Despite its excellent success rate, gastric bypass surgery sometimes requires revision in certain patients. Often, this is the result of the stomach pouch stretching over time, allowing the patient to consume greater amounts of food.
You may be experiencing failed gastric bypass if your resulting weight loss is less than 50% of your excess body weight, if you have regained a significant amount of weight after the initial loss or if a weight-related medical condition such as diabetes, high blood pressure or sleep apnea has developed or returned.
New York Bariatric Group initially adopted the Rose procedure, but has recently supplanted it with the similar Apollo procedure.
Performed endoscopically and under anesthetic, a specially designed tool enters the stomach pouch through the mouth and reduces the stomach’s size with a few sutures. The procedure also constricts the stoma (the opening between the stomach pouch and the small intestine). The result is that you will be able to eat less, feel full and satisfied quicker and your digestive system will be slowed down, meaning resumption of weight loss.
Because it is done endoscopically and does not require any surgical incisions, the recovery time associated with the Rose or Apollo procedure is very short. If your procedure is scheduled in the morning, you may be allowed to return home the same day. You should expect to be able to resume your normal activities within a few days.
The other significant advantage of this endoscopic procedure is that there are fewer associated risks or side effects. The most common complaint patients have following the procedure is a sore throat.
Risks and Possible Side Effects
There is some risk associated with any surgery or medical procedure that involves general anesthetic. It is important for you to be aware of all the risk factors and you will have the opportunity to discuss all the possible risks with your surgeon to help you decide which revisional procedure is best for you.
The Rose and Apollo procedures are relatively new, so there is little data on their effectiveness over the long term.
After the Surgery
At the Suffolk County office of New York Bariatric Group, we feel that the aftercare we provide our patients is every bit as important to your success as the procedure itself. You will need to become familiar with the guidelines we provide and adhere to them closely to ensure your weight loss resumes and that you have a healthy and functioning digestive system.
Diet: Immediately following the procedure, you will only be able to tolerate pureed or soft foods. After a few weeks, you will be able to start eating solid foods again. Your portions will need to be smaller than traditional portions and you will need to make sure you are getting plenty of protein.
Follow-Up Visits: It will be very important for your surgeon to assess your weight loss progress following the procedure, so make sure not to miss any of your scheduled follow-up appointments.
If you would like to learn more about the Rose / Apollo procedure, call the Suffolk County office of New York Bariatric Group today.