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Revisional Gastric Bypass Surgery in Mexico

Revisional Gastric Bypass Options

Gastric bypass surgery is a very effective form of weight loss surgery. Patients can lose over 50% of excess body weight within months after the procedure. Moreover, this form of bariatric surgery has one of the lowest complication rates.

However, revisional surgery may be necessitated at times. According to research, Roux-en-Y gastric bypass has a 10% to 20% revision rate. It is the lowest after vertical band gastroplasty, which has a revision rate of 25% to 54%, and laparoscopic adjustable gastric band, which has the highest revision rate of 40% to 50%.

Let’s dive into what may necessitate a gastric bypass revisional surgery and what you should expect.

What is Gastric Bypass Revisional Surgery?

Gastric bypass revisional surgery is surgery performed on a previous gastric bypass surgery patient to modify or repair the earlier operation. Most of these patients either had undesirable or disappointing outcomes with the original surgery.

What Necessitates Gastric Bypass Revisional Surgery?

Gastric bypass revisional surgery is necessary when:

· The patient has not lost as much weight as intended. The patient thus undergoes a revisional surgery to facilitate more weight loss.

· The patient has lost too much weight. In this case, the original procedure is reversed during the revisional surgery.

Complications may also necessitate a gastric bypass revisional surgery. These include:

· Ulcers or fistulas

· Malnutrition

· Persistent, recurrent vomiting

· Reflux

Also, having an inexperienced surgeon perform your gastric bypass surgery can lead to other chronic complications that may necessitate a revisional surgery.

Inadequate Weight Loss and Weight Regain After Bariatric Surgery

Despite most patients losing between 60% and 80% of their excess weight after gastric bypass surgery, not all patients experience the same success. According to studies, 15% to 35% of patients can regain significant weight or fail to achieve the standard weight loss goals, meaning less than 50% excess weight loss and a BMI greater than 35 after the gastric bypass surgery.

This weight regain rate may even be higher in super-obese patients with a BMI greater than 50.

Super obese patients can see great results when they pair gastric bypass surgery with medical management and lifestyle changes. If they fail in medical management, distal gastric bypass surgery may be their best option to lose more weight and control obesity-related comorbidities.

The Purpose of Gastric Bypass Revisional Surgery

Roux-en-Y gastric bypass revisional surgery can either increase the intestinal bypass or decrease the pouch and stomach size.

The goal may be to increase food and calorie intake for patients who’ve lost too much weight or further suppress it for patients who’ve regained or not lost as much weight as the standard goal.

Laparoscopic Distal Roux-en-Y Gastric Bypass Surgery

This minimally invasive procedure aims to reduce weight gain after gastric bypass surgery. It facilitates further weight loss by reducing your body’s ability to absorb food and calories.

Distal gastric bypass surgery has the following advantages:

· It offers more durable and significant weight loss than endoscopic gastric pouch suturing

· It has much lower risks than surgical pouch revision. Most distal gastric bypass surgeries are done laparoscopically, with most patients heading home within a night or two after the surgery.

Distal gastric bypass has the following potential complications:

· Malnutrition – Malabsorption presents the risk of malnutrition and excessive weight loss. Therefore, patients taking gastric bypass revisional surgery must take vitamin supplements for life.

· Increased bowel movements – This may also be accompanied by diarrhea. Patients with this complication may be advised to take a low FODMAP diet.

Gastric Bypass Revisional Surgery Tests

Before your doctor recommends a gastric bypass revisional surgery, they may have to conduct a few tests. These include:

· Endoscopy – This is a minimally invasive procedure that uses a thin, flexible scope passed through the mouth to evaluate the stomach, esophagus, and first part of the small intestine

· Upper GI – This is a special dye combined with X-rays used to see the working of the digestive tract

· Manometry – This is a functional exam on the esophagus to see how well it moves and empties.

What Preparation Do You Need for Gastric Bypass Revisional Surgery?

The aforementioned preoperative tests, including bloodwork, are done before gastric bypass revisional surgery is recommended. The doctor may also prescribe treatment for nutritional or vitamin deficiencies pre-operation.

At this stage, gathering information from your doctor or surgeon is vital to ensure you’re fully aware of what to expect for the surgery and recovery. You must also stop smoking and receive treatment for addictions before undergoing gastric bypass revisional surgery.

Consult with a Bariatric Surgeon

Get in touch with a qualified bariatric surgeon and discuss whether you need gastric bypass revision surgery and get to know the tests and requirements.

Interested in undergoing Revisional Gastric Bypass Surgery with Renew Bariatrics? Get our Doctors Recommendations for Your Particular Case for Free. Apply Now!

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