![]() "The dominant reason for corrective revisional surgery was bile reflux (including esophagitis), which occurred only in patients with loop technique GBP," the researchers noted, adding how "this demonstrates the superiority of the Roux-en-Y technique with regard to the need for secondary interventions." Banding and VBG patients were most likely to undergo a reversal or a conversion to gastric bypass. Revisions were the least common among those who underwent gastric bypass, with only 7.5% of these patients undergoing revisions.Īs for reversal surgeries, those with banding were five times more likely to have a surgery reversal compared with those with VBG (40.7% vs 7.5% HR 5.19, 95% CI 3.43-7.87, P<0.001). Revisions were less common for vertical banded gastroplasty patients, occurring in around 28% of patients. Nearly 41% of patients who underwent banding had a revisional surgery. While this area is still very experimental and in its infancy, this type of surgery may offer a low-risk alternative in the future to repairs of enlarged stomas and other types of reoperations.The reasons for revisional surgery included weight-associated indications band- or staple-related technical complications and surgical-associated complications including infection, stoma stenosis, stoma dilatation, pouch enlargement, reflux, and nausea.īetween the three surgeries assessed - banding, vertical banded gastroplasty (VBG), and gastric bypass (GBP) - people who underwent banding were the most likely to undergo any type of revisional surgery over the maximum 26-year follow-up period. Great strides have been made in the field of trans-oral surgery (surgery via an endoscopy procedure). With all revision surgeries, there is always a risk with anesthesia, this can be minimized by using a surgical team with extensive knowledge in bariatric surgery.īariatric surgeon has to deal with scar tissues and altered blood supply from the previous time surgery. Risks common with correctional surgeries are leakage, the necessity to revise a laparoscopic surgery to open operation, incisional hernia (from open surgeries), bleeding, etc. Bariatric re-operative surgery takes much more operating room time and skill because of the careful dissection of layers of adhesions. Adhesions vary from person to person and have no bearing on the external scars on the skin. Human tissue does form adhesions as a response to any disturbance such as surgery. ![]() Patients considering revision surgery must also be aware that the second surgery has almost a 50% higher rate of complications than the first one. Certain individuals are merely designed to store fat and several years after weight loss surgery, their bodies adapted to the malabsorption component and lowered caloric intake, and patients begin to gain weight slowly again. Patients with weight loss surgery must also factor in their personal genetics. Most of the stomach stapling procedures have been performed via an open incision that makes the revision operation technically difficult. When this happens, patients must convert to another surgery. Another possible reason for weight loss failure is the lack of duplicate stitching (a practice that is now standard), which can tear or open. Since that time, long-term studies over ten years show disappointing results.Ĭompared with other surgery options, Vertical Banded Gastroplasty doesn’t produce significant weight loss and can allow patients to regain their weight. ![]() Mason, the developer of the original Gastric Bypass in 1966, it was originally developed in 1980. Vertical Banded Gastroplasty, or stomach stapling, is an outdated weight-loss procedure that uses stitches and an implant to achieve weight loss.
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