Restrictive & Malabsorptive Procedure
Gastric bypass surgery patients generally seek revision weight loss surgery for two reasons:
Failure after gastric bypass may be due to mechanical or metabolic reasons; the eating behaviors of a patient should be considered as well. In fact, the first step in assessing a patient who has failed to lose adequate weight after gastric bypass, is to look carefully at the patient’s food consumption. When patients are not eating how they should, getting back on track is the next step.
There are mechanical reasons that may cause patients to resort to maladaptive eating behaviors. A person’s character, for better or worse, does not necessarily contribute to this problem.
Pouch and / or anastomotic dilation is a condition where the stomach pouch stretches out and enlarges; anastomotic dilation is where the connection between the stomach pouch and the intestine stretches out. Both conditions result in allowing the patient to eat more than what would be required to remain successful. Re-trimming the pouch to make it small again is one approach to treating pouch dilation. These approaches to pouch and anastomotic dilation are both directed at restoring the anatomy of the gastric bypass procedure back to what it was prior to stretching out.
Marginal ulcer formation is a potential complication that can occur after gastric bypass surgery, a procedure commonly used for weight loss. These ulcers typically develop at the junction where the small intestine is connected to the stomach pouch, known as the “marginal” area. While the exact cause of marginal ulcers is not always clear, factors such as smoking, the use of nonsteroidal anti-inflammatory drugs (NSAIDs), and excessive stomach acid production are known contributors. Patients who experience symptoms like abdominal pain, nausea, or vomiting should seek prompt medical attention, as marginal ulcers can lead to complications if left untreated. Treatment often involves medications to reduce stomach acid, lifestyle modifications, and, in severe cases, surgical intervention. Close monitoring and adherence to postoperative guidelines can play a crucial role in minimizing the risk of marginal ulcer formation and ensuring the long-term success of gastric bypass surgery.
Gastro-gastric fistula is where the stomach pouch grows back and re-connects to the bypassed stomach. While highly uncommon for laparoscopic procedures, Gastro-gastric fistula is more likely to occur during open procedures which are no longer employed for surgical treatment of morbid obesity. This can occur as a consequence of a pouch leak, where the resulting local inflammation from the leak disrupts the staple line of the bypassed stomach where it lies next to the pouch. More often though, gastro-gastric fistula formation is a result of a less acute, slower process. Regardless the cause, gastro-gastric fistula allows food to pass from the pouch to the bypassed stomach, effectively partially reversing the gastric bypass.
Revision surgery for this condition may consist of closure of the fistula, restoring the original surgical gastric bypass anatomy.
Laparoscopic Gastric Bypass Revision Surgery in New Jersey has helped thousands of people discover life at a healthier weight and resolve many of the health risks associated with severe obesity.
To learn more, call (973) 410-9700 or contact us online.
“I have been a patient of Dr. Abkin for over 3 years, since 2020. I’ve lost 85 pounds and will be forever grateful for this life changing experience. Every staff member genuinely cares in the ease and success of your journey. They leave no stone unturned. Dr. Abkin is a master at his craft and truly makes you feel comfortable with process. I’ve never felt more confident in my own skin! I will continue to refer anyone struggling with weight loss and health issues to his office. It’s a second chance at a new life!”
“Dr. Abkin’s expertise in performing my gastric sleeve surgery in 2022 was truly remarkable. From our first consultation to post-op follow-ups, he demonstrated genuine care and professionalism. The procedure went flawlessly, and I felt well-informed and confident throughout. Thanks to Dr. Abkin’s skill and guidance, I’ve achieved significant weight loss and improved health. Grateful for his exceptional care on this transformative journey.”
“After undergoing gastric sleeve surgery, I am amazed by the positive impact it has had on my life. The procedure was smooth, and the medical team was extremely supportive throughout the process. I’ve experienced significant weight loss and newfound energy. My confidence has soared, and I’m enjoying a healthier lifestyle. Grateful for this life-changing surgery.”
“Today, at the age of 45, I can confidently say that I am in the best shape of my life. I feel great, and my depression is a thing of the past. I have found purpose once again. And now, I am eager to share my story with all of you. Dr. Abkin and Dr. Jawed, you have saved my life! You have given my wife her husband back, and my children have their father again!”
“Enormously thankful to Dr. Abkin for changing my life! Lost over 150 lbs after having sleeve surgery in 2019. His expertise and support made my transformation possible. Forever grateful!”
“Dr. Abkin was so friendly and explained each procedure thoroughly. I never felt forced or not heard, which really made me feel very comfortable with going forward with the surgery. Well a year later and I’m reflux free and still losing weight and extremely happy with all my services from him and his staff! I have referred him several times to my friends and co workers and will keep referring him!”
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