![]() First of all, because normally there is not enough stomach tissue to work with and to be able to perform a double staple line as well as an additional suturing line over it. Performing another gastric sleeve over an already existing sleeve is not recommended and often not possible. Such surgery is still considered revisional due to the scar tissue that formed during lap band placement and removal, which complicates the next procedure and requires longer OR time, thus increasing surgery costs. Only then, after 6 months or so, a revision will be possible.Īny time the lap band has already been removed and the patient is looking for revision to promote further weight loss, a regular endoscopy that is performed during surgery will be sufficient, since there is no risk of erosion anymore. There is a small chance that in case an erosion is diagnosed, the surgeon will not be able to proceed with the revision to gastric sleeve or bypass, but will have to remove the lap band first and allow sufficient time for the stomach to heal and erosion to resolve. If the patient is not able to have an endoscopy done prior to traveling to Mexico (for reasons such as no insurance coverage, high deductible costs, etc), it will be arranged with our endoscopist on the day of surgery in the morning under light sedation, after which the patient will wake up and discuss the endoscopy results with the surgeon prior to proceeding with the revision surgery. It is always recommended to remove fluid from the lap band before surgery (if possible). Upper GI series may also be required, especially if the patient had band slippage in the past. But trust the process and be determined to succeed!Īny time a lap band is still in place, it is important to have a preoperative endoscopy done to rule out possible complications that lap bands sometimes cause, such as erosion, band slippage, port infection, etc. Weight loss after revision surgery is steady, although slow, and extra physical activity helps a lot, as you have to “convince” your body to utilize energy sources – the fat tissue, and it will take time and extra effort. This is the reason why the so-called yo-yo dieting never works and why we always not only regain the weight we have lost but add some extra to it. ![]() ![]() And as soon as the patient stops following the healthy lifestyle (often due to frustration from slow process and lack of patience and commitment) and returns to his former eating habits, his organism will quickly regain all the weight lost and try to store extra energy to be better prepared next time. “Remembering” previous weight loss experiences, our body tries to prepare itself for the next “starvation”, and in order to survive slows down metabolism utilizing its already stored energy (fat tissue) economically, thus “resisting” weight loss. Why? Our body turns on a survival mechanism. This happens regardless if we lose weight with the help of surgery or by dieting only. Any time we lose weight repeatedly, weight loss becomes slower and slower with each new attempt. ![]()
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