Gastric Band Revision Surgery
For patients who have undergone gastric band surgery and are experiencing complications or inadequate weight loss, gastric band revision surgery may be the solution. At Long Island Laparoscopic Doctors, we specialize in revising and removing adjustable gastric bands to help patients achieve their weight loss goals safely and effectively. Whether you’re struggling with issues like acid reflux, band slippage, or regaining weight, our experienced team is here to offer personalized care and tailored solutions. Serving Long Island, NY, and surrounding areas, we are committed to providing advanced, minimally invasive options for lasting results.
What is an Adjustable Gastric Band?
The adjustable gastric band (also referred to as the Realize® Band and Lap-Band®) is a device that is placed on the upper portion of the stomach. The gastric band creates a feeling of fullness with less food. As a result, you eat less food and lose weight.
The gastric band was once the most popular bariatric surgery procedure in the United States. However, as more long-term data emerged, it became evident that some patients experienced issues such as inadequate weight loss or complications related to the band itself. These complications may include slippage, erosion, or discomfort, prompting many patients to seek revision surgery. For individuals facing these challenges, gastric band revision surgery can offer a solution to improve health outcomes and restore comfort.
Reasons for LAP-Band Revision Surgery
While the LAP-BAND procedure can be an effective weight loss solution for some, not all patients experience the desired outcomes or maintain their weight loss long-term. Common reasons for seeking LAP-BAND revision surgery include:
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Insufficient Weight Loss: Despite initial weight reduction, many patients experience weight regain or plateau, falling short of their weight loss goals compared to other bariatric procedures like the gastric sleeve or gastric bypass.
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Food Intolerance: Some patients may struggle with swallowing, nausea, or frequent vomiting, making it difficult to maintain a healthy diet. In severe cases, patients may experience daily episodes of vomiting.
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Band Slippage: This complication can cause severe pain, nausea, or obstruction, often requiring emergency intervention to adjust, reposition, or remove the band.
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Band Erosion or Port Infection: Though rare, band erosion can lead to chronic port infections, which typically necessitate removal of the device.
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Esophageal Dilation: Over time, the band’s restriction may cause the esophagus to expand, leading to discomfort and difficulty swallowing.
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Heartburn or Acid Reflux: Some patients develop gastroesophageal reflux or inflammation of the esophagus after LAP-BAND surgery.
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Frequent Adjustments (Fills): Maintaining the band’s effectiveness often requires regular office visits for adjustments. These frequent ‘fills,’ where saline solution is added or removed to change the band’s tightness, can be inconvenient for patients.
Patients who experience these issues may benefit from LAP-BAND revision surgery, which can involve adjusting, removing, or converting
Types of Gastric Band Revision Surgery
Patients who no longer achieve their weight loss goals or experience complications from their gastric band have several revision options available:
Gastric Band to Gastric Sleeve Revision
In a revision to a gastric sleeve, also known as a vertical sleeve gastrectomy (VSG), the band is first removed, and a portion of the stomach is removed. This creates a smaller, sleeve-shaped stomach that permanently limits food intake and supports long-term weight loss. This option is often chosen for its simplicity and effectiveness.
Learn More About Gastric Sleeve
Gastric Band to Gastric Bypass Revision
A gastric band to gastric bypass revision involves removing the band and converting the procedure to a Roux-en-Y gastric bypass. This surgery not only reduces stomach size but also reroutes a portion of the intestines, resulting in reduced calorie absorption and intake. This approach is beneficial for patients seeking a more comprehensive solution for weight loss.
Each type of revision surgery is tailored to the patient’s needs and health goals, ensuring that the most suitable and effective option is chosen to achieve sustained weight loss and improved quality of life
LAP-Band Removal Surgery
In some cases, patients may choose or need to have their LAP-BAND removed without undergoing an additional revisional procedure. This option is often considered when complications arise, such as chronic acid reflux, persistent heartburn, abdominal discomfort, or band slippage, but the patient is either not a candidate for further bariatric surgery or prefers not to pursue another weight loss procedure.
LAP-BAND removal is typically a straightforward outpatient procedure, performed under general anesthesia. The surgeon uses the original incision site to remove the band, and the surgery generally takes less than an hour. This minimally invasive approach allows most patients to return home the same day, ensuring a quick and comfortable recovery. If you are experiencing issues with your gastric band, our team can help determine the most suitable course of action for your health and well-being.
Preparing for Gastric Band Revision Surgery
The initial step in preparing for gastric band revision surgery is a consultation with our surgical team. During this visit, the surgeon will review your medical history, assess your concerns, and perform a physical examination to determine the most appropriate treatment plan for your needs and goals. Once a plan is confirmed, you’ll receive detailed pre-operative instructions, including dietary guidelines, medication adjustments, and any other preparation needed to ensure a safe and successful procedure.
The Gastric Band Revision Procedure
Gastric band revision surgery is usually performed under general anesthesia and may be an outpatient procedure or, in some cases, may require an overnight hospital stay depending on the specifics of your case. The procedure starts with the removal of the gastric band. Depending on your chosen treatment plan, additional steps, such as converting to another weight loss surgery, may follow. Most procedures are carried out using robotic/ laparoscopic techniques, which involve smaller incisions, reduced scarring, and quicker recovery times compared to traditional open surgery.
Recovery After LAP-Band Revision Surgery
Recovery times after gastric band revision surgery vary based on the procedure performed. However, most patients can expect to take about a week off work and should avoid strenuous activities for several weeks to promote proper healing. Our team will provide you with personalized follow-up care, including dietary recommendations and lifestyle guidance, to support your recovery and help you achieve your weight loss goals.
FAQs About Gastric Band Revision Surgery
Am I a candidate for gastric band revision surgery?
If you have an adjustable gastric band and are struggling with weight maintenance or are experiencing complications like abdominal discomfort, acid reflux, or other side effects, you may be a candidate for revision surgery. Our team will evaluate your individual circumstances and explore all options to determine the best course of action for you.
How can I decide which procedure is right for me?
If you’re dissatisfied with your current gastric band, whether due to complications or insufficient weight loss, we offer a range of options including gastric sleeve surgery, gastric bypass, or band removal. Our surgical team will discuss these options with you in detail, helping you choose the procedure that best aligns with your health goals.
What if I had my gastric band surgery elsewhere?
We welcome patients who have had their gastric band surgery performed at another practice. Whether you need maintenance, a second opinion, or are exploring revision options, our team is here to provide the support and expertise you need.
Contact Us
If you are considering gastric band revision surgery or have questions about your weight loss journey, our experienced team at Long Island Laparoscopic Doctors is here to help. Located conveniently in Long Island, NY, we provide comprehensive consultations and personalized treatment plans to address your specific needs and goals. Contact us today to schedule a consultation to learn more about LAP-Band revision surgery.
The doctors at Long Island Laparoscopic Doctors have either authored or reviewed and approved this content.
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