Gastric Bypass Revision in Tijuana, Mexico
RNY Gastric Bypass Surgery, or Roux-en-Y Gastric Bypass (RYGB), is the gold standard of bariatric surgery for managing obesity. Regaining weight following bariatric surgery is not uncommon. Patients with poor weight loss often feel angry or depressed. There are corrective procedure options available if desired.
According to a study that appeared in Annals of Surgery in 2006, 35% of super obese patients and 20% of morbidly obese patients who had the gastric bypass gained back at least 50% of their weight after 10 years.[1]
Mexico Bariatric Center® provides a wide array of endoscopic and laparoscopic revisional weight loss surgery in Tijuana and Guadalajara, Mexico. Mexico Bariatric Center’s top bariatric surgeons have extensive experience in revising and reversing failed Roux-en-Y bypass surgeries.
Benefits of Revising a Gastric Bypass Surgery
Although gastric bypass is effective, a number of patients either fail to lose weight or develop complications. If you previously had gastric bypass and need a second surgery, Mexico Bariatric Center provides two options. The main changes that we do in gastric bypass correction surgery include;
What Does the Gastric Bypass Revision Package Include?
The price of Gastric Bypass Revision in the U.S. and Canada without insurance can easily set you back $18,000 to $20,000. Fortunately, we offer U.S. quality weight loss surgery in Mexico at a fraction of the cost. We eliminate all of the planning and preparation by taking care of everything from the moment you arrive in San Diego to the moment you depart. Ground transportation, hotel stay, and everything in between are covered in our all-inclusive package.
When Revision Surgery is Necessary
Just because you have not been experiencing the expected results from your procedure, doesn’t necessarily mean you should get the revision procedure. Your doctor will first want to rule out other reasons for not losing weight or gaining some weight back, and determine if you are a good candidate for the Roux-en-Y gastric bypass re-operation.
Your Diet
The first most obvious thing to rule out is your diet. Start keeping a food journal of what you have been eating, and be as honest as you can. Write down every bite of food, including drinks that you consume on any given day to help you and your doctor finds the right path. If your diet looks to be to blame, changing that first is going to avoid an expensive, and possibly unnecessary, procedure. Try out the 10-day pouch reset diet.
Exercise
After your gastric bypass procedure, diet and exercise are equally important. Cutting back on your food intake and eating healthier isn’t enough to lose excess weight and keep it off. Part of your post-surgery instruction is to get a moderate amount of activity as soon as your body has healed. Learn about exercise after bariatric surgery.
Types of Gastric Bypass Revision
Bariatric Surgery Revision Before and After Photos
RNY Reversal With or Without Gastric Sleeve
Reversing the RNY Bypass has become more popular with the advancement of laparoscopic bariatric surgery. The risk of the operation depends on the level of albumin in the blood and not the surgical approach.
How is Bypass reversal performed?
- Dismantling the duodenum from the gastric pouch
- Dismantling the jejunum from the lower part of the intestinal tract.
- The duodenum (roux limb) reconnects with the jejunum (biliopancreatic limb) like it was previous to the RNY procedure.
- The gastric pouch is to re-anastomosis to the gastric remnant to form the original stomach.
In RNY patients with malnutrition, it is necessary to prepare them with an intravenous ambulatory nutrition diet.
Why do patients get RNY Reversal?
- Mal-Nutrition
- Marginal ulcer
- Hypoglycemia
- Food intolerance
- Short bowel syndrome following small bowel resection due to internal hernia
- Persistent pain
- Uncontrollable weight loss
Additionally, the sleeve gastrectomy can then be performed after the reversal of the gastric bypass.
Potential Tests Your Doctor May Require
After figuring out where you are with diet and exercise, your doctor will want to perform a few tests. These tests look for other potential causes of your lack of results, to finally figure out if the revision surgery is right for you.
Endoscopy: The endoscopy numbs you with medication, and then places a tube into your mouth and down your esophagus. It can look into your stomach to see the size of your stoma and pouch.
Upper GI: The upper gastrointestinal tract radiography (Upper GI) is a test that looks at your digestive tract in motion. You will first drink a colored dye and in the meantime, have x-rays done to see how you are digesting it.
Eating Test: Finally, there is the eating test. This test measures how much food you can eat before you start feeling full, and mainly shows if the gastric bypass was effective or not.
Gastric Bypass Case Studies
Revisional surgery is technically challenging, requires a longer hospital time, and is often linked with significant risks and diminished efficacy. You may be a candidate for RNY intervention if you have experienced and of the following problem post-operative.
1. Unsuccessful Weight Loss – The most common cause for lack of weight loss is not adhering to nutritional instructions. Ignoring dietary guidelines and consuming high caloric foods can impact the surgery’s success.
2. Weight Regain after Initial Weight Loss – Some patients initially lose weight for several months, but then regain the weight. Causes include changes in diet, dilatation of stomach pouch due to increased food consumption, or even genetics.
3. Botched Surgery – Complications after gastric bypass can happen. Post-operative problems include;
- Surgical/Anatomical issues: gut anastomosis is narrowed, or stomach pouch is dilated
- Medical issues: symptoms like diarrhea, ulcers, solid intolerance, dumping syndrome, anemia, severe constipation, severe gastroesophageal reflux disease, nausea, and vomiting
Case Study #1
Patient History
- 56 years old patient with 54 BMI
- Had RNY gastric bypass performed 32 years ago in the United States via open surgery
- History of two more open surgeries for gallbladder removal and liver segmentectomy
- Gastric bypass surgery was effective for four years until the patient began regaining weight more than she had prior to surgery
Conditions: Hypertension, Diabetes Mellitus, and Hypothyroidism under control.
Study Findings
We begin the surgery laparoscopic with simultaneous endoscopy. We found anastomoses in the gastric fundus 3cm under the Esophagogastric union with all integrity stomach and a Y Roux for bile drain.
The patient had a biliopancreatic length of 50cm and an alimentary length of 190cm. The length of the limbs was correct, but the patient never had the restriction component because the stomach is conserved. We dissect all scares and do a small gastric pouch reset to the standard limit (of 3oz approx).
Case Study #2
Patient History
- The patient had gastric bypass in the United States
- During surgery had to do open surgery
- The patient developed a hernia along the incision
- She had a hernia removed several times
- She started gaining weight
- Gastric bypass surgery was effective for but then the patient began regaining weight
Study Findings
The skilled bariatric surgeon, Dr. Jesus Ceja, did an endoscopy where he determined that the pouch appeared normal. They had to perform open surgery due to the prior procedure.
Dr. Ceja found the second anastomosis (Y Roux) was enlarged as much as 10 cm and had acted like a stomach. Doctors reduced the Y anastomosis to give the patient less absorption so she can lose weight. She is feeling great a day after surgery.
3 Comments
Give us a call at 855-631-2413 if you’d like to see if we can help.
Where can I get help because I had gastric bypass surgery in 2013 and have had a lot of complications diarrhea, constipation, vomiting, anemia, gain weight again and it has been too difficult to lose weight?
Looking for someone to help with maybe a revision of my Gastric-By-Pass, that I had performed on me back in 2005.
I have also suffered from bi-lateral lymphedema in both legs… I have had the problem in my legs since the 1990’s. Please help me, someone.