Step 3 – SurgeryĪfter a consultation with one of our surgeons, and the mutual decision that a conversion or revision is appropriate, we will move on to surgery. They will then have labs, upper GI evaluation and endoscopy, and see their surgeon to determine if they are a candidate for revisional surgery. Revisional patients will be required to attend nutrition appointments with our in-house nutritionist. If patients are good candidates for a secondary procedure, they will move on to Step 2 below. Follow-up questions can be addressed to our practice manager and bariatric coordinator, Karen Norowski. Revision patients (sleeve-to-bypass or gastric bypass revising to another procedure) must attend an in-person seminar. This is so that we can adequately answer their questions and specific concerns, something that can only be done in person. This can be achieved either in person or online. Since the band does not change any part of the normal gastrointestinal anatomy, we simply want our patients to learn more about staple procedures. For patients who do require a secondary bariatric surgery, we follow the steps below: Step 1 – The Seminarīand-to-sleeve or band-to-bypass patients can either review the online seminar or can attend an in-person seminar, as is our normal practice for new bariatric patients. Of course, before embarking on a secondary bariatric procedure, we wish to ensure that the lack of weight loss or weight regain is not caused by something that can be handled without surgery. Because of the unique nature of conversions and revisions, we have an established process to ensure that the secondary bariatric procedure is both safe and effective. Since these procedures are not reversible, specialized techniques are used to improve patient outcomes and get them back on track to weight loss and disease resolution. Less frequently, when a gastric sleeve or gastric bypass fails, this is considered a revision. Between 20 and 30% of all band patients will experience either less than ideal weight loss, complications, or weight regain, necessitating the removal of the band and subsequent conversion to a more effective, stapled procedure. Technically, this is not a revision, but a conversion procedure. The most commonly performed secondary bariatric procedures involves the removal of a gastric band followed by performing a gastric sleeve or gastric bypass procedure. The bariatric surgeons at NYU NYU Langone Long Island Surgical Associates are experts in revisional bariatric surgery, a specialized surgical skill for fixing previously unsuccessful primary bariatric surgeries, or cases in which patients have regained significant excess weight. Goshen Physicians Center for Weight Reduction serves Elkhart County and beyond by offering sleeve gastrectomy revision surgery in Goshen, IN.The Revision Process at NYU NYU Langone Long Island Surgical Associates Call (574) 537-8326 to understand how revision surgery can benefit you. If revisions are due to weight gain, we can help you get back on track and achieve long-term success. We offer physical and emotional support before and after revision surgery. We can helpĪt the Center for Weight Reduction, our board certified bariatric surgeons and team members care about your complete well-being, not just your weight. It’s possible that we will only recommend revision surgery when no other strategy has been successful. These risks increase if you have extensive scarring from the original procedure. Revision surgery risks, such as anesthetic reactions, bleeding, blood clots and infection, are usually higher than they were with the original surgery. Laparoscopic revision surgery generally has fewer short-term risks than traditional open surgery. If you have extensive scarring from your prior surgery, you may need to have open surgery with a larger incision instead. Laparoscopy is a minimally invasive technique that involves several small incisions. Our bariatric surgeons perform revision surgery laparoscopically whenever possible. Minimizing revision surgery risks with laparoscopic techniques
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