We have performed thousands of gastric banding operations and we know that 15 – 20% of these don’t achieve a satisfactory result. We have significant experience in helping patients in this situation.
As a first step we would always check to see if the Band can be made to work. This involves a consultation with Dr. Alanis and assessment by our dietician. Tests including X-Ray and gastroscopy will be required.
In some cases it may be possible to put in a new Band but our experience in general is that second Bands are not as effective.
If we do not think that the Band procedure can be resurrected, then we have 2 alternatives, laparoscopic sleeve gastrectomy and Roux-en-Y gastric bypass. The Band will be removed first and then a further procedure performed either at the same time of the band removal or at a later date, if aiding in internal healing prior to undertaking the procedure was required.
The decision as to whether the sleeve gastrectomy or the gastric bypass is the better procedure for your specific case is very complex and will require careful discussion with you. It is beyond the scope of this article to explain the issues.
In either case the majority of patients will experience significant further weight loss and improvement in quality of life after the revision procedure.
You must be aware that complication rates of revisional procedures are greater than those where previous surgery has not been performed and we will discuss this with you in full and openly at consultation before going ahead with any further procedure.
Feel free to read more information about both procedures below. Dr. Alanis has performed over 4,000 bariatric procedures and he will be able to answer any question you may have:
Roux-en-Y Gastric Bypass
According to the American Society for Bariatric Surgery and the National Institutes of Health, Roux-en-Y gastric bypass is the most effective method of weight loss and weight maintenance of all surgical and medical techniques available.
The sleeve gastrectomy is a surgery only on the stomach (it is only a restrictive procedure) and does not involve any surgery on intestine (which would make it malabsorptive). Sleeve gastrectomy has also been called partial gastrectomy and vertical sleeve gastrectomy.It basically consists of making a stomach that looks like a pouch into a long tube; therefore the name “sleeve”.