Failed Gastric Band?
Whilst some patients have had excellent results with Adjustable Gastric Banding, unfortunately, side effects and complications are becoming increasingly common.
- Reflux, Regurgitation, Vomiting
- Inability to eat normal healthy foods
- Maladaptive diet
- Adjustments always too loose or too tight
- Pouch Dilatation
In addition weight loss outcomes are less than for other bariatric operations with up to half of the patients losing less than half their excess weight (average 50% excess weight loss).
- Repositioning or replacement of Gastric Band
- Removal of Gastric Band with no further surgery
- Removal of Gastric Band with conversion to another revisional procedure
Single or Two staged operations
The body reacts to foreign materials including Gastric Bands by surrounding it in a thick fibrous capsule of scar tissue. In addition there may be dense adhesions especially if there has been a previous major complication such as erosion/perforation or slippage and strangulation of the stomach.
Removing a Gastric Band and trying to perform a revisional procedure during the same operation has the highest risks (particularly for leakage which can be life threatening) and potentially compromises the effectiveness of the revisional surgery.
We have found that by removing the Gastric Band and waiting at least 3 months before any further revisional surgery allows the scar tissue to soften, decreases the risks and allows a more effective procedure to be performed.
Conversion to Sleeve Gastrectomy
It is possible to convert most patients who have had Gastric Banding to a Sleeve Gastrectomy procedure which gives better portion and appetite control, allows patients to make healthier food choices and results in more effective weight loss outcomes.
Conversion to Gastric Bypass
Alternatively conversion to Gastric Bypass may be an option for patients with difficult to control diabetes or uncontrolled gastro-oesophageal reflux (after removal of the Gastric Band). In some cases Gastric Bypass may be the only option if there has been extensive prior damage to the stomach that prevents a narrow sleeve from being performed.
Patients considering revisional surgery should:
- Be dedicated to changing lifestyle including following healthy diet and regular exercise
- Understand the surgery and risks involved
- Have NO alcohol or drug dependency problems
- Have NO uncontrolled psychiatric conditions
- Be non-smokers, or ex-smokers for at least 3 months
- Not be planning pregnancy within 12 months of surgery (Women)
- Be able to undergo regular medical follow up
If you would like to discuss your options for revisional surgery with us please:
- Ensure that you have a current referral from your GP or treating specialist
- Check you have Private Health Insurance with full hospital cover and that your policy covers you for weight loss surgery.
- Contact us to arrange an appointment