Gastric Banding Revision Surgery
Adjustable Lap-band (Lapband, Gastric Band or Gastric Banding) is an inflatable silicone ring placed laparoscopically over the stomach to restrict the food you eat. Lap-band was once a prevalent bariatric procedure to overcome obesity, and it was believed to be reversible. Over time lap-band has shown that not only it is not reversible but has safety issues for patients as it has caused a slew of problems and complications. The research data shows that lap-band surgery does not render itself as an effective, long-term solution for weight loss as is the case for the gastric sleeve and gastric bypass. The complications with lap-band can range from band erosion, band slippage to just the lack of adequate weight loss.
Common problems with lap-band:
- Desired weight loss not achieved – The patient loses minimal amount weight that is hard to maintain.
- Band Erosion – If the band grows into the stomach, it causes serious health issues and put patient’s life in danger.
- Band Slippage – When the lower part of the stomach “slips” up through the band, the patient’s safety is jeopardized.
- Band intolerance – Majority of patients show this problem, and it can range from nausea, vomiting to discomfort and pain. The patient can experience this issue from the outset or afterward.
- Difficulty swallowing – Dysphagia is one of the common problems developed in patients.
- Esophageal Dilatation – In this case, the esophagus cannot transport food from mouth to stomach.
- Stomach Pouch Dilation
- Gastroesophageal Reflux Disease (GERD) – This is essentially the typical heartburn.
- Band Infection – Infection at the site of band placement.
- Port Infection – Infection at the location of the port.
If the Adjustable Gastric Banding (AGB) surgery (lap-band surgery) has failed to produce desired weight loss and the patient experiences problems mentioned above with their Lap-band, the band removal can be considered. In most cases, the band removal is rather simple and revision to another permanent bariatric surgery option possible. If you’ve had lap-band procedure, it may be time to consider Lap-Band revision surgery. This page discusses the various options for individuals with gastric banding surgery. Mexico Bariatric Center has experience dealing with failed band and can rescue any brand lap band.
Removing Lap-Band Surgery
Most bariatric surgeons are no longer recommending lap-band surgery due to regular maintenance and adjustments as well as high rates of complications and other errors. However, many of those who achieved success will often revert to normal and begin gaining weight again. If you feel like this may happen, it may be best to consider revising your lap-band to another surgery.
Bariatric surgeons remove Lap-Band laparoscopically and rarely use open surgery (unless medically necessary). Sometimes eroded gastric band calls for removing the band endoscopically using special band cutters and traditional endoscopic equipment.
Lap-Band Revision Surgery Options:
There are a few options patients can revise Lap-Band surgery to another surgery type. Most notably, patients should consider Lap-Band to Gastric Sleeve, and Lap-Band to Gastric Bypass. Other options are not too familiar or have fallen out of favor with most bariatric surgeons.
1. Rebranding: Gastric Band to Gastric Band
Patients may want to replace their gastric band with a newer one. Maybe the band had malfunctioned or caused complications. This procedure used to be regularly performed, but now surgeons recommend Gastric Band to Gastric Sleeve revision for weight management purposes. This is due to the common issue of patients removing their band, only to gain some or most of their weight back.
2. Gastric Band Surgery to Gastric Sleeve
This is the most common revisional surgery type for gastric banding surgery. This surgery type removes the gastric band implant from stomach completely, then undergoing the gastric sleeve surgery — all in one operation.
Sometimes, surgeons cannot perform this procedure at the same time due to damage caused by the Lap-Band implant. In this case, it may require patients to heal for six months or more before they can revise to gastric sleeve surgery. This may be burdensome for those individuals seeking gastric sleeves’ permanency, but it will be required by our surgeons who have expertise in Gastric Band to Gastric Sleeve revision. Doctors typically won’t know to the extent of the damage until they perform the change itself.
Data of Chart:
|Time||1 Month||3 Months||6 Months|
|Band to Sleeve||21 lbs.||39.34 lbs.||105 lbs.|
3. Lap Band to Roux-en-Y Gastric Bypass
Another standard revisional surgery is RNY gastric bypass, which has shown proven weight loss after Lap-Band. Although this is a top option, MBC surgeons do not recommend this revision type.
4. Lap Band to Duodenal Switch (DS) Surgery
Patients can also remove Lap-Band and convert to Duodenal Switch, which has the highest expected weight loss of any bariatric surgery. Although this is a top option, MBC surgeons do not recommend this revision type.
5. Gastric Band to IntraGastric Balloon (IGB)
IntraGastric Balloon, or only gastric balloon, is another option for Lap-Band surgery. Although, gastric balloon is not a surgical procedure, but performed endoscopically – and therefore, performed sometime after your Lap-Band is removed. This option is not a long-term solution, but rather a jump start for those who need to lose minimal weight and those who are eventually opting for a more involved bariatric procedure (for example, duodenal switch or any gastric bypass).