most common reasons for revision surgery<\/a> are weight regain, inadequate weight loss, failure of the original surgery to resolve diseases associated with obesity, or complications related to the first bariatric procedure.\u00a0<\/span><\/p>\nSometimes people:<\/span><\/p>\n\n- Gravitate to \u201cslider foods\u201d, which have no nutritional value and can contribute to weight regain, but tend to be more easily consumed as compared to healthier alternatives.<\/span><\/li>\n<\/ul>\n
\n- Do not get the expected results. Each type of bariatric procedure has its own success rate- inadequate results can be related to the kind of weight loss surgery chosen, rather than something a person is or is not doing.<\/span><\/li>\n
- Can stretch out their stomachs years after surgery. With a sleeve or bypass, this expansion allows people to eat more before feeling full.<\/span><\/li>\n
- Undergo personal changes in behavior or attitudes. New life stresses (like having children, leaving a relationship, financial hardships, or a new job) make it challenging to commit to and stick with a health promoting lifestyle. Maintaining appropriate eating habits, incorporating a regular exercise routine, and effectively managing stress is important.<\/span><\/li>\n
- Have children after bariatric surgery. While this is often the goal of many women suffering from infertility or PCOS, with each subsequent pregnancy it becomes even more difficult to shed the baby weight.<\/span><\/li>\n
- Enter menopause.\u00a0 With all the hormonal changes that occur during this time period, sometimes the metabolism slows down even more.<\/span><\/li>\n<\/ul>\n
When you are regaining weight, or have inadequate weight loss, the very first thing to do is talk to your surgeon to evaluate the possible causes. When you feel you are losing control, speak with our surgeons who can provide you with the resources to refresh your lifestyle, make better food choices, exercise more, and become recommitted. When a revision is indicated, it can put you back on track to achieve your weight loss goals.<\/span><\/p>\nAdvanced Surgical and Bariatrics of NJ has one of the lowest complication rates in the Northeast due to our emphasis on quality care, cutting-edge surgical techniques, and superior safety standards.<\/span><\/p>\nDr. Ragui Sadek is an internationally recognized authority in minimally invasive bariatric surgery. He and his team perform more than 1,000 complex operations every year with few post-surgery complications. Surgeons who perform a lot of bariatric surgeries have lower complication rates, and higher success rates. Our team of multispecialty physicians will help you get back on track and take charge of your life.<\/span><\/p>\n*Altieri MD, et al. <\/span>Rate of revisions or conversion after bariatric surgery over 10 years in the state of New York. <\/span><\/i>Surg Obes Relat Dis. 2018 Apr;14(4):500-507. Epub 2017 Dec 29.<\/span><\/p>\nRevision Bariatric Surgery Types<\/h2>\n
While bariatric surgery is a highly successful, evidence-based solution to the management of severe obesity, some patients will fail to lose adequate weight or experience weight regain.<\/span><\/p>\nA very small number of patients may have complications from a previous procedure that could include a failure to resolve obesity related medical conditions, and anatomic changes that cause symptoms.<\/span><\/p>\nWhat is revision surgery?<\/h3>\n
Revision surgery involves a modification of your original operation and may involve conversion to another procedure. The choice of revision or conversion is determined on a case by case basis. Each patient is individually evaluated to assess the causes of their results and the likelihood that they will succeed with revision or conversion surgery.<\/span><\/p>\nWhat are my options?<\/h3>\n
Your options for revisional procedures depend on many different things- including the type of initial bariatric surgery and results with that operation, your individual circumstances, as well as potential causes for weight regain and inability to achieve or maintain weight loss goals.<\/span><\/p>\nLaparoscopic Gastric Band Revision or Conversion<\/h3>\n
Laparoscopic adjustable gastric banding is the only bariatric procedure that does not alter the anatomy. This, on average, may result in a lower weight loss. In some cases, the patient has achieved success but the band has slipped or eroded. Replacing or repositioning, the band can help maintain outcomes.<\/span><\/p>\nWhen weight loss has been less than successful, conversion to either a gastric bypass or sleeve procedure will provide for additional weight loss and a reduction of comorbid medical conditions. The choice will depend on complications experienced from the band that include acid reflux, weight regain, failure to achieve weight goals, and the presence of scar tissue which may preclude conversion to a sleeve procedure. In that case, a bypass may be the better option.<\/span><\/p>\nLaparoscopic Gastric Sleeve Revision or Conversion<\/h3>\n
