Revision surgery can be performed to eliminate short or long term problems caused by gastric banding surgery.
Gastric Band Revision
In recent years, a preferred method of gastric banding is made by attaching a silicone prosthesis to the stomach entrance to limit food intake. This method can cause various problems. Gastric banding surgery The most common revision surgery in the world in the short or long term is to remove the gastric band and perform gastric or gastric by-pass operation.
- Expansion of stomach pouch
- Slip in Stomach Band
- Erosion in band area
- the infection
- reflux
- Stenosis and difficulty swallowing
- Insufficient weight efficiency
- Problems such as esophageal enlargement can be seen.
In order to eliminate one or more of these problems, the gastric band can be removed and revised to the appropriate surgery. Here, the patient's complaints and the condition of the stomach should be evaluated together and it is important to choose the right method to minimize a possible complication.
In gastric band revisions, the gastric band is removed and the risk of leakage in the gastric fundus and wall is evaluated. Stomach tissue infection and so on. Complications are evaluated and appropriate revision method is determined accordingly. The risk of leakage is higher in revision of gastric band operations. For this reason, the surgeon must be experienced and careful when making a choice. If necessary, the gastric band can be removed and the healing of the stomach tissue can be expected. .
Gastric bypass method is determined by evaluating diabetes and eating attitude
After the gastric band is removed, healthy gastric tissue is evaluated and cut appropriately and gastric bypass operation is performed. Roux N-Y or mini-gastric by-pass surgery can be preferred by evaluating the presence of diabetes, eating attitude, body mass index, gastric wall and fundus status.
More preferred than the presence of super morbid obesity
It is generally preferred in people with a high body mass index despite the stomach band. As in other gastric band revisions, the condition of the gastric wall and fundus is important in the choice of revision.
It is more preferred in cases of complications.
It is more preferred in cases of complications or tissue adhesion after gastric banding, since a more flexible incision can be made in gastric tissue than gastric sleeve surgery.
Stomach wall and fundus are also preferred if there is no problem
It is more preferred when there is no infection in the stomach wall. Revision of sleeve gastric surgery may be preferred in patients whose gastric band is placed under the esophagus because the stomach fundus and tissue are not damaged. The patient's body mass index, presence of diabetes and so on. can be decided to gastric sleeve surgery.