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Dr. Wilkenfeld Texas Gastric Bariatrics

Revision - Gastric Bypass

Following Gastric Bypass surgery, some people discover they actually regain weight. If this has been the case for you, or if you simply haven’t experienced the amount of weight loss you anticipated, you’ve probably realized by now that your surgery was not a complete success. So what now?

There are numerous reasons why a Gastric Bypass can fail. There can be medical complications or it may be due to lifestyle, metabolic or inappropriate food choices.

We’re here to help you figure out what unique circumstances resulted in the failure of your surgery. We also want to determine, with you, how you can emerge from this disappointment and experience improved health and a better quality of life from here on out. That’s our goal, but we can only reach it if you contact us, either by phone or email.

Let’s look at the most frequent medical complications that lead to Gastric Bypass surgery failure. The first one is Gastro-gastric Fistula, a condition in which the stomach pouch reattaches itself to the bypassed stomach, allowing food to pass from the pouch into the bypassed stomach. This reversal of the initial Gastric Bypass is rare, but when it happens, it can be quite serious, so it’s important that you contact your doctor the moment you realize your surgery was not a success!

While Gastro-gastric Fistula is a potential dangerous condition, the revision surgery tends to be quite simple. By closing the fistula, the original Gastric Bypass anatomy is restored. A second option, which we’ll talk about later, is a Vertical Sleeve Gastrectomy.

The second medical complication that can lead to Gastric Bypass surgery failure is Pouch dilation and anastomotic dilation. Pouch dilation occurs when the stomach pouch enlarges and stretches and anastomotic dilation indicates a stretching of the connection between your stomach pouch and the intestine. In either case, a patient often overeats, ambushing his or her own weight loss goals.

In either case, the following options offer a solution:

The LAP-BAND® System provides the simplest solution. We place an adjustable band around the top of the stomach, which regulates how much food actually reaches the stomach. By limiting the quantity of food ingested because the patient feels full, this results in an effective way to successfully losing weight. This reversible and safe procedure has led to an average weight loss of two-thirds of excess weight shed by patients who have chosen the LAP-BAND® System. Read some of their testimonials by clicking here.
Trimming the pouch again to reduce its size. Yes, this does seem redundant, but it has proven to be a successful option when the first surgery fails.
Endoscopic fixation is another option and entails sedation with general anesthesia. We perform a reduction in the bottom of the stomach pouch, as well as the pouch outlet, using a endoscopic procedure via a small tube inserted in the esophagus.

If you are suspecting a failed Gastric Bypass surgery, it is important that you contact your physician. When you are ready to explore the option of Gastric Bypass revision, please contact us for a free consultation. We’ll be happy to discuss all of your options. Again, you can reach us by phone at 936-441-3133 or email.

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I contacted Dr. Wilkenfeld about the LapBand. I chose the LapBand because it is of low risk and short recovery time after the surgery. The two changed my life. After only 8 month I am off all diabetic medications, high blood pressure and the C-Pap Machine. I have dropped 6 pant sizes and 3 shirt sizes. I have more energy and can exercise more because of my weight loss. I feel great because I chose to have the lapBand procedure. I highly recommend it to anyone wanting to change his or her life for the better.


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