Revision weight loss surgery
Revision
Weight Loss Surgery is a surgical procedure that
is performed on patients who have already undergone a form of bariatric
surgery, and have either had complications from such surgery or have
not successfully achieved significant weight loss results from the initial
surgery. Procedures are usually performed laparoscopically, though open surgery may
be required if prior bariatric surgery has resulted in extensive scarring.
With
the increase in the number of weight loss surgeries performed every year, there
are growing numbers of individuals who have experienced an unsatisfactory
result from their bariatric procedures. There are several weight loss
surgery options, some of which may limit later options for
revision weight loss surgery.
Procedures
·
An adjustable gastric band is an
inflatable silicone prosthetic device that is placed around the top portion of
the stomach. This procedure can be performed as a revision procedure for many
patients who have had a previous stomach stapling, gastroplasty procedure, or
roux-en-Y gastric bypass surgery but have regained weight. The procedure is
normally performed laparoscopically, though in a small minority of instances
prior surgery may have resulted in extensive scarring, requiring open
surgery.
·
Roux-en-Y gastric bypass is a commonly chosen revision technique, particularly
in patients who have not been successful in meeting their weight loss goals
after stomach stapling, gastroplasty, vertical gastric banding,
or laparoscopic-adjustable
gastric banding. Often the prior procedure still lends itself to a
revision to become a roux-en-Y gastric bypass. It may be performed
laparoscopically, and the average recovery time is approximately two weeks.
·
Sleeve gastrectomy removes a large portion of the stomach, with the
remaining portion reshaped to become tube-like or sleeve-shaped. This creates
an increased sense of satiety and decreased hunger in patients, often leading
to weight loss and improved health. The
procedure is generally less invasive than many other weight loss surgeries and
has a lower potential for complications than may be associated with gastric bypass surgery.
·
StomaphyX revision is a completely endoscopic revision
technique used
to tighten a stretched gastric pouch using internal sutures or fasteners. It
may be used in patients who have had prior roux-en-Y gastric bypass surgery and
have a stretched stomach pouch.
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