LAP-BAND Over Gastric Bypass Revision

Did you have bariatric surgery and stop losing weight?

Have you regained weight a couple years after bariatric surgery?

Are you just not seeing the weight loss results that you expected?

You are not alone! There may be circumstances in which your primary bariatric procedure does not provide the long lasting results you are looking for. You have options at New York Weight Loss & Surgery. Below is one of our most commonly performed bariatric revisional surgeries:

Band over Bypass: LAP-BAND over Gastric Bypass Revision

The most common reason patients consider gastric bypass revision is weight-related either not enough was lost following gastric bypass surgery or too much was gained back in the years following surgery. Research shows that up to 35% of gastric bypass patients have gained back more than 50% of their excess weight within five to seven years of their initial surgery.

This weight regain can happen for many reasons, but one of those reasons is technical failure of the procedure over time in which the stomach pouch and/or the stoma stretches. Through a basic upper endoscopy, a surgeon at New York Weight Loss & Surgery can check your stomach pouch size and the opening between your stomach pouch and your small intestines. If either is too large, it may be the cause of your post-surgery weight gain issue. The loss of restriction over time allows for more calories to be more readily consumed. If it is primarily the stoma that is stretched out, placing a LAP-BAND adjustable gastric band around the stomach pouch can re-create the restriction that originally existed post gastric bypass.

There have been multiple studies that have directly evaluated the effect of inserting a LAP-BAND adjustable gastric band following failed gastric bypass surgery. With several hundred patients evaluated, additional excess weight loss between 47% and 94.2% was achieved in a timeframe of one to five years after the placement of the band.

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Do You Know Your BMI?

Although some people question whether Body Mass Index (BMI) is the best and most accurate way to determine whether someone is considered Normal Weight, Overweight or Obese, it remains the most important measurement in the eyes of insurance companies when they determine whether or not someone is eligible for bariatric surgery. Although each insurance provider has a different policy, which is subject to change, the general rule of thumb to qualify for surgery is as follows:

  • BMI 30-39.9* with one obesity related comorbidity that can include but may not be limited to Type II Diabetes, Obstructive Sleep Apnea, and/or Hypertension coronary artery disease
  • BMI greater than or equal to 40
*Patients with a BMI of 30-34.9 are subjected to insurance discretion.