While Most Patients Are Successful After Weight Loss Surgery, There Are Instances Where Revision Weight Loss Surgery is Required. This revision eitherfixes the issue with the surgery or requires a conversion to another weight loss procedure.
Revision surgery is not just a technique, it is a scientific, evidence based medical approach to correcting a failed weight loss procedure.The OCC Revision Surgery Program starts with an in depth look at the patient's history and any available medical record to understand the nature of the failure and the best approach to resolve it. Once the patient is physically present, OCC has a wide selection of studies available to further evaluate and precise the status of the surgery to be revised. This is only part of the OCC Revision Surgery Program, as our nutrition and physician team assess and reboots the patient's understanding of the procedure and reignites the faith and hope associated to a new procedure. The goal is a safe, effective and durable procedure.
Failed surgeries can create health risks for those who expected dramatic weight loss as a result of their procedures. Regardless of where patients had their surgeries performed, we can permanently restore them and bring relief. In fact, the OCC has become the leader in providing affordable solutions that create life-long solutions.
For a number of reasons, a weight loss procedure can fail to allow the patient to reach his or her goals. Whether it is gastric banding (Lap Band/REALIZE bands), Sleeve gastrectomy/gastric sleeves, vertical gastroplasty (stomach stapling), gastric plication or gastric bypass surgery, a failed procedure is both disappointing and a major health issue.
A failed weight loss procedure can be defined as one that has resulted in:
Unfortunately, thousands of people need to a safe and effective rescue program from these situations. The good news is that the doctors at the Obesity Control Center® are world leaders in dealing with and correcting failed procedures performed by other surgeons and other centers.
These situations generally have three root causes: Technical, Mechanical and Adaptive.
The first is the failure of the restrictive procedure to work correctly because it was originally done incorrectly (technical in nature). Although this is rare, unfortunately there are some occurrences. Second is a mechanical failure that is the result of food transit or body pressure disrupting the procedure. The third is adaptive: that is, the body has adapted to the surgical modifications created by the surgery and created malabsorbtion.
The wonderful news is that through OCC you can experience a complete return to the health you anticipated and be back on the road to reaching your weight loss goals. We have two decades experience with every type of failed procedure and have devised the specific approach to correct it.
Don't leave a conversion procedure to chance. Rely on the world leaders who have the experience and the expertise to get you back on track. Lose weight, not hope.
To discuss your specific situation in confidence with an experienced Mexico bariatric surgeon, please call us toll free see the number below.
Any patient who has had previous weight loss surgery, including patients that have had other gastroesophageal procedures not related to weight loss. What makes revision surgery stand out is the technical difficulty of not only performing the procedure but actually assessing the patient correctly before the procedure and deciding the best course surgical therapy.
Weight loss surgery patients that have:
This is a complex question. It requires thorough study of the patient clinically. We always perform and endoscopy and a barium swallow to document the status of the existing procedure and its' integrity. At OCC we specialize in bariatric surgery revisions and have a straight forward approach to dealing with every scenario.
This is a simple list:
|Gastric Band to:||Gastric Plication to:||Gastric Sleeve to:||Gastric ByPass to:|
|Gastric Band Repositioning||Gastric Plication revision and replication||Plication of the gastric sleeve||Band over the ByPass|
|Gastric Band Removal||Gastric Band over Plication||Re-sleeving (re-stapling)||Pouch plication|
|Gastric Sleeve||Gastric ByPass||SADI||Revision of the Stoma|
|Gastric ByPass||Gastric Bypass||Duodenal Switch||Elongation of the limb(s)|
|Duodenal Switch||Duodenal Switch||-||Endoscopic Procedures|
Revision surgery depends on the original procedure and what the problems is. A great example is patients that have had a gastric band surgery and is having undesirable symptoms, not losing or regaining weight. These patients undergo an initial evaluation through our program and are ultimately schedule for a gastric band removal and a conversion to a gastric sleeve. Over 99% of these patients are done in a single step, in other words one surgical event.
There are multiple factors associated to failure. It can be the technique itself, either because it is outdated or other more effective safer procedures have been developed. It can be technical in nature meaning that the surgery may have not been optimally executed. It can also be the simple result of stretching or accommodation which would enlarge the gastric pouch causing loss of restriction.In our opinion it is a combination of several factors most of the time which result in failed surgery.
