What Are The Options For Gastric Bypass Revision Surgery?
The first step in determining what should be done in your case is a full evaluation of your health, and the specific conditions that have led to the failure to lose weight, or weight gain after gastric bypass surgery.
Once this medical evaluation has been performed, we can determine which procedure will be appropriate for you. As our team of bariatric surgeons has more experience with weight loss surgery than any practice in the state, you can be confident in our skills and your treatment.
Distal Roux-en-Y surgery can be performed if you have failed to achieve long term weight loss from a primary gastric bypass surgery.
In this procedure, the connections between the stomach and intestines are altered so that the food passes into the large intestine. Less intestinal tract will be available to process food and calories, and fat absorption is more thoroughly managed so that significant weight loss can be achieved.
In this revision surgery, the duodenum, which is the first section of the small intestine, is surgically divided just after the outlet of the stomach structure. The “distal,” or last portion of the small intestine is then connected to the newly created stomach.
When you consume food, it will pass through a newly-created tubular stomach pouch, and then be emptied into the last segment of the small intestine. In this procedure, about three-fourths of the small intestine will be bypassed, leading to significant weight gain.
LABG, or “laparoscopically adjustable gastric banding,” involves placing an inflatable band around the top portion of the stomach, which is then inflated, compressing the stomach.
It separates the stomach into two sections, with a smaller upper stomach pouch, limiting the amount of food that can be comfortably consumed. The band is adjustable and can be altered to restrict more food if needed. The band may require adjustments over time, which are performed laparoscopically.
Another option is surgically tightening the connection between the stomach and the intestines so it restricts the quantity of food you can comfortably consume to correct stomach enlargement.