Update on patients who have had a lap band after having Gastric Bypass Surgery in the past.
Posted by Dr. David Ward at 9/4/2010 11:41 PM 
Categories: Gastric Banding
Tags: Gastric Bypass Weight Loss Banding
Categories: Gastric Banding
Tags: Gastric Bypass Weight Loss Banding
Over the past three years I have surgically treated patients who have gained weight after having gastric bypass surgery. Options for these patients had been limited to medical therapy and dieting. About two years ago a procedure called Stomaphyx was being offered to patients who had gastric bypass and had gained back weight. The procedure entailed endoscopically suturing the stomach to try to make it smaller. Unfortunately this procedure provided good results only in the short term. Over time the stomach began to enlarge again and patients did not continue to have much benefit.
Also around the same time I began to place lap bands in patients who have had laparoscopic gastric bypass and have gained weight back. These patients have done very well and have lost a significant amount of weight and have been able to keep it off. I have not had any complications in these patients but the number is limited (10) and the longest patient is now two years post banding. I must say that the patients are happy and they feel the sense of fullness that had gone away with bypass.
Out of all the procedures being offered, I feel that the band offers the best results. The hardest part of the procedure is getting the patients insurance to pay for the procedure. My suggestion to people who are looking to go down this pathway is to start documenting any medically supervised weight loss programs that you are trying. This will help with the process.
Also around the same time I began to place lap bands in patients who have had laparoscopic gastric bypass and have gained weight back. These patients have done very well and have lost a significant amount of weight and have been able to keep it off. I have not had any complications in these patients but the number is limited (10) and the longest patient is now two years post banding. I must say that the patients are happy and they feel the sense of fullness that had gone away with bypass.
Out of all the procedures being offered, I feel that the band offers the best results. The hardest part of the procedure is getting the patients insurance to pay for the procedure. My suggestion to people who are looking to go down this pathway is to start documenting any medically supervised weight loss programs that you are trying. This will help with the process.
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