If the patient has lost less than 50% of his excess weight within 18 months after the first obesity surgery; if complications have developed in the long or late period due to the first operation; if he has gained weight again after losing weight, the first operation is considered unsuccessful and Gastric bypass revision to gastric sleeve is raised.
Many bariatric surgeons prefer to turn a failed restrictive surgical procedure into a malabsorbtive or combined method. In addition to being a gastric bypass surgery, the tube also acts on metabolism from a metabolic point of view, as it increases levels of GLP-1 and peptide YY after surgery.
This feature sets it apart from other restrictive obesity surgeries. It has taken its place among the revision surgical procedures that can be performed after restrictive operations that have failed due to their metabolic effects.
If you are experiencing weight gain after gastric sleeve surgery, if your reflux has increased very severely after gastric sleeve surgery, or if there is a narrowing in the tube, various revision surgeries can be performed specifically for your condition.
It is also the most widely applied technique in the world and it is now almost stated that the premise does not even need to be examined.
Reflux complaints can be controlled by simply shrinking the stomach too much and transmitting saffron away from the stomach. If the absorption restriction after the correction of gastric sleeve surgery is also performed in the small intestine, it should also be calculated where this procedure should be performed in the small intestine.
If the procedure is performed to very high levels, the bowel that will be used for absorption remains long, and the patient cannot lose enough weight. On the contrary, if it is made to very low levels, this time the patient may experience absorption deficiencies and diarrhea.
Table of Contents
What is gastric bypass revision surgery?
Gastric Bypass surgery is a “stomach reduction” surgery that provides weight loss due to the effect of reducing the stomach by 95-99%.
Absorption of calories taken is never limited. For this reason, gastric bypass fails, especially in patients who consume a lot of sugar and starchy foods. In this case, gastric bypass revision surgery can be performed.
How is gastric bypass revision to gastric sleeve performed?
Revisional obesity surgery is the replacement of obesity surgeries that have been applied to the patient before but have had insufficient or unsuccessful results with other obesity surgery methods.
Gastric bypass operations are usually very powerful operations, and therefore very few patients require revision. But if the patient does not follow the rules of nutrition and consumes increasing amounts of food, over time, expansion of the stomata, which is the passage of the stomach bag and gastrointestinal tract, can occur.
In this case, either endoscopic methods can be tried to narrow the bag, or surgical revision surgery can be performed. In addition to narrowing the stomata, one method is to lower the bypass area, that is, to slightly increase the absorption disrupting effect.
The gastric band, which has failed or is complicated by revisionary gastric sleeve surgery (re-sleeve), has become a conceivable method of revision surgery in case the stomach grows again after the first gastric sleeve surgery and in appropriate patients after duodenal switch /pancreaticobilier diversion operations.
Revision surgery after a failed gastric band is usually recommended 3-6 months after the band is removed. Because there are fewer complications than gastric bypass surgery used for revision, and the results are also satisfactory, gastric sleeve surgery can be performed for revision in the appropriate group of patients.
What are the advantages of gastric bypass revision to gastric sleeve?
After unsuccessful gastric sleeve surgery, the first danger encountered during revision surgery is the risk that materials entered to inflate the inside of the abdomen will puncture the conjoined organs or tissues in that area.
It is therefore very important where the physician enters the camera. During this period, the doctor also cannot see the inside of the abdomen.
The doctor must carefully investigate whether there is an injury at the camera entrance. If an injury occurred at the first entry of material, it also requires experience to recover.
In other words, not only the knowledge of performing the operation, but also enough experience to solve the problems that may occur during the operation.
Another problem during the attempt to shrink the previously treated stomach is that the tissue of the treated stomach is traumatized. So the tissue is damaged. Creating a suture line of skin using this tissue also increases the patient’s risk of surgery or post-surgery.
How successful is gastric bypass revision?
If the first obesity surgery is insufficient or the wrong method is chosen, the second obesity surgery is performed as a revision, that is, a complement. 90% success can be achieved in revision operations performed with the correct method at the stage of revision surgery procedure.
It is an inevitable fact that people who do not follow strict rules such as nutritional rules after obesity surgery will undoubtedly fail. In this case, instead of repeating the operation, planning revision surgery by trying another method can achieve success.
For example, a patient who is considered unsuccessful after gastric sleeve surgery may be able to say that the success rate is 90% when bypass surgery is performed.
How much weight do you lose with gastric bypass revision?
Success in losing weight is directly proportional to the patient’s compliance with the diet and exercise program after surgery. After Gastric Bypass revision surgery, you can easily lose weight up to 50 pounds. Patients lose 65-70% of their excess weight in the first 1 year after surgery.
80-85% of patients reach their ideal weight and manage to maintain it. And after 10-14 years after the operation, 50-60% of the excess weight remains lost.
Of course, these rates are not exact and do not provide the same effect for everyone. If you do not eat and diet in accordance with the doctor’s recommendations after the surgery, you will not be able to lose the weight you aim for.
Why Would You Need a Revision Gastric Bypass?
If a patient encounters complications or is unhappy with their initial gastric bypass surgery, a revision procedure may be required. Leaks in the connections made between the stomach and small intestine, narrowing of the stoma (the opening between the stomach pouch and small intestine), or weight gain are complications that might necessitate revision surgery. If the initial procedure did not result in the desired weight loss or the resolution of medical conditions like diabetes or high blood pressure, a revision procedure might also be required.
Why Turkey should be preferred for Gastric bypass revision to gastric sleeve?
If you have had surgery in a different country and are not satisfied with the results, you can have revision surgery in Turkey. Affordable prices, comfortable and safe clinics and, of course, experienced surgeons will give you an idea of choosing Turkey.
The most ideal country for Gastric bypass revision to gastric sleeve is Turkey. Before arriving in Turkey, you can report your situation to the doctor and make a preliminary interview over the internet.
Does health insurance cover gastric bypass revision surgery?
Yes, insurance all have different requirements, but they generally cover revisions to the band, sleeve or bypass to address weight regain.
And if you trying to undergo one of these treatments and your BMI is greater than 40, or if you have a BMI of 35 along with a medical problem related to obesity you can count on a little help with the total cost
However, some Endoscopic revision procedures may not be covered at this point by many major insurance companies.
How Do I Know If I Need a Gastric Bypass Revision?
If you have had a gastric bypass, you may be eligible for an endoscopic revision. An endoscope is inserted through the mouth and down the esophagus into the stomach.
The scope contains a camera that can be used to examine the stomach pouch and the stoma, the opening into the digestive tract. If necessary, the procedure can reduce the size of the pouch or the stoma.
A gastric bypass revision may be needed if you’ve experienced a plateau in your weight loss. While weight plateaus are common, they don’t necessarily signal the need for a revision. Some patients may experience weight plateaus for years and fail to respond to lifestyle changes.
If you are considering a revision, consult with your surgeon to determine the best course of action. Once you’ve decided on the procedure, make sure that your doctor is on board with it.
If you’ve had a previous gastric bypass, it’s likely that you’ve noticed some discomfort, including acid reflux. While frequent heartburn is normal after bariatric surgery, it’s not a sign that you need a revision.
However, if your heartburn has become more frequent or isn’t controlled by diet and over-the-counter medications, it’s time to consider a revision.
Fortunately, revision surgery can help normalize your acid reflux. Combined with a healthy lifestyle change, revision surgery can improve the condition and eliminate the need for medications.