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Revision Bariatric Surgery

Revision bariatric surgery – sometimes known as revisional surgery - refers to a weight loss treatment that follows a previous weight loss surgery that did not lead to the desired level of success.

Patient Journey

From beginning to end, the journey for a patient undergoing bariatric care is full of changes. It will require persistence and discipline, but at the end it is all worth it. Feel free to learn more about the patient journey.

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What is Revisional Surgery?

Although bariatric surgery is usually quite effective, at times, it does not work as well as one would like. In such instances, a revisional bariatric surgery procedure may be considered. It is important to remember that revision operations are more technically challenging and carry a higher complication risk. Patients need to seek out very experienced bariatric surgeons that perform revisional bariatric surgery procedures routinely. Not everyone who regains weight or fails to lose as much weight as they would have liked are candidates for revisional bariatric surgery.

One must stress that  morbid obesity is a multi-factorial disease, hence a multi-disciplined approach should be utilized to treat patients that have regained or failed to lose weight. Successful bariatric surgery starts with the operation. Some operations have been done much longer and have been proven to be more durable over time. Postoperative instruction and support is also very important. Snacking behavior, poor water intake, lack of exercise, and poor supplementation intake can all lead to poor outcomes. When patients are being evaluated for a revision in our program, a consultation with the surgeon is scheduled.

Options for Revision
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Revision of Gastric Bypass

There are a few reasons for a patient with a gastric bypass to have inadequate weight loss. One of the most common is the stomach pouch or stoma,( the opening of the new stomach pouch to the small intestine), of a gastric bypass having been made too large by the surgeon Another possibility is the pouch and/or stoma stretching out over time. If the pouch is too large, than patients need to eat more to fill the pouch to feel full. If the stoma stretches out, food passes quickly from the stomach into the small intestine thus patients become hungry too soon after eating a meal. In all of theses cases, the patient may initially lose weight but eventually loses their sense of satiety or restriction and weight gain ensues. Usually an upper GI x-ray series or endoscopy will help us determine the pouch size, and to determine which of the revision options are best.

Band over Bypass
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Revision of Gastric Bypass – Band over Bypass

Fortunately, there is now a highly successful, safe option for gastric bypass patients that have been “left behind” in their weight loss.  A revision with Lap-Band surgery over the previous gastric bypass may be the answer — known as a banded bypass, or simply band over bypass. Whether you have regained weight after a gastric bypass or you never lost the expected weight, a band over bypass can give you back the restriction that you felt in the first months after your gastric bypass. The gastric banding surgery will give you the tool necessary to restore your ability to limit your food intake and promote a feeling of fullness (satiety) after meals.  This procedure is also considered safer than traditional revisional procedures. As with primary Lap-Band surgery, lap band over bypass surgery can most often be placed laparoscopically even if your initial gastric bypass was done open By placing a Lap-Band around the bypass can control the outlet of the stomach via the tightness of the band, in other words tighten down stoma and pouch and restore the restriction that you may have lost over time or even give you the restriction that your may have never had. Like the traditional or “primary” placement of an adjustable gastric band, in a band over bypass, a silicone band is placed around the stomach pouch and an injection port is attached to the abdominal wall under the skin. The port is connected to the gastric band with tubing. The silicone band is lined with an inflatable balloon that can be filled with saline (this can be done right in our office), via the access port in order to adjust the size of the stomach pouch and stoma. Adding fluid tightens the band and increases weight loss, while removing liquid loosens the band and reduces weight loss.

ROSE Procedure
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Revision of Gastric Bypass – ROSE Procedure

A second revision option for Roux En Y Gastric bypass patients who are seeking a revision is non-surgical endoscopic revisional surgery also known as a ROSE procedure, (Revision of Obesity Surgery Endoscopically), using the new Apollo OverStitch procedure for gastric bypass.

