Bariatric Surgery

Revision Bariatric Surgery in New Jersey

After you decide to undergo weight loss surgery, it’s disappointing when you don’t get the results you hoped for or if you experience complications from the procedure. At this point, don’t feel like all hope is lost, talk to the highly trained weight loss specialists at Advanced Surgical & Bariatrics of NJ, PA. Bariatric revision surgery is the next step in helping you achieve your weight loss goals. After thorough testing, your doctor comes up with an effective plan to get you back on track. You have more than one choice — and more than one chance — thanks to the safe revisions available. Call now to see if you qualify for bariatric revision surgery.

Bariatric surgery involves several surgical techniques that treat obesity or its related medical problems. Some aim to reduce the size of your stomach while others strive to alter the function of your small intestines to reduce the absorption of calories from food and drinks.

If you can’t lose weight through traditional weight loss techniques, such as diet and exercise, your doctor may recommend a bariatric surgical procedure to help you slim down and improve your health. These operations are now exceedingly safe and often successful. In certain situations, your surgeon first must perform bariatric revision surgery to correct a problem or improve your chances for weight reduction.  ASBNJ has some of the best bariatric surgery doctors in the field.

Patients may inquire about revision weight loss surgery for several reasons. A single weight loss surgery procedure is sufficient for many patients, providing adequate long term weight loss. For others, a single weight loss surgery procedure may not cause the desired results, either through insufficient weight loss, poor resolution of co-morbidities, and/or due to medical complications resulting from the weight loss surgery itself. When performing revisional weight loss surgery, one needs to be able to utilize every tool available, and sometimes create new ones based on your particular problem.

Types of Bariatric Surgery that Require Revision

Since the 1980s, obese patients have benefited from bariatric surgeries, but over time, problems and complications emerged that required reevaluation. A couple of kinds of the procedure that were once popular, but now require bariatric revision include:

  • Vertical Banded Gastroplasty. An early form of gastric banding surgery, this procedure provided substantial weight loss for the majority of patients with few complications. Over time, however, many gained back much of the weight while others complained of increased appetite. Doctors usually traced these problems to an interruption in the staple line, although it was also possible that the scar tissue obstructed the stapled stomach or the plastic band eroded over time. Other side effects from this procedure include:
    • Heartburn
    • Upset stomach
    • Stomach pain
    • Vomiting
    • Excessive weight loss, often in conjunction with nausea
  • Jejunoileal bypass. Unfortunately, most of the patients who had this surgery require a reversal. Once an extremely popular type of gastric bypass surgery, the jejunoileal bypass has fallen out of favor due to some serious side effects, such as:
    • Severe diarrhea
    • Kidney and liver damage
    • Electrolyte abnormalities
    • Other gastrointestinal problems

A Common Bariatric Revision Surgery

If you lose 50 percent of your desired weight loss goal following a bariatric procedure without complications, your doctor considers the operation to be a success. When starting at very high BMI’s, despite this amount of weight loss, you still may suffer from medical problems and require additional surgery to help get you to your weight loss goals.  If you haven’t reached your weight loss goals, you may need to undergo testing to determine how we can help you get there. This process determines whether or not you’d benefit from further testing or another procedure.

Today, the most common and effective method of bariatric revision surgery is the Roux-en-Y (RNY) gastric bypass procedure. It’s named after its inventor, César Roux, and the stick figure Y he used to describe the procedure.

During the RNY surgery, your bariatric specialist creates a small pouch out of the portion of your stomach closest to your esophagus. He then connects your small intestine directly to the pouch and bypasses much of your stomach and the first part of your small intestine. For patients disappointed with their weight loss after RNY, doctors can also reduce the size of the pouch or lengthen the small intestine to decrease food absorption as deemed necessary.

Risks and Results of Revision Weight Loss Surgery

Revision weight loss surgery is a big decision and the decision should be based upon weighing the risks versus the benefits. Revision weight loss surgeries are generally riskier than the first time a weight loss surgery is performed. The following reasons make revision weight loss surgery higher risk:

  • Revision weight loss surgery procedures generally take longer.
  • There may be additional scar tissue from the first surgery or other surgeries you have had.
  • There is a very small chance of greater blood loss.
  • Leaks and infections can occur more frequently. It is thought that leak rates increase due to changes in blood flow to the stomach caused by the original weight loss surgery.

The results of revisional weight loss surgery are relatively predictable when it comes to the treatment of medical conditions. With this said, predicting the impact of revision weight loss surgery on weight loss itself, is less accurate. It is common to see less weight loss after revision weight loss surgery than if the procedure was being done for the first time. The reason for this is that the metabolic adaptations that occur after the initial weight loss surgery are greater than a repeat surgery, making it more difficult to lose weight. Individuals with poor metabolisms may fail more frequently with subsequent weight loss surgery.

Due to the unique needs of each and every patient seeking revisional weight loss surgery, each revision must be tailored to meet the particular needs of the patient.  In addition to more weight loss, revisional bariatric surgery can help cure reflux and improve medical comorbidities like diabetes, high blood pressure, and sleep apnea.

As with any surgery, conversion to a gastric bypass poses risks. Your doctor can help you decide if this procedure is right for you. If you’re looking for bariatric surgery revision near you, you can find it at Advanced Surgical & Bariatrics of NJ, PA. ASBNJ employ some of the most recognized and best rated bariatric doctors in the northeast at six different NJ locations. Contact the practice today to find out if bariatric revision gastric bypass surgery is right for you.

This page was modified on Jul 7, 2021 by Dr. Sadek (Surgeon) of Advanced Surgical & Bariatrics
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