Are you disappointed with your weight loss results or have you experienced weight regain after undergoing bariatric surgery? If so, you are not alone. Your weight regain can occur for a number of reasons. Trust the experienced surgical revision team at McCarthy Weight Loss Center to provide you with a comprehensive medical evaluation and recommended the treatment that will help you get back on track and achieve your weight loss goals.
LAGB gained popularity because of its relative ease to place, low operative risk and because it was considered “reversible”. While some patients have success with this procedure, many encounter problems over the ensuing years. Expected weight loss is often less than desired and multiple “adjustments” are often required. Naturally this can be inconvenient, painful, frustrating and expensive. More concerning however, is the unique ability of the band to cause scar tissue around the stomach, leaking of the band or port itself, slippage of the stomach through the band, erosion of the band through the stomach, infections associated with the port, significant esophageal reflux with dilation of the esophagus, among others. Band removal rates of 50% or more within 10 years have been reported.
It is not uncommon to regain ~10% of total weight lost 5-10 years following a gastric bypass. If weight gain continues it frequently causes great concern and anxiety. The most common reason for continued weight gain is a dilated gastric pouch and/or anastomosis of the pouch and small intestine. This is often the result of increased hunger over the years with stretching of the pouch and pouch outlet. This is one of the most common problems we treat and our goal is losing ALL of the regained weight. This is can be performed with a NOTES approach with an average hospital stay of 1 day.
This operation was very popular in the 1980s and creates a small stomach pouch that limits food intake. While effective for weight loss, many patients have trouble tolerating substantial solid food because the silastic band causes scar tissue formation. Healthy foods like meat and vegetables often result in vomiting so a natural progression to tolerable foods ensues. This is most commonly creamy soup, chips and candy, and dramatically limits weight loss. In addition, the pouch can open (staple line disruption) and results in a lack of restriction of food. While these operations were performed through an open incision we can correct these problems by laparoscopic and/or endoscopic techniques. This can be converted to a more effective result by revising the VBG to a gastric sleeve, gastric bypass or duodenal switch. Long-term results are similar to a primary procedure.
When adequate weight loss is not achieved following a sleeve gastrectomy it is most likely because the expected weight loss following surgery is not satisfying to the individual patient. We recommend converting the sleeve to a gastric bypass or duodenal switch, which is relatively easy and effective.
Why should you consider Surgical Revisions by Dr. McCarthy?
A perfect weight loss option does not exist. If you have undergone bariatric surgery and experienced weight regain for any reason, we understand how frustrating that can be. But know that you have not failed and that you are not alone. Equipped with more than 20 years of experience, our team of surgical experts will perform a comprehensive evaluation to determine the cause of your inadequate weight loss (or weight regain) and recommend the treatment or surgical revision that best suits your needs.