The expert surgical team at Tristate NYBG has more than 15 years of experience providing revisional bariatric surgery. We’re a leading choice, with a renowned group of surgeons, and we’re to help guide you through the process.
For prospective patients in Connecticut who are considering a revisional procedure, it’s important that you begin the process by learning more about your options, as well as why you might need a revisional surgery to begin with.
Any patient who is considering a revisional weight loss procedure is advised to first attend one of our educational seminars, Bariatric Revisional Surgery Procedures. Here, you’ll gain great insight into the types of revisional procedures which are available, what they do, why and when they’re recommended, and for whom.
We also provide one on one consultation appointments with prospective patients. Here, we walk through a wide range of factors and issues which determine if you’re a candidate for revisional surgery, and which type of procedure would be best based upon your needs. Factors we discuss include:
Together, the aforementioned factors will shed light on why you might need revisional surgery. Here, we’ll explain some of those issues in more depth.
The type of surgery you originally underwent determines what your options actually will be for revisional procedures, because not all revisional surgeries are applicable for all initial surgeries. Additionally, analyzing your success compared to the success rates of different procedures is also important. When possible, we’ll look at your actual operative report as well for more information.
It’s also important to consider the postoperative care and instructions you received. We have found that many patients fail to lose weight or maintain weight loss due to a failure not in the surgery performed, but in lifestyle adjustment.
Many patients simply were never properly instructed on how to manage their new lifestyles and succeed over the long haul. If that’s the case for you, proper education at this point could still prove effective as opposed to the need to undergo an additional surgical procedure.
Looking at your weight loss history will also help to explain a potential cause of your struggles. For instance, if you never experienced weight loss success, it’s more likely that there was a problem with the surgery itself. Further, any complications may have impacted your long term results, ranging from different types of infections, to prolonged post-op vomiting, or ulcerations.
In all cases, we endoscopically evaluate your surgery to determine and verify any issues and how they may be able to be corrected.
Gastric bypass surgery accomplishes its weight loss results via two mechanisms. The first is restrictive, the creation of a small stomach pouch and narrow stoma. The second is malabsorptive, via the changes to your intestinal track and how it is connected.
When your stomach pouch stretches, or your stoma dilates, you may regain weight or cease losing weight. Here, revisional surgery is an effective choice. For gastric bypass patients, revisional surgery may entail either one of several different endoscopic surgeries, or the Band Over Bypass procedure.
In the endoscopic realm, today patients undergo either ROSE or Apollo. Together, those two procedures have replaced StomaphyX, which while initially viewed as revolutionary, has since been shown to be not durable over the long term.
As for Band Over Bypass, a lap band is placed over your gastric bypass. The band can then reverse stomach pouch stretching and/or stoma dilation, producing positive results for you. While this form of surgery does involve abdominal incisions, as opposed to the minimally invasive endoscopic surgeries, it is an increasingly common choice and quite successful.
With the gastric sleeve procedure, a vertical tube, or sleeve, just 120 cc in size is created via stomach staples. When patients begin regaining weight here, the culprit is likely the stretching of that sleeve, similarly to the problems discussed above with gastric bypass.
Here though, one revisional solution for gastric sleeve patients is to actually have the sleeve gastrectomy performed once again. This is effective, however, the technical difficulties of stapling over the original staple line do add increased complication risk.
Band Over Sleeve is an alternative solution. Here, a lap band is placed over your sleeve gastrectomy, and is able to reverse the stretching of your sleeve. Band Over Sleeve carries a lower risk of complication than a repeat gastric sleeve procedure.
Patients who originally chose to have lap band surgery performed know that as opposed to either gastric bypass or gastric sleeve, no permanent physical alterations to the body were made.
Here then, the revisional procedures available are different. In fact, they’re actually the gastric bypass or gastric sleeve procedures themselves.
They’re recommended for different individuals, with gastric bypass being recommended for individuals who never experienced results with lap band, as well as diabetic patients. Gastric sleeve is recommended more typically for those who did initially see positive results with lap band. Each procedure has its own unique benefits for different patients.
Revisional surgery carries with it greater technical difficulty and added risk compared to initial bariatric surgery. That makes your choice of surgeon and clinic even more important.
At the Tristate NYBG, you’ll find a leading team of skillful experts whom you can be comfortable with and put your trust into. Additionally, Tristate NYBG offers a comprehensive bariatric support program which has been proven to increase your weight loss results over the long haul, via education, ongoing assistance, mentors, and support groups.
Schedule your initial consultation for revisional bariatric surgery in Connecticut by calling the Tristate NYBG at 800.633.8446 today.
If you are ready to lose weight, you have many options at our Tristate Bariatric Group. We combine surgical expertise, patience, compassion, and the confidence to lead you through the journey to successful weight loss.
