Bariatric Revision Surgery in NJ: Gastric Sleeve and Gastric Bypass
Gastric Sleeve and Gastric Bypass - Bariatric Revision Surgery Options
In the past six months, I’ve increasingly had patients here in New Jersey ask me about gastric sleeve and gastric bypass bariatric revision surgery.
First, I tell patients is that obesity is a disease that bariatric surgery doesn’t cure. Surgery, both gastric sleeve and gastric bypass, is simply a tool, along with a healthy diet and exercise, to help with weight loss and to get healthy. And sometimes, no matter how hard you work, life’s circumstances get in the way and you need a second chance. And a global pandemic certainly has made the past year tough for many of us.
For patients who have gained the weight back or who were not able to lose the amount of weight they wanted after bariatric surgery, New Jersey Bariatric Center® offers several bariatric surgery revision procedures for patients who qualify to help them reach their weight loss goals.
In general, if you’re considering bariatric revision surgery, we recommend that:
- You are at least one year out from your original bariatric surgery
- You have gained back at least 50% of the excess weight lost, or have been unable to lose more than 50% of your excess weight
OR
- You are having problems with the Gastric Band, Gastric Sleeve or Gastric Bypass such as moderate to severe heartburn or unable to tolerate your diet despite eating slowly
Bariatric Revision Options:
Gastric Bypass Revised: The gastric bypass revision surgery involves making the gastric pouch a smaller size as well as narrowing the connection between the pouch and the small intestine. This leads to further limiting food intake.
Gastric Sleeve to a Gastric Bypass: When revising the gastric sleeve to a gastric bypass, the bariatric surgeon shortens the sleeve to create a gastric pouch, then reroutes the small intestine to the bottom of the pouch. A smaller stomach – the gastric pouch – leads to decreased calorie absorption, a more limited food intake and a continued lowering of hunger hormones secreted.
Gastric Band to Gastric Sleeve: After the band’s removal, the bariatric surgeon removes a portion of the stomach and narrows the remaining part to the size of a banana or a vertical “sleeve,” limiting food intake and reducing overall hunger. The procedure also causes the secretion of fewer hunger hormones – grehlins – resulting in less overall hunger leading to weight loss. Visit the Gastric Sleeve page to learn more about gastric sleeve surgery.
Gastric Band to Gastric Bypass: After removing the band, the surgeon creates a small pouch at the top of the stomach, then reroutes the small intestine directly to the new pouch. This limits food intake as well as decreases the secretion of the hunger hormones – grehlins – and the amount of calories absorbed by the body. This dual approach – the restrictive [restricting the amount of food) and malabsorption (reduces the amount of calories absorbed) – leads to weight loss. To learn more, visit the Gastric Bypass page.
Can you “re-sleeve” the stomach?
Yes, you can get gastric sleeve surgery twice if your stomach has stretched enough after the initial procedure. Some bariatric patients seek a second gastric sleeve - a re-sleeve - procedure years after their initial surgery. Re-sleeving is an available option in New Jersey for those who qualify and want to continue with a restrictive weight loss method rather than choosing gastric sleeve revision to a gastric bypass or SADI surgery. Medical studies confirm that a re-sleeve gastrectomy is an effective bariatric revision surgery with sustainable outcomes when performed by experienced bariatric surgeons. Read more about re-sleeving here.
Deciding if Bariatric Revision Surgery is Right for You
If you’re thinking about gastric sleeve or gastric bypass revision surgery, schedule a visit with your New Jersey Bariatric Center® surgeon to discuss your options to determine if bariatric revision surgery is right for you. I also recommend talking to one of our NJBC RDs to review your options from nutritional support to medical weight loss to help kick start your weight loss again. And check out our “Fall Back into Good Habits” blog post for some quick tips to get back on track.