This gastric bypass revision procedure is performed using a four-channel tube and special Incisionless Surgery tools. The surgeon advances the flexible tube and a small endoscope through the patient’s mouth, into the stomach pouch. The surgeon will then insert the surgical tools through the channels of the tube. Tissue anchors are used to create multiple tissue folds around the stoma to reduce the diameter. The surgeon will then use the same technique to place anchors in the stomach pouch to reduce its volume. This results in slower emptying of the stomach and earlier satiety and more weight loss. The revisional bariatric surgery procedure also shrinks the stomach pouch and makes it small (similar to the original gastric bypass procedure).Due to the lack of external incisions, this procedure provides important advantages, including, less risk than traditional open or laparoscopic surgery, minimal postoperative pain, fast recovery time and no scarring. As with any weight loss procedure, results of gastric bypass revision vary with each patient. The OverStitch procedure is new and long term data are not yet available. Avoiding weight gain after gastric bypass is vital to improve your health and reduce the co-morbidities associated with obesity such as Type II diabetes, heart disease, joint disease and respiratory conditions. If you have started to regain weight since your initial surgery, ask your doctor about ROSE-OverStitch procedure gastric bypass revision.

Is Revisional Surgery Right for Me?
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Revision of Lap Band

There are many reasons why someone who has a Lap Band might consider revision surgery. Often, patients who had lap band surgery initially experience excellent weight loss, then the band fails for technical reasons like a port infection, lap band slip or erosion. Because these patients did have successful weight loss prior to the technical issue, repairing or replacing the band is an good option. Other lap band patients who never had good success with the lap band or have lost weight and then regained the weight for a non technical issue, converting to a different procedure is a path that should be strongly considered. In these patients converting to either a Sleeve Gastrectomy or a Roux En Y Gastric Bypass are good options. If a conversion is right for you, our experience shows that doing this in a “two stage” fashion is the safest. What is meant by a two stage procedure is first removing the band and taking down and eliminating any folds of the stomach that were meant to hold the band in place. We then wait approximately 2-3 months prior to conducting the next procedure whether it be a conversion to a Gastric Sleeve or Roux en Y Gastric bypass. We wait 2-3 months after removing a Lap Band because the stomach tissue becomes thickened as a reaction to the lap band. By waiting the 2-3 months, it gives your stomach time to recuperate and normalize closer to its original thickness from prior to the band. This more normal thickness stomach tissue holds the staples that are required to seal the stomach for a sleeve gastrectomy and gastric bypass better than the thicker stomach tissue does and appears to be a safer way of converting a patient from a band to a sleeve or bypass. On the other hand, if a patient had a technical issue with the Lap Band and decides to have the Lap Band repaired or replaced, this usually can be done in one stage and usually does not require a second operation but that determination is always made on a case by case basis as some exceptions do exist. You can learn about sleeve gastrectomy here. You can learn about gastric bypass here

Revision of Sleeve Gastrectomy
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Revision of Sleeve Gastrectomy

Sleeve revision surgery should be considered when the initial sleeve has failed to achieve the desired results. Sometimes a patient who undergoes a gastric sleeve does not experience sufficient weight loss. This could be due to the sleeve being made too large by the initial surgeon (which oftentimes happens early in a surgeons experience conducting this operation), the sleeve stretching out over time, or the result of poor reduction of calorie consumption. Revision surgery is an excellent option for the first two types of problems whereas the third type patient would benefit mostly from proper instruction and can therefore avoid revisional bariatric surgery. The revisional options for sleeve gastrectomy include Re-Sleeving, placing a gastric band over the sleeve or converting to a Roux En Y Gastric Bypass.

