASS REVISIONS
Depending on the severity of your condition, the type of bariatric procedure you’ve undergone before and the type of results you seek, Dr. Prokurat will prescribe one of the following treatments to you:
TRANSORAL OUTLET REDUCTION (TORE)
This revision surgery involves the doctor suturing your gastric pouch to reduce its size. Once the gastric pouch becomes smaller, you automatically start to eat less, resulting in less weight gain and more weight loss.
REDUCING STOMA SIZE
The stoma refers to the connection where the stomach and the small intestine meet after the gastric bypass surgery. Over time, the stoma may become bigger, resulting in more food passing through. Resizing the stoma and making it smaller can help. Doctors use a variety of techniques such as sclerotherapy, Transoral ROSE, and StomaphyX to reduce stoma size.
ADDITION OF AN ADJUSTABLE LAP-BAND
Studies show that adjustable lap bands are excellent ways to control how much you eat after the gastric bypass surgery. Once you are ready to scale down your food quantity, your lap band can be adjusted to resize your gastric pouch, ensuring you don’t keep gaining weight after the bypass procedure.
LENGTHENING THE ROUX LIMB
Sometimes, if the gastric pouch enlarges or the Roux limb – the vessel from the small intestine that has been surgically altered to transfer the food in the place of your stomach – develops fistula (an abnormal passage between two organs), the body may experience weight gain. In this revision procedure, the Roux limb is lengthened to overcome the negative impacts of the pouch enlargement or fistula.
CONVERSION TO DUODENAL SWITCH
The duodenal switch, also known as the biliopancreatic diversion, involves removing 70% of the stomach and most of the duodenum (part of the small intestine), with the objective of reducing the time food spends in the GI tract to be digested. This helps reduce the calories ingested. This surgery is the ideal solution for highly obese patients. Studies show that post-conversion, patients with BMIs higher than 53 dropped down to BMIs of 31-40 in a matter of months.
“CANDY CANE” REMOVAL
The “candy cane” is the non-functioning portion of the Roux limb in the small intestine. Sometimes, when this Roux limb is very long, it leads to gastrointestinal complications, which include weight gain. In this procedure, the non-functioning limb is removed laparoscopically to relieve patients of any potential weight loss.
If you would like more information about the gastric bypass revision procedures, please feel free to call our office or fill out the form provided and we will get back to you as soon as possible.
RECOVERING AFTER THE GASTRIC BYPASS REVISION
Just like the gastric bypass procedure, the revision surgery may also result in tenderness, swelling, and pain for a few weeks. You will need to stay in the clinic between 1 & 3 days, depending on the treatment you receive. You can get back to your normal routine in 3-5 weeks.
It is important to follow Dr. Prokurat’s post-surgical care instructions to the letter. You should expect to start losing weight a few weeks after the recovery. Remember to stick to your diet and to exercise regularly, to maintain the results of weight loss.
If you would like more information regarding our gastric bypass revision treatments, please do not hesitate to contact us to schedule an appointment with Dr. Prokurat. Or if you prefer, you can simply fill out the form provided.