Revision bariatric surgery corrects issues from your initial weight loss procedure. Dr. Chad Carlton at LoneStar Bariatrics is a revision specialist who can perform procedures like band removal to bypass, sleeve to bypass, and sleeve to duodenal switch to help you achieve lasting weight loss results.
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Correct or Modify Your
Weight Loss Surgery
Revision bariatric surgery is a follow-up procedure to correct or enhance the results of your initial weight loss surgery. It addresses complications or inadequate weight loss by modifying or converting the previous surgery. Dr. Carlton performs various forms of revisions, such as band removal to bypass, sleeve to bypass, and sleeve to duodenal switch. The process involves assessing your specific needs and selecting the most suitable surgical approach to help you achieve your weight loss and health goals.
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Possible Reasons For Revision Bariatric Surgery:
- You have regained weight after your initial surgery
- Your gastric band has ruptured or failed
- The staples from your original surgery have been compromised
- Your gastric pouch has enlarged over time
- You are experiencing gastroesophageal reflux disease (GERD)
- You have difficulty swallowing, known as dysphagia
- You have developed band intolerance or slippage
- Your stomach has stretched or dilated
- You have persistent health issues related to your initial surgery
Your Revision Bariatric Surgery Options:
Lap Band Removal to Gastric Bypass
Lap band removal to gastric bypass involves two steps: first, removing the existing lap band, and second, performing the gastric bypass. The lap band is a silicone ring placed around the upper part of the stomach to restrict food intake. Once it’s removed, the gastric bypass, or Roux-en-Y, involves creating a small stomach pouch and rerouting a portion of the small intestine. This reduces the stomach’s capacity and decreases calorie absorption.
Lap Band Removal to Gastric Sleeve
In this procedure, the lap band is first removed, followed by a gastric sleeve. The gastric sleeve, or sleeve gastrectomy, involves removing a large portion of the stomach and leaving a banana-shaped section. This smaller stomach restricts food intake and reduces hunger by lowering the production of the hunger hormone ghrelin. The sleeve gastrectomy provides a more consistent and sustained weight loss outcome without the need for an implanted device
Gastric Sleeve to Gastric Bypass
Converting a gastric sleeve to a gastric bypass involves creating a small stomach pouch and rerouting part of the small intestine. This revision is recommended for patients who did not achieve sufficient weight loss or developed severe GERD after a sleeve gastrectomy. The bypass not only restricts food intake but also alters gut hormones and reduces calorie absorption, promoting weight loss and improving obesity-related health conditions.
Gastric Sleeve to Duodenal Switch
The conversion from gastric sleeve to duodenal switch is a two-part procedure that combines a sleeve gastrectomy with a more extensive intestinal bypass. This revision significantly reduces the stomach size and reroutes a large portion of the small intestine, dramatically limiting food intake and nutrient absorption. This option is ideal for patients requiring more intensive treatment due to severe obesity or insufficient results from their initial sleeve gastrectomy
Am I a Candidate for Revision Bariatric Surgery?
You might be a candidate for revision bariatric surgery if you’ve regained weight after your initial procedure or are experiencing complications such as GERD, band slippage, or pouch dilation. The ideal candidates have a BMI over 35 and health concerns related to their weight, such as sleep apnea or hypertension. Additionally, you should have tried other weight loss measures like diet and exercise without success. Dr. Carlton can evaluate your situation and determine the best revision option to help you achieve your goals.
How Much Weight Can I Lose With Revision Bariatric Surgery?
With revision bariatric surgery, you can expect to lose a significant amount of weight, although the exact amount varies depending on the type of revision and individual factors. Generally, patients lose around 50-70% of their excess body weight within the first year after surgery. Your success will also depend on your commitment to lifestyle changes, including diet and exercise. Dr. Carlton and our team will provide you with the necessary guidance and support to maximize your weight loss and improve your overall health.
Revision Bariatric Surgery FAQs
What is the Recovery Time for Revision Bariatric Surgery?
Recovery time can vary, but most patients stay in the hospital for 1-2 days and require 1-2 weeks of at-home recovery. The exact duration depends on the specific procedure and your individual healing process.
How Soon Can I Return to Normal Activities After Surgery?
Most patients can return to normal activities within 2-4 weeks after surgery, although this can vary depending on the complexity of the revision and your personal recovery progress. It’s important to follow Dr. Carlton’s guidelines for a safe recovery.
Will I Need to Follow a Special Diet After Revision Surgery?
Yes, a special diet is crucial for recovery and long-term success. Initially, you will follow a liquid diet and then gradually transition to soft foods and then regular foods. Dr. Carlton’s team will provide detailed dietary instructions to support your healing and weight loss.
Can I Undergo Revision Surgery if I Have Had Multiple Previous Bariatric Surgeries?
Yes, it is possible to undergo revision surgery even if you have had multiple previous procedures. Dr. Carlton will carefully evaluate your medical history and current condition to determine the best approach for your revision surgery.
How Will Revision Surgery Affect My Long-Term Weight Loss?
Revision surgery aims to correct issues from your initial procedure and help you achieve sustained weight loss. With proper adherence to dietary and lifestyle recommendations, most patients experience significant and lasting weight loss.
Why Choose Dr. Carlton?
Dr. Carlton is a board-certified bariatric and general surgeon and a Fellow of the American College of Surgeons. With over 15 years of experience and a particular specialization in revision surgeries, he is dedicated to helping you achieve lasting weight loss and improved health. Schedule a consultation with Dr. Carlton today to explore your options for revision bariatric surgery and take the next step in your weight loss journey.
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Bariatrics Today
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