Sleeve Gastrectomy Revision Options
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Sleeve Gastrectomy Revision Options

  • Re-Sleeving is an excellent option for those patients who have a sleeve that appears too large. After conducting an endoscopy, your surgeon will know first hand if the sleeve appears to have stretched or perhaps was made too large initially. Re-sleeving will involve re-sizing the stomach pouch again in a matter similar to the initial sleeve operation. Most of the time this procedure can be conducted laparoscopically and usually involves just an overnight stay in the hospital and return to light duty work in approximately 7-10 days. The risks of this surgery (including leaks, bleeding, gastric outlet obstruction) are slightly higher than the initial surgery but are still quite safe.
  • Band over sleeve is an excellent option for those patients that appear to have an larger upper portion of the stomach (fundus), but have a narrow middle and lower portion of the stomach. Because of the narrow lower parts of the stomach, an attempt at re-sleeving could cause a blockage to the exiting part of the stomach and that would result in having to convert the patient to a roux en y gastric bypass to “bypass” the blockage.
  • Converting to a Roux en Y gastric bypass is an option for patients who have inadequate weight loss, or who have severe reflux after sleeve gastrectomy.
Is Revisional Surgery Right for Me?
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Is Revisional Surgery Right for Me?

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  1. If your BMI is 40 or higher, you qualify for revisional surgery
  2. If your BMI is between 35 and 40 and you have a medical condition due to obesity, you qualify for revisional surgery
  3. If you are having medical problems related to your procedure you may qualify for revision procedure without meeting the BMI criteria.
How to get started?
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How to get started?

  • The Insurance experts at the New York bariatric Group will verify your insurance benefits for you free of charge.
  • The first step is to call or contact us to make an appointment with one of the experienced surgeons at the New York Bariatric Group.
  • As a candidate for revisional bariatric surgery, you can expect to undergo a series of consultations and evaluations. A detailed comprehensive program has been developed to ensure your long-term health and safety pre- and post-surgery. A pre-operative endoscopy performed by your surgeon is required to see your anatomy and to see if you are a candidate for revisional surgery.
  • Dr. Garber explains how you can initiate the process to become a new healthier you.
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  • You will receive extensive patient education from our psychologist who will perform a psychological evaluation that is required by the hospital and most insurance providers.
  • Meet with our registered dietitian to discuss healthy lifestyle changes pre- and post- weight loss surgery.
  • Participate in studies to determine your pulmonary, gastrointestinal and cardiovascular health. You can usually complete this entire work-up in one day in our office.
  • After the work-up is completed you will meet with your surgeon for a second visit to be scheduled for surgery. Our insurance experts will then obtain approval from your insurance company.
  • You will be scheduled for preadmission testing at the hospital. During this testing you will meet our bariatric coordinator who will give you a complete educational class on how to prepare for surgery? What is going to happen when you arrive at the hospital on your surgery day, as well as what to expect when you go home form the hospital.
Day of Surgery and Recovery
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Are you a good candidate for revision surgery?

Several factors that determine if you will be a good candidate for revisional surgery include: 1) What was the initial operation performed? 2) When was the initial operation performed? 3) Where was the initial operation was performed? 4) At what stage was your surgeon in his/her career? 5) Were the postoperative instructions and guidance given after the initial surgery adequate? 5) What was the initial weight loss history following surgery? 6) Were there any complications that occurred following the initial operation?

Lack of proper postoperative instructions and guidance after the initial surgery can result in misleading patients into believing they need a revisional procedure. In this case, the patient never learned the best way to use their new “tool”. It is this type of patient that will benefit considerably from proper instruction and can therefore avoid revisional bariatric surgery. Obtaining the weight loss history following the initial surgery tells us if the operation was ever effective or if it “failed the patient” from the very beginning. If postoperative weight loss never occurred or was minimal, then it is likely that there was a technical problem with the operation, and revisional surgery may be able to correct the problem at the root. Likewise, complications occurring after the surgery may have led to technical problems that have influenced the durability of the weight loss. Such complications may include intraabdominal infections, ulcerations, band infections, and prolonged vomiting postoperatively. Considering bariatric surgery as a “tool” to be used for long-term weight loss, we must determine if the patient has used their “tool” ineffectively or if the patient’s “tool” does not work. If the “tool” has not been used effectively then it is unlikely that a revision would be beneficial. However, if the “tool” is broken or never worked, then a revision may be beneficial.

