Morbid Obesity is a disease that is best treated by bariatric Surgery.

However, many factors go into maintaining weight loss: diet, exercise, family support and regular follow up with their surgeon/physician. Some patients may gain their weight back in the long term after weight loss surgery.

For patients who have gained the weight back or who were not able to successfully lose the amount of weight they wanted after bariatric surgery, Arch Bariatrics offers several revision weight loss surgery procedures to those who qualify. This includes LAP-BAND® removal and conversion to another weight loss surgery as well as revision of gastric bypass.

Who is eligible for Revision Surgery?

Not all patients will be good candidates for revision surgery. Dr.Kumaran Chinnappan will review each patient individually to determine whether a candidate is eligible. In addition some insurance company requirements will have to be met. Please fill out The Medical History form and contact us for further information.

Revision of Gastric Band (LAP-BAND)

In some patients, the gastric band (LAP-BAND®) may fail to provide adequate weight loss, and the patient may be considered for band removal and conversion to another procedure. Dr.Kumaran Chinnappan offers following revision surgeries in such situations.

  • Laparoscopic Gastric Band to sleeve gastrectomy (gastric sleeve): In this procedure, after the band’s removal, about two-thirds of the stomach is taken out. The stomach is converted to a long tube about the size of a banana, limiting food intake and reducing the sensation of hunger. Visit the Gastric Sleeve page to learn more about gastric sleeve surgery.
  • Laparoscopic Gastric Band to gastric bypass: In this procedure, after removal of the band, we create a small pouch at the top of the stomach, stapling it off from the rest of your stomach. The small intestine is divided and part of it is connected directly onto the new pouch. This limits both food intake and the amount of calories absorbed by the body. Visit the Gastric Bypass page to learn more about the gastric bypass surgery.

Revision of Gastric Bypass

Gastric bypass patients typically regain weight because of the stretching of the stomach pouch or through the stretching of the opening between the pouch and small intestine known as the stoma. The following are the kind of options available in such situations to revise the gastric bypass.

  • Endoscopic plication/ Endoscopic Overstitch Procedure: This new technique allows the surgeon to reduce the size of the gastric pouch or the size of the opening between the pouch and intestine. This procedure can be done through the mouth (endoscopically), with no incisions and a quicker recovery time.
  • Laparoscopic bypass revision: This repeat surgery involves stapling the gastric pouch to a smaller size or taking apart and reconnecting the pouch and intestine to make that connection smaller. This procedure is only considered when other means of pouch narrowing are not clinically indicated. Because this procedure requires re-stapling, it may be associated with a higher complication rate.
    If you are interested in learning more about bariatric revision surgery, call us at 3146901527 or contact us to request a call back.
Arch Bariatrics of St. Louis