Gastric bypass surgery has a very good record for helping patients achieve their long-term weight loss goals. It has also been shown to help reduce or altogether eliminate some weight-related health conditions such as high blood pressure and type 2 diabetes. From time to time, however, some patients see their weight loss stall or they gain the weight back after their surgery. And as the weight returns, so do the associated health conditions.
Most often, failure of gastric bypass resulting in weight being regained is caused by the stomach pouch stretching or expanding and the connection between the pouch and the small intestine dilating. This increases the amount of food the patient can consume and speeds up the digestive process.
If you had gastric bypass surgery and lost less than 50% of your excess weight, have experienced significant weight regain after the initial loss, saw your weight-related health conditions worsen or return, or have seen your quality of life decrease, these may be indications of gastric bypass failure.
At the Suffolk County office of New York Bariatric Group, we offer an effective and less invasive revisional procedure called band over bypass that addresses the issue and returns you to the path of healthy weight loss.
Band Over Bypass Surgery
This revisional laparoscopic procedure uses the adjustable gastric band to correct the failed gastric bypass. Band over bypass surgery involves placing a hollow silicone band containing saline solution around your stomach pouch. The band is connected by tubing to a small port under the skin. The band constricts around the pouch, limiting the amount of food you can eat and slowing down the digestive process.
At later office visits, saline solution can be added or removed from the band via the port to tighten or loosen it depending on your situation. Following the surgery, you can expect results similar to a patient who has had gastric band surgery. Most patients typically lose about one pound per week or roughly 50 to 60 pounds in the first year.
The band over bypass procedure is less invasive than other revisional bariatric surgeries, so it has fewer associated risks and a more rapid recovery. It is most often an outpatient procedure, allowing you to return home the day after the surgery. You can also expect to resume your normal activities within 5 days following the surgery and see a fully recovery within 14 days.
One of the greatest advantages of the gastric band is that it is adjustable. We will be able to fine-tune the band’s tightness at future visits to accommodate your changing digestive system.
Risks and Possible Side Effects
Although there are fewer risks associated with the band over bypass procedure than with other more invasive surgical revisions, it is important to note that every major surgery has some element of risk associated with it. You will have the opportunity to discuss all the potential risks with your surgeon.
Some of the more severe possible complications that could necessitate further surgery or extended hospital stays include blood clots forming in the legs and potentially traveling to the lungs, infection, bleeding and erosion or slippage of the gastric band.
After the Surgery
No matter where your initial gastric bypass surgery was performed, you can rest assured that the Suffolk County team of New York Bariatric Group will provide you with the kind of personal, professional care and expertise that you would expect from a designated Bariatric Center of Excellence. Our patients get peace of mind from the life-long aftercare we provide.
After your surgery, you will return home armed with a comprehensive post surgery plan that will include dietary instructions, exercise guidelines and scheduled follow-up visits to our office.
Diet: Your dietary requirements following the surgery will be similar to those following your original gastric bypass. For the first four weeks, you will be restricted to eating only soft, mushy foods. Afterwards, you will be able to reintroduce solid foods, however your portions will be smaller as you will become full much faster. You will also need to chew your food very thoroughly to assist in the digestive process. Priority should be given to foods high in protein to help retain muscle mass.
Exercise: As your weight begins to drop, your energy levels will also increase. This will be an ideal opportunity to ramp up your physical activity. Regular exercise will assist in the weight loss process, help prevent muscle loss and improve your overall health.
Follow-Up Visits: At your first return visit, your surgeon will assess your healing and see how your digestive system is adjusting to the gastric band. It will also be an opportunity to make the first adjustment to the tightness of the band. Further adjustments can be made at subsequent return visits as needed. These return visits will be crucial for monitoring your progress and ensuring your digestive system is functioning properly.
If your weight has returned following gastric bypass surgery, or if your weight loss has halted, band over bypass surgery may be just what you need to help you continue to lose that excess weight. For more information, contact the Suffolk County office of New York Bariatric Group today.