Day of Surgery and Recovery
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Day of Surgery and Recovery

It is important to remember that The New York Bariatric Group and its affiliate Bariatric Center has been recognized as a “MBSAQIP and its Accredited Center-Comprehensive”. This designation provides the public with the assurance that our practice provides complete care for patients before, during and after bariatric surgery, and we have a proven track record verified by an independent review organization.

Based on this designation, we have proven that your hospital stay, will provide all that is necessary for a fast and pleasant recovery. From our full time bariatric nurse coordinator to specialized equipment that is needed to fulfill the needs of patients post-bariatric surgery, including bariatric chairs, beds, gowns and other specialized equipment. At the end of your hospital stay, you will find that our program is designed solely for the purpose of the bariatric patient.

Revisional surgery time is very variable and is determined by many factors. If your previous surgery was performed through an open incision you will most likely have more scar tissue and the surgery will take longer. The surgery is performed under general anesthesia. You will usually spend one night in the hospital for most surgeries except for gastric bypass usually requires two nights in the hospital. Once you are tolerating pureed food you will be discharged home.

Recovery Period

The recovery period after Revisional Bariatric surgery is usually just 3 -5 days until you can return to work. If you undergo a gastric bypass the recovery could be approximately 2 weeks.

Lifestyle Changes after Revisional Surgery
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Lifestyle Changes after Revisional Surgery

After Bariatric Surgery Lifestyle Changes

Adjusting to your post bariatric surgery diet and lifestyle is one of the most important keys to your long-term success. Develop healthy daily habits based on eating in moderation that match your new body instead of failed eating patterns that can ultimately lead to poor health, fatigue, depression and attempts at binge eating. Making a commitment to lifestyle change will bring fast & substantial weight loss. Let us show you how.

Is permanent weight loss after bariatric surgery possible? Absolutely! But you aren’t going to find weight loss success by merely having restrictive weight loss surgery. Get thin quick schemes are a dime a dozen.  They are usually costly plans that promise fast weight loss. They work too – temporarily. The problem with fast weight loss plans alone is they are not long-term solutions to losing weight and keeping it off.

  • Tips to Avoid Feeling Deprived While Dieting (even before entering our program)
  • Learn and adhere to a sensible diet plan
  • Think lifestyle change rather than sticking with the diet mentality
  • Find new and exciting way to stay motivated
  • Indulge in your bariatric treats once in a while
  • Find enjoyment in activities other than eating
  • Reward yourself for reaching weight loss goals, but not with food.
  • Connect with friends and ask for support
  • Be accountable for your eating, even on your down days.
  • Eat small meals at specific schedules to avoid feeling hungry
  • Don’t skip meals
  • Create lighter versions of your favorite meals that you can enjoy eating
Post Surgery Diet
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Post Surgery Diet

Post bariatric surgery diet guidelines are fully discussed with patients during their comprehensive nutritional evaluation prior to surgery.  Patients follow a Stage I diet for the first 4-6 week after surgery.  This includes all foods that are soft, mushy and/or pureed consistencies.  Examples for pureed foods are anything blended and smooth such as baby foods, fruitless yogurt, cottage cheese and hummus.  Soft/mushy foods include chopped up ground meats such as turkey, veal, chicken or pork, soft, white, flaky fish that is baked, broiled or grilled, scrambled eggs and egg whites.  Solid foods of all kinds should be completely avoided until weeks 4-6 or when the surgeon allows it.

This practice stresses the importance of good hydration, using non carbonated, decaffeinated, sugar free beverages.  We always promote good quality proteins to be consumed from day one after bariatric surgery.  High sugar and high fat foods are limited and very specific guidelines are provided to help equip patients with a clear-cut way to determine which foods are healthy for them to eat.  Fruits, vegetables, and high fiber foods are reintroduced after the first 3 months.  All patients get full details on dietary progression from our experienced nutritionists at their follow up visits.

