Bariatric procedures such as Roux-en-Y gastric bypass, LAP-BAND® Adjustable Gastric Banding and Sleeve enjoy strong reputations as being highly effective and have many patient success stories. However, some patients can experience complications or dissatisfaction with results from a particular procedure. Those patients may need revision weight loss surgery to fix the problems.
Most patients who have had weight loss surgery are pleased with the results. With that in mind, a small number of individuals may suffer from complications following their original surgery that can range from life-threatening to merely annoying or disappointing. Revision weight loss surgery can correct a variety of complications that can follow an initial weight loss surgical procedure. Revision surgery can also benefit patients who are dissatisfied with the amount of weight they are losing, be it too much or not enough. Following are some of the complications that may necessitate a revision weight loss surgery procedure.
Roux-en-Y Gastric Bypass Complications
Some complications that can arise from gastric bypass surgery can be treated with medicine; however, others may necessitate revision weight loss surgery. Some of these include:
- Staple line failure, causing connection to the excluded portion of the stomach
- Intractable ulcers
- Chronic vomiting
It is possible to reverse the entire gastric bypass procedure, if necessary. Dr. Gregory Barnes will discuss all of your options with you at your initial consultation.
LAP-BAND® System Surgery Complications
LAP-BAND® surgery is designed to be reversible. The band that wraps around the stomach to form a smaller stomach pouch can be loosened or tightened to allow more or less food intake. However, some rare complications from the initial operation may require a revision procedure. These include:
- Intractable reflux (heartburn)
- Infection in the LAP-BAND® System injection site
- Erosion or slippage of the LAP-BAND® Adjustable Gastric Band
- Deterioration of the stomach wall
The sleeve can have chronic complications, including chronic reflux, chronic stricture and inadequate loss. The sleeve can be converted to a gastric bypass to reduce or eliminate reflux and increase weight loss.
Dissatisfaction with Results
Occasionally, patients may be dissatisfied with the amount of weight they are or aren’t losing, despite their best efforts. Sometimes, a patient’s life circumstances may have changed so dramatically that, over the years, they gained some or all of the weight back following a bariatric surgery procedure. Other times, technical problems with the surgery may have contributed to weight re-gain, such as has happened to some patients who had vertical banded gastroplasty (VBG), or “stomach stapling.” Our Bariatric Surgeon can evaluate you to determine if revision weight loss surgery may be best to suit your needs.