The majority of patients achieve excellent results with the Lap Band and other bariatric procedures. Still, on occasion weight loss is not what was expected or weight is regained. Less often, complications occur, such as slippage of a Lap Band or stomach stables that pop. Having performed literally thousands of bariatric surgeries, Dr. Moeinolmolki is experienced in addressing all of these problems with the appropriate revision procedure.
While the definition varies, in general a surgical procedure is considered unsuccessful if the patient’s weight loss is less than 25% to 30% of his or her excess weight. By most accounts, total success is considered loss of 50% or more of a patient’s excess weight.
Depending on the case, a Lap Band may be simply removed. Other times Dr. Moeinolmolki may recommend removal followed by replacement with a new Lap Band or another bariatric procedure. Possible revisions include:
What kind of results can I expect from revision surgery?
Individual cases differ, however, in the hands of an expert surgeon like Dr. Moeinolmolki weight loss can be dramatic. For example, patients who undergo gastric sleeve surgery following a previous lap band procedure can lose up to 70% of their excess weight. As with bariatric surgery, to insure permanent weight loss patients must adhere to a healthy diet and exercise program. Results vary, but revision surgery is generally effort dependent. The harder you work the better results you will achieve.
Policies differ. However, insurance usually covers revision surgery similarly to the original surgery, if the revision surgery is deemed medically necessary. If the surgery is not covered we provide special financing through our partner Loan company towards surgery.
It would be very helpful to have your initial operative report form your original surgery and your basic follow-up notes with your original doctor. We typically recommend both an upper gastrointestinal study and upper endoscopy to make sure your band has not eroded inside your stomach. We will also order basic blood work and Chest X-ray. We also require a repeat psychiatric evaluation to make sure anxiety and depression is well controlled and managed. Depression and anxiety can have a deleterious effect on your weight loss Journey.
If you have not lost enough weight after two years following your lap band surgery, you need to see a doctor for reevaluation. It is essential to be followed closely. Studies show patients who are followed closely by their doctor have the best results. Sometimes we are able to revive your lap band weight loss by appropriate adjustment protocol. Weight loss medication can also be used effectively to revive the band but it needs to be done under the care of a physician who can adjust your band and make sure there are no other problems related to the band that is hindering your weight loss efforts.
Some medical conditions require important consideration and an urgent need for reevaluation following the gastric banding, including recurrent acid reflux and frequent coughing, particularly during the night. Others include food impaction in your band and associated excessive salivary production, often called slimming. If you experience food impaction more than once per week, your band is too tight, or you aren’t following dietary guidelines. This will result in lap band slippage, which is a medical emergency. Early intervention is important to avoid necrosis of the stomach and repositioning of the lap band.