Gastric Bypass Revisions
Bypass revision surgery is one of the most challenging and hotly debated areas of weight loss surgery. Over the years many procedures have been used to help patients who are regaining weight some years after their bypass surgery, these include: trimming the ‘pouch’, elongating the BP limb, banding the pouch (adjustable or non adjustable band) and non surgical stitching of the junction between the pouch and the bowel (called the Overstitch procedure).
At Healthier Weight most of our bypass revisions are implantation of an adjustable band around the pouch and non surgical stitching of the anastomosis to reduce the aperture between the stomach and the bowel. On rare occasions we will consider elongating the BP limb, but this is very much the exception due to the malabsorption of nutrients caused.
Adjustable banding of the pouch
We consider this to be a safer option than the other surgical revisions. After dissecting the adhesions around the stomach a standard adjustable gastric band is placed around the pouch. In order to be successful with this procedure patients will need to follow the best practices that apply to all band patients.
Non surgical reduction of the anastomosis (Overstitch)
This is still a new procedure. It can be effective for patients where the opening between the stomach and the bowel has widened. For these patients it represents a safe and effective treatment. As with banding the pouch, it is a safer option than the other surgical procedures.
Gastric Sleeve Revisions
There are three revisional surgery options available to sleeve patients who are regaining weight. These are having the sleeve ‘re-done’ if it has stretched, converting the sleeve to a bypass and banding the sleeve. We do not favour banding sleeves so this is not an option we would consider.
Conversion to bypass
This is our preferred option for sleeve patients who need revision. We can be confident with the bypass that patients will recover most of the weight loss achieved with the original sleeve.
This is a less frequently used option and would only be undertaken after a barium x ray to confirm that a dilated sleeve is the reason for weight regain. We prefer not to use this approach as the risk of staple line leakage is even greater than for the primary gastric sleeve.
Gastric Band Revisions
There are a number of reasons why your gastric band may lead to a later revision. Most common among these are port leakage, band slippage and/or intolerance of the band ‘lifestyle’ (diet and eating habits).
To discuss your options or book a free consultation, complete our fast quote form or call 0800 313 4618