The gastric band, also known as Lap-Band® or Realize® Band is one of the simplest procedures to revise. Since there is no cutting of the stomach, nor bypassing of the small intestine in the original procedure, the choice of procedures available for a revision compares to that a pre-surgical patient. Revising a gastric band can be achieved in one of three ways.
First, the band can simply be replaced with a new band, making sure that the procedure offers its full potential. Replacing the band does not allow the patient to lose any more than the primary surgery. However, it can assist the patient in losing some of the regained weight, especially if the regain is due to a complication such as the band eroding into the esophagus or slipping from its original position. Replacing the band is still major surgery and preparations similar to the original surgery should be made.
The band can also be revised by converting it to a stapled procedure such as the gastric sleeve or the gastric bypass. This simply involves removing the band and performing the sleeve or bypass as if it were a primary procedure. Since the gastrointestinal tract has not been modified in any way previously, the only limitation to these procedures involves surgical risk and the patient’s ability to heal effectively. Patients who convert to a gastric sleeve or a gastric bypass may experience a greater degree of potential excess body weight loss. They may also find that the diseases associated with morbid obesity are improved to a greater extent than the original surgery.
As part of his dedication to long-term weight loss, Dr. Duncan has also developed a proprietary revisional bariatric surgery, addressing excess weight regain issues. If indeed you believe that you need your band revised, please call us to schedule a consultation.