Overview

Laparoscopic Gastric Banding

icon-2-b Adjustable Gastric Band

In this type of surgery, the surgeon places a ring with an inner inflatable band around the top of your stomach. This creates a smaller stomach pouch by which eating a small amount of food will satisfy hunger, limiting the amount of calories consumed. The band’s inner balloon is filled with a sterile saline solution. The surgeon can adjust the size of the opening from the pouch to the rest of your stomach by injecting or removing the solution through a small device, called a port, placed under your skin. Adjusting the size of the band opening requires several follow-up visits and is done gradually over time with repeated adjustments or “fills”.

In an ideal situation, this will make you eat less and lose weight. However, many anatomical complications can arise from this kind of surgery, requiring a revision.

Of the individuals that are overweight by 50 pounds or more, 90% fail to control weight through exercise and diet. This is not due to laziness or a lack of willpower, but to an increased metabolism that processes nutrients and minerals at a faster rate. These individuals will gain more calories than before when eating the same meals. When a change in lifestyle is insufficient, weight loss surgery becomes the most viable solution. However, a successful operation often requires an additional surgery to finalize improvements to health and weight.

Post-bariatric surgery is a very important part of rehabilitation and success. Follow up surgeries are typically performed about 12 to 18 months after surgery, when the patient has adapted to lifestyle changes, and weight loss has slowed down or even begin to reverse. By then, the body has likely compensated for the shift in diet by increasing the absorption of calories consumed. Often times, this happens prior to the patient achieving their desired results, and independent of anything the patient may have done wrong. This is why revisional surgery is often necessary to fine tune and solidify a patient’s overall progress. Failure to get a revisional surgery can lead to; difficulty maintaining dietary guidelines, minimized results, or even weeks of dieting undone. Some possible indications that it’s time for a revision include; incapacity to attain desired body mass, unexpected changes despite maintaining the same diet, slowed weight loss prior to achieving satisfactory IBM, greatly increased appetite, greater capacity to eat than expected, and more.

Furthermore, a revision may be necessary if there is cause for concern as described below.

When you come into our office, we will evaluate any developments since your previous weight loss surgery. We will take diagnostics, conduct X-rays, and run tests to determine the current state of your anatomy. Our surgeons will also consider other conditions that may affect your bariatric revision and will take into account your progress and goals. Your success is important to us.

A surgical revision is generally recommended to maintain improvements, but may even be necessary if symptoms or incidents become reason for concern. Here are a few possible revisions to help you get back on track:

  • Correction or Reversal of an Adjustable Gastric Band:
    A slipped band is a common reason for trouble losing weight. Our surgeons will simply re-adjust the band. If however the adjustable band erodes, the lap band fails, or you experience serious adverse reactions, the device can be removed.
  • Conversion to a Vertical Banded Gastroplasty:
    Another way to avoid a slipped band is by converting to a Vertical Banded Gastroplasty. The adjustable band may need to be switched out. if it is not, it may become more difficult to remove due to leakage from rupturing when the stomach is stapled over the band.
  • Conversion to a Vertical Sleeve Gastrectomy:
    If our doctors notice that an enlarged pouch is the reason behind weight gain, they can suggest turning your previous procedure into a vertical sleeve gastrectomy. This will help resize your stomach without risk of band slippage.
  • Conversion to a Roux-en-Y Gastric Bypass or a Biliopancreatic Diversion:
    If you experience metabolic changes that cause your intestines to absorb more calories, promoting weight gain, our surgeons will recommend turning your previous procedure into a gastric bypass so that part of your intestines are skipped, thus absorbing less calories.

Generally, our surgeons can perform revision surgery laparoscopically. This is a minimally invasive surgery that uses small incisions with the aid of a camera to operate. This technology helps avoid large incisitions in your body that would make day-to-day life activities more difficult and take longer to heal. Our physicians use only the best technology to revise your bariatric surgery.

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