Like other band revisions, a band to gastric bypass is performed in a single stage, only one operation. Studies show that the gold standard for a revision band surgery is a revision of a band to a laparoscopic gastric bypass. Laparoscopic Revision of Band to Laparoscopic Roux-en-Y Gastric Bypass The complication rates are low and the same compared with a straightforward sleeve gastrectomy. Patients also have about 1 to 3 weeks recovery time. Typically, patients are able to lose 65% of their excess body weight, which is 65 lbs weight loss for evey 100 lbs that they are overweight. If a patient also has a hiatal hernia, we will repair this at the time of surgery as well. Once the band, port and scar tissue are all removed, we then proceed with the sleeve gastrectomy. In a revision band to sleeve gastrectomy, we first remove the band and all the scar tissue surrounding the band. Laparoscopic Revision of Band to Laparoscopic Sleeve Gastrectomy We want to develop a surgical plan together with our patient’s input to get the best possible outcomes. However, the surgeons at New You Bariatric Center, will discuss all your surgical options based on only current medical recommendations but also on your comfort level. Studies show that the best option for patients is to have a revision band to gastric bypass. We typically recommend that patients undergo a revision surgery that can provide more than just restriction – which is what both band and sleeve procedures provide to achieve weight loss. There is hope for our band patients and these symptoms can be resolved! The restrictive nature of the band can cause reflux/GERD, difficulty swallowing or tolerating foods like bread and meat, pain, or the need to frequently vomit. More than 50% of patients with a band need to have some type of revision surgery within 5 years of their original operation. Revision of prior band placement is one of the most common revision surgeries that we perform at New You Bariatric Center. If you have had a previous bariatric surgery, and are unclear of what the exact procedure was or if you do not see your original procedure on the list, the surgeons at New You Bariatric Center are more than happy to discuss your medical and surgical options with you. The following are the revision surgeries that we routinely perform. The patients at New You Bariatric Center can feel assured that they will receive best option for revision surgery with the best possible outcomes. Our surgeons have not had an increase in complications by performing our revisions in a one-step procedure. We will take time to discuss with our patients the circumstances when surgery needs to be staged as a two-step procedure. Ideally, all revision surgeries are performed as a laparoscopic, one-step procedure, regardless if the previous surgery was performed open or now. Our surgeons have performed hundreds of revisions on past weight loss procedures, from previous band and bypass surgeries to now more recently sleeve surgeries. We offer a wide range of medical and surgical options for patients who have previously undergone bariatric surgery. The highly skilled surgeons at New You Bariatric Center can help you the answer these questions and evaluate your needs at your initial consultation. If you answered yes to any of these questions or have any other concerns since having your original surgery, then revision bariatric surgery may be the right choice for you. Do you feel that your original surgery never gave you the feelings of restrictions you expected?.Has your bypass or sleeve failed to give you the results that you want?.Have you had a band that is constantly causing pain, vomiting or lack of weight loss?. Unfortunately, some patients are not able to reach their goals for a variety of reasons. There are many people who have undergone surgery in the past to lose weight, put their diabetes and high blood pressure into remission, or simply to live a healthier lifestyle.
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