The New York Bariatric Group is fully dedicated to promoting high standards for nutritional health. That doesn’t mean that patients should not enjoy eating. The New York Bariatric Group weight loss program has been designed to help patients lose weight rapidly, but provide you with resources to help enjoy your new lifestyle by keeping the flavor and fun in eating. Each patient is given the option to enroll in our Store. We brought together great tasting meals and supplements for breakfast, lunch, dinner and even snacks which can be ordered on our website.

Success Stories
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Success Stories

Before

After

Success Stories
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Success Stories

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Why do we offer revision surgery?

Often when someone chooses to have bariatric surgery, and follows the after-surgery plan, they lose a significant amount of weight and they maintain this weight loss. However, treating obesity is similar to treating other diseases so the reality is that one treatment is not always enough. Sometimes a weight loss procedure will not lead to as much weight loss as the surgeon and patient hope for. In other situations, a patient will lose the weight but later regains some or all of that weight. If this has happened to you, you should not feel ashamed or consider this a personal failure. On the contrary, this is the time to contact an expert in revisional treatment.


Our experience with revision surgery

At New York Bariatric Group in Long Island, Manhattan and Westchester we are the foremost specialists in revisional weight loss surgery. Our program helps patients from different bariatric surgery practices from all over the world. Because of our large experience in caring for these patients who have regained weight, we have carefully crafted a pre-operative and post-operative program that works to ensure long-term success. Our comprehensive program is the difference between learning to live with a failed treatment, and finding ultimate success in a different procedure and aftercare program.


Is revision an option for me?

No matter what bariatric procedure you tried the first time, or what surgeon you worked with, we are happy to talk with you and help you understand your options for revisional treatment. Sometimes a weight loss surgery fails because it wasn’t done correctly. In other cases it was not the best treatment for the patient and sometimes we will never know why the treatment did not work. Whatever the case, it is perfectly reasonable for anyone who tried one treatment without success, to have the chance to try a different obesity treatment. Every case is different, so we’ll work with you to evaluate your medical history, reasons for weight regain, lifestyle, and treatment preference.

If you have regained weight after bariatric surgery or the weight loss balloon, please get in touch with us and hear about your options for finding the weight loss, health, and energy you’re looking for.

“The staff and surgeons at the New York Bariatric Group are great! So many times I have seen doctors that come across as all-knowing and do not listen to their patients. This is not the case with Dr. Garber and his staff. They are real people that care about their patients. Thank you New York Bariatric Group for saving my life.”


Educational seminars

We are pleased to announce a new educational seminar on Bariatric Revisional Surgery Procedures has been added to our event calendar. Learn about our gastric bypass revision options such as ROSE, StomaphyX and Lap-Band® System over Gastric Bypass procedures that are new and are being performed by Drs. Shawn Garber, M.D., F.A.C.S. and Spencer Holover, M.D. who have been among the first in the United States to pioneer and perfect these exciting new options for previous bariatric patients. New informational seminars on these revisional bariatric surgery procedures are being scheduled soon. To register for these programs please click here.


More on revisional bariatric surgery

Dr. Garber is experienced in Revisional Bariatric Surgery, having performed bariatric surgery for 15 years, in the New York area. In this section we will discuss the special concerns one must think of when undergoing gastric bypass revision. We’ll also discuss our program’s philosophy regarding these issues, whether it’s lap band after gastric bypass, or the ROSE procedure.

Although bariatric surgery is usually quite effective, at times, it does not work as well as one would like. In such instances, a revisional bariatric surgery procedure may be considered. When contemplating another bariatric operation, we must decide if a gastric bypass revision will work and what the risks of such a procedure will be. There are several factors that help us make this decision:

  • When the initial operation was performed.
  • Where the initial operation was performed.
  • At what stage the surgeon was in his / her career.
  • The postoperative instructions given after the initial surgery.
  • Initial weight loss history following surgery.
  • Any complications that may have occurred following the initial operation.

Now, we will discuss each of these factors affecting your potential revisional bariatric surgery individually. The type of bariatric surgery initially performed is very important when considering a gastric bypass revision because some types of surgery have been known to fail or have less long-term success. Obtaining an operative report for your surgery is very helpful. However, if you cannot provide an operative report, we can usually determine the type of surgery simply by knowing when and where it was performed.

