{"id":23146,"date":"2021-04-13T09:00:33","date_gmt":"2021-04-13T13:00:33","guid":{"rendered":"https:\/\/www.njbariatriccenter.com\/?p=23146"},"modified":"2023-10-24T16:00:59","modified_gmt":"2023-10-24T20:00:59","slug":"revision-surgery-gastric-sleeve-and-gastric-bypass","status":"publish","type":"post","link":"https:\/\/www.njbariatriccenter.com\/revision-surgery-gastric-sleeve-and-gastric-bypass\/","title":{"rendered":"Revision Surgery: Gastric Sleeve and Gastric Bypass"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">In the past six months, I\u2019ve increasingly had patients ask me about gastric sleeve and gastric bypass revision surgery.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">One thing I tell patients is that obesity is a disease that weight loss surgery doesn\u2019t cure.\u00a0 Surgery is simply a tool, along with a healthy diet and exercise, to help you lose weight and get healthy. And sometimes, no matter how hard you work, life\u2019s 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.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">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<\/span><span style=\"font-weight: 400;\">\u00ae <\/span><span style=\"font-weight: 400;\">offers several weight loss surgery revision procedures for patients who qualify to help them reach their weight loss goals.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In general, if you\u2019re considering revision surgery insurance companies recommend that:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">You are at least <\/span><b>one<\/b><span style=\"font-weight: 400;\"> year out from weight loss surgery<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">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 (Clinical Reason)<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">OR<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">You are having problems with Gastric Band, Gastric Sleeve or Gastric Bypass such as moderate to severe heartburn or unable to tolerate your diet despite eating slowly (Technical Reason)<\/span><\/li>\n<\/ul>\n<h4><b>Revision Options:<\/b><\/h4>\n<p><b>Gastric Bypass Revised: <\/b><span style=\"font-weight: 400;\">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.\u00a0<\/span><\/p>\n<p><b>Gastric Sleeve to a Gastric Bypass<\/b><span style=\"font-weight: 400;\">: <\/span><span style=\"font-weight: 400;\">When revising the gastric sleeve to a gastric bypass, the surgeon shortens the sleeve to create a gastric pouch, then reroutes the small intestine to the bottom of the pouch.\u00a0 A smaller stomach \u2013 the gastric pouch \u2013\u00a0 leads to decreased calorie absorption, a more limited food intake and a continued lowering of hunger hormones secreted.\u00a0<\/span><\/p>\n<p><b>Gastric Band to Gastric Sleeve:<\/b> <span style=\"font-weight: 400;\">After the band\u2019s removal, the surgeon removes a portion of the stomach and narrows the remaining part to the size of a banana or a vertical \u201csleeve,\u201d limiting food intake and reducing overall hunger. The procedure also causes the secretion of fewer hunger hormones \u2013 grehlins \u2013 resulting in less overall hunger leading to weight loss.\u00a0 Visit the <\/span><a href=\"https:\/\/www.njbariatriccenter.com\/weight-loss-surgery\/gastric-sleeve\/\"><span style=\"font-weight: 400;\">Gastric Sleeve<\/span><\/a><span style=\"font-weight: 400;\"> page to learn more about gastric sleeve surgery.<\/span><\/p>\n<p><b>Gastric Band to Gastric Bypass: <\/b><b>\u00a0<\/b><span style=\"font-weight: 400;\">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.\u00a0 This limits food intake as well as decreases the secretion of the hunger hormones \u2013 grehlins \u2013\u00a0 and the amount of calories absorbed by the body.\u00a0 This dual approach \u2013 the restrictive [restricting the amount of food) and malabsorption (reduces the amount of calories absorbed) \u2013 leads to weight loss.\u00a0 To learn more, visit the <\/span><a href=\"https:\/\/www.njbariatriccenter.com\/weight-loss-surgery\/gastric-bypass\/\"><span style=\"font-weight: 400;\">Gastric Bypass<\/span><\/a><span style=\"font-weight: 400;\"> page.<\/span><\/p>\n<h4><b>Can you \u201cre-sleeve\u201d the stomach?<\/b><\/h4>\n<p><span style=\"font-weight: 400;\">This question comes up often, and unfortunately no, re-sleeving is not an option. Re-sleeving is not an FDA approved procedure and it does not significantly decrease the size of the stomach. Further, it has not shown to demonstrate long-term weight loss results. Read more about Re-Sleeving <\/span><a href=\"https:\/\/www.njbariatriccenter.com\/can-you-re-sleeve-the-stomach\/\"><b>here.<\/b><\/a><b>\u00a0<\/b><\/p>\n<h4><b>Deciding if Revision Surgery is Right for You<\/b><\/h4>\n<p><span style=\"font-weight: 400;\">If you\u2019re thinking about gastric sleeve or gastric bypass revision surgery, schedule a visit with your NJBC surgeon to discuss your options to determine if revision surgery is right for you.\u00a0 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.\u00a0 And check out our \u201c<\/span><a href=\"https:\/\/www.njbariatriccenter.com\/support-group-recap-fall-back-into-good-habits\/\"><b>Fall Back into Good Habits<\/b><\/a><span style=\"font-weight: 400;\">\u201d blog post for some quick tips to get back on track.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>In the past six months, I\u2019ve increasingly had patients ask me about gastric sleeve and gastric bypass revision surgery.\u00a0 One thing I tell patients is that obesity is a disease that weight loss surgery doesn\u2019t cure.\u00a0 Surgery is simply a tool, along with a healthy diet and exercise, to help you lose weight and get [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":23147,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[15,59],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v22.3 (Yoast SEO v22.5) - 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