Surgical banding and endoscopic fixation are two approaches to treat an enlarged anastomotic connection. Re-trimming the pouch to make it small again is one approach to treating pouch dilation. Both conditions result in allowing the patient to eat more than what would be required to remain successful. Pouch dilation is a condition where the stomach pouch stretches out and enlarges anastomotic dilation is where the connection between the stomach pouch and the intestine stretches out. Revision surgery for this condition may consist of closure of the fistula, restoring the original surgical gastric bypass anatomy.

Regardless the cause, gastro-gastric fistula allows food to pass from the pouch to the bypassed stomach, effectively partially reversing the gastric bypass. More often though, gastro-gastric fistula formation is a result of a less acute, slower process. This can occur as a consequence of a pouch leak, where the resulting local inflammation from the leak disrupts the staple line of the bypassed stomach where it lies next to the pouch. Gastro-gastric fistula is where the stomach pouch grows back and re-connects to the bypassed stomach. Gastric bypass may fail for the following mechanical reasons: Corrective procedures address a complication or an. A person’s character, for better or worse, does not necessarily contribute to this problem. Types of Weight Loss Surgery Revisions Conversion procedures convert from one procedure to another. There are mechanical reasons that may cause patients to resort to maladaptive eating behaviors.

This could mean a patient is non-compliant but not necessarily. Other patients are never able to return to proper eating habits.Some patients may not be successful at weight loss despite returning to proper dietary behaviors.Some patients are able to return to the type of behavior they should be following, essentially getting back on track.There are a variety things that could happen next: When patients are not eating how they should, getting back on track is the next step. In fact, the first step in assessing a patient who has failed to lose adequate weight aftergastric bypass, is to look carefully at the patient’s food consumption. medical complications (medical complications after gastric bypass may lead to failure).įailure aftergastric bypass may be due to mechanical or metabolic reasons the eating behaviors of a patient should be considered as well.failure to lose adequate weight and/or weight regain.To determine if either of these options is necessary, your surgeon will perform a VolumetricĬT Scan.Gastric bypass surgery patients generally seek revision weight loss surgery for two reasons: With the duodenal switch option, a malabsorption feature is added. There are three revision options for Gastric Sleeve patients – a re-sleeve operation, a re-sleeve with duodenal switch or a traditional Gastric Bypass surgery.Ī re-sleeve and a re-sleeve with duodenal switch involve making the stomach smaller again. An upper endoscopy procedure will also be performed for your surgeon to take a closer look at your anatomy to make a final diagnosis of the problem Gastric Bypass patients have the option of a revision of the pouch itself if it is enlarged or the pouch outlet is too wide.Īn X-ray study called an Upper GI will help your surgeon evaluate you for either of these conditions. However, a second surgery has an increased risk of complications, including infection, bleeding and leaks in the gastrointestinal tract. Surgeon can discuss your options with you. Gastric Bypass, or Sleeve Gastrectomy with Duodenal Switch. Gastric Band revision involves the removal of the band and a follow-up surgery three months after the removal of one of the following: Gastric Sleeve, At the Center for Weight Management at Northside Hospital, we offer the following bariatric surgery revision options:

Gastric bypass revisions