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Nuances of bariatric surgery

A “learning curve” exists for most operations and bariatric surgery has one of the longest. This is especially true when we consider the Laparoscopic Gastric Bypass. It is often helpful to know at what stage your surgeon was in their career when you were treated. For example, the success of gastric bypass surgery is largely dependent upon the size of the gastric pouch. This part of the surgery is technically challenging and often requires the surgeon to have performed many operations before mastering it. As a result, a surgeon may have made very large gastric pouches early in their career. Furthermore, some surgeons continue to make large pouches despite our current understanding that pouch size and weight loss are more directly related.


Postoperative pitfalls

Oftentimes, the postoperative instructions given to patients are incorrect or lacking. Therefore, the patient did not know the best way to use their new “tool”. Even though the patient may be out of the “golden period” for rapid weight loss, they usually benefit considerably from proper instruction and can therefore avoid revisional bariatric surgery.

Weight loss history following the initial surgery tells us if the operation was ever effective or if it “failed the patient” from the very beginning. If postoperative weight loss never occurred or was minimal, then it is likely that there was a technical problem with the operation, and gastric bypass revision may be able to correct the problem at the root.

Likewise, complications occurring after the surgery may have led to technical problems that have influenced the durability of the weight loss. Such complications may include intraabdominal infections, ulcerations, band infections, and prolonged vomiting postoperatively.

Considering bariatric surgery as a “tool” to be used for long-term weight loss, we must determine if the patient has used their “tool” ineffectively or if the patient’s “tool” does not work. If the “tool” has not been used effectively then it is unlikely that a gastric bypass revision would be beneficial. However, if the “tool” is broken or never worked, then a revision may be beneficial.


Real World Example

For example, if the pouch of a gastric bypass was made too large then the patient may lose weight for the first year but eventually lose their sense of satiety or restriction and gain weight. Usually an upper GI x-ray series will help us determine the pouch size, and an option such as lap band after gastric bypass may prove beneficial.

If a patient had gastric banding, they may never feel “satisfied” with small meals. Commonly, gastric banding does not give patients the same feedback of satiety that the gastric bypass provides. In such cases, a gastric bypass revision may benefit the patient. However, taking down the scar around the band can be technically difficult.

If a patient had a vertical banded gastroplasty (VBG)/ stomach stapling, they may have initially lost weight only to lose their feeling of restriction and regain the weight. Several technical failures arise with this type of surgery over time. It is appropriate to consider gastric bypass revision if one of these failures has occurred.

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Some specific revision options

New non-surgical endoscopic revisional surgery using the new Stomaphyx and ROSE procedure for gastric bypass patients with weight gain are options in addition to lap band after gastric bypass procedures.

Over time a small percentage of gastric bypass patients will start regaining some of their weight. One reason for the weight gain is that the connection between the stomach pouch and small intestines, which starts out very small, may start to dilate over time. The patients lose the sense of satiety because the stomach pouch can now empty faster. Also over time the gastric pouch can stretch and accommodate more food when eating. Dr. Shawn Garber and Dr. Spencer Holover are the first bariatric surgeons in the New York area to offer endoscopic stoma reduction using the new StomaphyX device and The ROSE procedure. We have performed more StomaphyX procedures than any other surgeons in the world. This gastric bypass revision procedure involves no incisions and no recovery and involves placing an endoscope through the mouth into the stomach pouch and suturing the connection between the stomach pouch and small intestines resulting in slower emptying of the stomach and earlier satiety and more weight loss. The revisional bariatric surgery procedure also shrinks the stomach pouch and makes it small (similar to the original gastric bypass procedure).