For people found to have an exceedingly large gastric sleeve, a \u201cresleeving\u201d of the excess stomach tissue may be an option- not only would this further reduce the volume of the sleeve, but may also decrease the hunger drive more effectively.\u00a0 An enlarged stomach after sleeve gastrectomy may also be folded in on itself and sutured to make it smaller.\u00a0 Finally, converting a gastric sleeve into a gastric bypass may allow people to more successfully continue on their bariatric journey.<\/span><\/p>\nDepending on the type of revision, acid reflux or GERD that arises after the initial gastric sleeve can be alleviated.<\/span><\/p>\nLaparoscopic Gastric Bypass Revision<\/h3>\n
There are also options for people who previously have had gastric bypass surgery. Even with a gastric bypass, the stomach will stretch.\u00a0<\/span><\/p>\nOne corrective procedure is performed endoscopically, which doesn\u2019t involve incisions or formal surgery.\u00a0 Using a small flexible camera inserted into the mouth and advanced until the stomach pouch is encountered, the connection between the pouch and small intestine can be narrowed down to appropriate dimensions.\u00a0 This thereby decreases the amount of food needed to fill up the pouch so that people do not \u201cfeel like a bottomless pit\u201d- a comment that is repeatedly heard some years after the original bypass surgery. Most bariatric surgeons do not perform this type of revision.\u00a0 At Advanced Surgical and Bariatrics, we have the skill set, training, experience and expertise to effectively support you in regaining your health.<\/span><\/p>\nNarrowing this connection between the stomach and small intestine can also be accomplished laparoscopically, during which the stomach pouch can also be made to be smaller.\u00a0\u00a0<\/span><\/p>\nAnother surgical alternative to revising a gastric bypass involves bypassing more of the small intestine so that there is even less surface area involved in absorbing calories when eating. This results in an even less efficient digestive system so that weight loss goals may be more effectively accomplished.<\/span><\/p>\nBariatric surgery is highly successful with most patients meeting their goals and regaining a healthy quality of life. Still there are patients who may need revisional procedures to achieve their goals, even though the original surgery was correctly performed.<\/span><\/p>\nDr. Ragui Sadek is an internationally recognized authority in minimally invasive bariatric surgery. He and his team perform more than 1,200 complex procedures every year, with few post-surgery complications. Our surgical and bariatric center has received the Bariatric and Metabolic Center of Excellence from the American Society for Metabolic and Bariatric Surgery.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"After deciding to have bariatric surgery, it\u2019s disappointing when you don\u2019t get the results you hoped for or if you experience complications. At this point, don\u2019t feel like all hope is lost. For some people, a single bariatric procedure may not produce the desired results- either through insufficient weight loss, significant weight regain, or poor […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":23442,"menu_order":6,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.bariatricsurgerynewjersey.com\/wp-json\/wp\/v2\/pages\/23446"}],"collection":[{"href":"https:\/\/www.bariatricsurgerynewjersey.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.bariatricsurgerynewjersey.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.bariatricsurgerynewjersey.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bariatricsurgerynewjersey.com\/wp-json\/wp\/v2\/comments?post=23446"}],"version-history":[{"count":20,"href":"https:\/\/www.bariatricsurgerynewjersey.com\/wp-json\/wp\/v2\/pages\/23446\/revisions"}],"predecessor-version":[{"id":28350,"href":"https:\/\/www.bariatricsurgerynewjersey.com\/wp-json\/wp\/v2\/pages\/23446\/revisions\/28350"}],"up":[{"embeddable":true,"href":"https:\/\/www.bariatricsurgerynewjersey.com\/wp-json\/wp\/v2\/pages\/23442"}],"wp:attachment":[{"href":"https:\/\/www.bariatricsurgerynewjersey.com\/wp-json\/wp\/v2\/media?parent=23446"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}