In general most surgeons are responsible physicians who have dedicated their lives to performing their discipline to the best of their abilities. Abilities are not only learned, they also come natural to a selected few which usually recognized for their abilities. This is why at OCC we always insist on getting weight loss surgery at a center that is reputable, with third party recognitions and surgeon's that are known for their abilities and not their price.
In general all procedures are prone to failure. Though a low percentage it is enough to keep us seeing several patients a day. Every procedure has it's nature. The less invasive a procedure is, in general, the more prone it is to failure. The more complex there procedure the more prone it is to serious complication. This is why there is no good answer for this question. The highest failure rate in the literature is gastric banding and though still a valid procedure, it's reputation is well known and gastric banding is losing popularity among patients and surgeons alike.
The best procedure is always the one that you have fully studied, researched, understand and you are committed to as a patient. No procedure is complication free or failure free but there are generalities. Gastric Bands are prone to slipping, pouch enlargement, chronic esophagus and obstruction and device erosion. Gastric sleeves are prone to pouch enlargement and chronic gastro esophageal reflux disease. Gastric plications are prone to pouch enlargement and failure. Gastric Bypass surgeries are prone to pouch or stoma enlargement with loss of restriction and weight regain. Each procedure is fully addressed in the corresponding section.
The first step is to answer our OCC Revision Surgery Questionnaire designed to collect all the necessary data required before traveling to our center. It includes a conference call with one of our specialized physicians or surgeons. We ask you to collect as much information, documents and studies related to your original procedure. Once at the center, you will see our Nutrition, Internal Medicine and Bariatric Surgery departments as well as Radiology and Imaging staff to fully review your case. One of our surgeons will visit with you before the surgery and have one on one discussion of the findings, planned procedure and the prognosis and possible outcomes.
There is a general algorithm on how to elect which surgery can rescue a failed procedure. But this is not always the case. This is why the OCC Revision Surgery Program is more than just a surgery. Once the consults are completed, patients will get the suggestions from our experts and discuss additional options or even no surgery at all.
In general it is very similar scheduling time as first time patients. The online survey and consults are performed, all possible records are collected and a conference call is scheduled. This usually takes as little as three weeks before scheduling a date.
Most patients will lose a substantial amount of weight and reach their weight loss goal. Resolution of symptoms such as obstruction, heart burn, regurgitation and other symptoms is also the norm. Some patients may require additional therapy as other factors can be associated to the failure such as altered habits, poor diet, pshycholigical and physiological alterations. Co existing disease should be corrected or treated such as diabetes, hypertension, sleep apnea, esophageal dismotility and other less frequent entities.
The results vary but in general resolution of symptoms happens from weeks to months. Many patients refer symptom resolution immediately after the surgery. It is important to understand that many of these symptoms are associated to inflammation and swelling of the tissue and even though the mechanical factors have been corrected after surgery, the inflammation will remain weeks after and slowly subside.
That is a good question and it is obviously our main goal that it doesn't. This is why a structured program has more possibilities of succeeding than a simple revision surgery. The OCC Revision Surgery Program has a proven track record of happy and successful patients.
When the reason for the revision is corrected the long term effects in general is mitigation of the problem. THe weight loss after a revision depends much on the original weight that was lost and how much was regained before the revision as well as what technique was utilized to revise the patient. Every case is different so discussing this with your surgeon before surgery is ideal.
It is an adjustable collar placed surgically around the highest part of the stomach providing a way to regulate the amount of food that can pass as well as providing a feeling of satiation early after eating.
There are multiple variables that determine the outcome of a patients result after gastric banding: who and how the band was placed, how the patient adhered to the post surgical instructions, how and how many band adjustments (fills) were performed, how many times a patient had issues with the band (episodes of blockage, regurgitation etc) how quickly the band was loosened after each episode, etc.
Because of this delicate balance there are reports that up to 30% of the patients with bands will be getting the procedure revised and the band removed.
There are hundreds of thousands of patients with bands that went on to normal body weight and healthy lives as well. At OCC we have performed thousands of gastric banding procedures and pay special attention to keep this delicate balance that procedures exceptional outcomes.
Every patient has a different motivation for having a weight loss procedure. Patients also have their specific preference over any other procedure. Patients find gastric bands appealing because of its simple non invasive nature, adjustability and quick recovery of the procedure.
For more information about our facility you can visit the Mexico Bariatric Center Of Excellence page