Another minimally invasive surgical option is placement of a laparoscopic adjustable gastric band (LapBand or Realize band) over your existing gastric bypass, known as a lap band after gastric bypass procedure. The procedures is done laparoscopically with a very fast recovery. The lap band after gastric bypass is placed around the proximal portion of your stomach pouch and attached to a port buried underneath the skin and fat of your abdominal wall. The port can be accessed in the office and the band can be adjusted at anytime with a very simple, quick office procedure. This procedure recreates the early satiety or sensation of feeling full after very small meals. The nice thing about the lap band after gastric bypass procedure is that we can continually adjust the band long term to help maintain your weight loss. We are one of the only bariatric surgery practices in the NY area to offer this revisional bariatric procedure with excellent results.


One Last Word

Finally, remember that gastric bypass revision operations are more technically challenging and carry a higher complication risk. Patients need to seek out very experienced bariatric surgeons that perform revisional bariatric surgery procedures. Not everyone who regains weight or fails to lose as much weight as they would have liked are candidates for revisional bariatric surgery. Because morbid obesity is a multi-factorial disease, a multi-disciplined approach should be utilized to treat patients that have regained or failed to lose weight.

Successful bariatric surgery starts with the operation. Some operations have been done much longer and have been proven to be more durable over time. Gastric bypass surgery is one such operation. Postoperative instruction and support is also very important. Snacking behavior, poor water intake, lack of exercise, and poor supplementation intake can all lead to poor outcomes.

When patients are being evaluated for a gastric bypass revision in our program, a consultation with the surgeon is scheduled. At that time all tests are reviewed as well as the operative report, if provided. Our surgeon then assesses the risks and potential benefits of gastric bypass revision surgery for the patient. If surgery is indicated and the potential risks are understood, our program can provide years of experience in revisional bariatric surgery to help you achieve your goal. We have performed more minimally invasive and endoscopic revisional procedures than most bariatric surgeons in the US.

Please contact Dr. Shawn Garber at the New York Bariatric Group on Long Island if you have any weight gain after gastric bypass surgery. The procedure can also be used to close a gastric-gastric fistula if necessary. Dr. Garber is on the forefront of this new technology and looking at ways to apply this technology to maybe one day perform a bariatric surgical procedure completely endoscopically with no incisions at all.

Getting Started

Our team is happy to speak with you and help you understand any of the treatments we offer, or answer any questions you have. Please call and speak with us at 800-633-8446, or read more about the surgical and non-surgical options we offer here.

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What our patients are saying

“The staff and doctors at the New York Bariatric Group are amazing! They are always patient, helpful, and very understanding and pro-active with questions, problems, etc. After Lap Band surgery I feel fantastic. For the last 6 years I have not had to worry if my clothes would fit. I have been able to maintain my weight loss, and have so much more energy.”

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"Dr. Holover has a great personality, I love him, I consider him a good friend, and I recommend him to everyone. He and his staff are amazing. I thought my recovery would be worse, but it wasn’t. It was great. After a couple of days I was back on my feet and going, with three boys you don’t have time to be down. Now, my kids have to keep up with me!"

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"My results are incredible; I can go to any store and find clothes that fit, I don’t have to go to the big and tall store anymore. My family and friends say I look great, but more so are so happy about my health. Definitely go for it, it is well worth it."

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"My recovery was very easy, I started moving around pretty quick because the nurses had me up and about. Dr. Angstadt has a great bedside manner, a cheerful disposition and is very knowledgeable. He was genuinely concerned for me, he answered all of my questions and put me at ease. I couldn’t be happier, I think it is the best decision I ever made."

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"I was concerned about my health, my blood pressure, cholesterol, my mobility, my flexibility. A few friends told me about NYBG and I went to a seminar. I wanted to live a healthier life and live a long life. My recovery was great, after a week I was 100%. My doctor, Dr. Sekhar, has the best personality in the world."

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"I had a couple of friends who had bariatric surgery done by Dr. Garber a few years back and I decided to make the appointment. My favorite thing about the surgery is not being able to eat that much, eating whatever I want but in smaller portions. My results are amazing"

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To get started, you can Join our free online seminar, or call us at 800-633-8446.

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