For the a large number of our patients their initial bariatric surgery produces the lasting outcomes and beneficial lifestyle changes they are seeking, but for some weight-loss revision or conversion surgeries may be required to fully meet their goals. Whether you have the Lap Band, Gastric Bypass, Gastric Sleeve or a Vertically Banded Gastroplast, your team of specialized doctors can help identify the reason for complications, determine which procedure is right for you and get you back on track to weight loss. The choice to have one of these revision surgeries should not be taken lightly, we would encourage you to have a consult with one of our physicians to discuss the struggles you experienced with your primary procedure, what you hope to achieve with the revision and answer any questions you may have.
Lap-Band® Revisions (Band-To-Bypass or Sleeve)
Patients that currently have or have had the Lap-Band® system and have not been successful in losing weight or have regained the weight, can have the band removed and explore other surgical options like a Gastric Sleeve or Gastric Bypass. Please visit the Gastric Sleeve and Gastric Bypass pages for more information on each procedure.
Band After Bypass
Gastric Bypass patients typically experience rapid weight loss in the first 6-12 months and begin to plateau after 12-24 months. For some gastric bypass patients this alone is not enough to meet their weight loss goals, while others may experience stretching on the stomach pouch or stoma which can lead to weight gain. These patients can benefit from adding an adjustable gastric band, sometimes referred to as the LAP-BAND® system, which has been proven to be an effective measure to overcome a stretched stomach stoma or pouch while still being considered a low risk procedure. The band is placed around the pouch limiting the amount of food passing through and restoring restrictions that are lost when stretching occurs. With monthly adjustments the band can be set to an optimum dilation to meet your weight loss goals and modified as your needs change.
Band After Sleeve
The Sleeve Gastrectomy, or Gastric Sleeve procedure has become the number one choice for bariatric weight loss surgery in recent years but what works well for some, might fall short on others. Removing up to 80% of the stomach will limit the amount of food intake but it is a muscle that can be stretched out no longer controlling what is consumed, whileothers can experience successful weight loss and keep it off for years before they begin to regaining the weight. Placing a LAP-BAND® systemaround the stomach pouch can restore the lost restriction to get you back on track to healthy portions and weight loss.
Sleeve To Bypass
For some who start their weight loss journey with a high BMI (body mass index) and choose to have the Gastric Sleeve as their primary operation, are more likely to convert to the Gastric Bypass to lose the excess weight not lost with the sleeve. The sleeve to bypass conversion is preformed similarly to that of an unaltered stomach; a small pouch is segmented off from the remaining stomach tissue and a section of the small intestines known as the jejunum is rerouted to the newly created pouch, bypassing the stomach and duodenum. In some cases having a Gastric Sleeve to a Gastric Bypassis pre-planned and referred to as a 2 stage bariatric procedure for patients initially considering a Gastric Bypass and have a BMI of 60 or higher.The first stage is preforming the Gastric Sleevegiving the patient a chance tolose some of the excess body weight, making it safer to than perform the second stage Gastric Bypass to lose the remaining excess weight. Using this multi-stage approach can also bea good choice for those considering the Gastric Bypass but have concerns with rerouting their anatomy, allowing them to see how successful they can be with the Gastric Sleeve and converting if significant excess weight remains.
Vertical Banded Gastroplasty To Bypass
Vertical Banded Gastroplasty gained its popularity in the 1980’s for being less technically challenging and a safer operation than the early gastric bypass. Both have come a long way in 30 years but with the entry of new, less invasive weight loss procedures the Vertical Banded Gastroplasty has fallen in ranks and more early adapters to the VBG are seeking revisions to achieve long term weight management. Surgeons have found more success in converting a VBG to a Gastric Bypass, than with an adjustable band or the Gastric Sleeve, with many seeing results similar to a primary operation not a revision. A new stomach pouch is created and segmented from the remaining stomach tissue. A section of the small intestines known as the jejunum is rerouted to the newly created pouch, bypassing the stomach and duodenum.
Vertical Banded Gastroplasty
Vertical Banded Gastroplasty, also known as stomach stapling, is a restrictive procedure for weight loss. A portion of the stomach is sectioned off using a non-adjustable band and staples to create a new smaller stomach pouch, leaving an opening approximately 1cm wide so food can flow through into the remainder of the stomach and then onto the remainder of the gastrointestinal tract.
The Vertical Banded Gastroplasty Has The Following Advantages:
● No risk of dumping syndrome.● At less risk of nutritional deficiencies (i.e. gastric sleeve or gastric bypass).● The Vertical Banded Gastroplastydoes not require adjustments or extended follow-up care in most cases.● Procedure is reversible.● Resolution of co-morbidities in 80% of recipients
Medical Weight Loss
We specialize in many forms of weight loss. Our Medical Weight Loss Program is designed to help patients lose weight without surgical intervention, or can be used for post-surgical patients who are struggling. This is a clinical based program that includes monthly dietary counseling and accountability. Learn proper food choices as well as portion control while losing weight. Learn more about Medical Weight Loss by visiting our Medical Weight Loss Page.