Many patients who have had gastric bypass surgery face concerns like persistent discomfort, inadequate weight loss, or weight regain over time. If you are struggling with these issues or complications from your initial procedure, a gastric bypass revision may be the solution. At Miami VIP Surgery, we provide expert care to help you regain control of your health and improve your quality of life.
Gastric bypass revision is a surgical procedure designed to correct or improve the results of a previous gastric bypass surgery. It may be recommended for patients who experience complications, such as strictures or ulcers, or for those who have not achieved the desired weight loss or have regained weight after their initial surgery. The revision can involve adjusting the size of the stomach pouch, reconnecting sections of the digestive tract, or converting the original surgery to a different type of weight-loss procedure. The goal is to enhance the effectiveness of the surgery while addressing any medical issues to help patients reach and maintain a healthier weight.
We offer an advanced, minimally invasive solution called TORe (Transoral Outlet Reduction) for patients experiencing weight regain after gastric bypass surgery. TORe is an endoscopic procedure that reduces the size of the enlarged gastric outlet without the need for traditional surgery, helping to restore the original restriction and promote renewed weight loss. This innovative technique is performed through the mouth using specialized tools, which means no external incisions, less discomfort, and a faster recovery compared to conventional revision surgeries. TORe offers a safe and effective option for patients seeking to regain control of their weight through a less invasive approach.
Preparation for gastric bypass revision begins with a thorough consultation during which our surgical team carefully evaluates the patient’s medical history, current health, and previous surgery outcomes. This process includes a detailed review of diagnostic tests and imaging to understand the anatomy and identify any complications. Establishing a clear connection between the patient’s goals and the surgical plan is essential to ensure the best possible outcome. Proper preparation also involves nutritional counseling and lifestyle assessment to optimize the patient’s condition before the procedure.
Before the TORe procedure, patients undergo a comprehensive evaluation to assess their current gastric anatomy and overall health status. This includes endoscopic examination and imaging studies to determine the size of the gastric pouch and the degree of enlargement of the gastric outlet. The evaluation ensures that TORe is an appropriate option and helps tailor the procedure to the patient’s specific needs.
TORe is performed under general anesthesia to ensure patient comfort and safety throughout the procedure. Once sedated, the patient is carefully positioned to provide optimal access for the endoscopic instruments used during the procedure.
The procedure begins with the insertion of a flexible endoscope through the mouth, passing down the esophagus and into the stomach. This allows our surgeon to visualize the gastric pouch and the outlet, identifying areas that have stretched or enlarged since the original gastric bypass.
Using specialized endoscopic suturing devices, our surgeon reduces the size of the gastric outlet by placing precise sutures with precision. This tightening helps restore the restrictive effect of the gastric pouch, limiting the passage of food and promoting a feeling of fullness. The sutures are carefully placed to ensure durability and effectiveness without compromising the surrounding tissue.
After the sutures are placed, a final endoscopic inspection confirms the reduction in the size of the gastric pouch outlet and the overall integrity of the repair. The endoscope is then carefully withdrawn, marking the completion of the procedure. This minimally invasive approach allows for correction of the outlet size without the need for external incisions or extensive surgical disruption.
Patients return home the same day after the TORe procedure, as it is minimally invasive and does not require an overnight hospital stay. During this period, mild throat discomfort or bloating may occur, but serious complications are rare. The body begins healing immediately, and patients are advised to start with clear liquids to avoid stressing the gastric pouch and sutures. Proper food choices during this time are crucial to prevent complications that could compromise the procedure's success.
In the first week, patients follow a carefully controlled liquid diet to protect the healing gastric pouch and avoid placing stress on the sutures. This period is critical because improper food intake or overeating can cause the repair to fail. Patients may experience mild fatigue as the body continues to recover, but most can resume light daily activities by the end of this week.
During weeks 2 to 4, the diet gradually progresses from liquids to soft foods under medical supervision. The body adapts to the new restrictive size of the gastric pouch, which helps reduce hunger and supports continued weight loss. It is essential to avoid behaviors that can lead to weight gain, such as consuming high-calorie or easily digestible foods, to maintain the benefits of the revision.
Beyond the first month, patients typically transition to a balanced, nutrient-rich diet aligned with their weight management goals. Regular follow-up appointments help monitor progress and address any concerns that may arise. Sustaining the effects of the TORe procedure requires ongoing commitment, as failure to adhere to dietary and lifestyle recommendations may result in weight gain or reduced effectiveness of the revision.
For those who may not qualify or choose not to undergo a second procedure, our practice provides exceptional medical weight loss options. These alternatives are designed to support individuals in achieving and maintaining a healthy weight through personalized strategies and guidance.
Your journey to a healthier, more fulfilling life begins with a complimentary consultation with Dr. Reza Keshavarzi. Take the first step towards reclaiming your health and confidence by scheduling your consultation today at 786-801-3883 .
Patients seek gastric bypass revision for many reasons related to their health and weight management journey. Candidates for this procedure typically include individuals facing challenges after their initial surgery and those looking for further support to lose weight or address complications.
After undergoing a revisional weight loss surgery, patients often experience a range of positive outcomes that contribute to improved health and quality of life. The TORe procedure addresses specific challenges that may arise after the initial surgery, providing patients with renewed motivation to continue their weight loss journey.
The cost of gastric bypass revision in Miami ranges from $15,000 to $30,000, depending on the complexity of the case and the specific techniques used. As a specialized form of metabolic and bariatric surgery, this procedure often involves personalized treatment plans that can affect the overall price. Factors such as facility fees, anesthesia, and preoperative evaluations also contribute to the final cost, making it essential for patients to discuss all financial aspects during their consultation.
Trust Dr. Reza Keshavarzi’s Expertise
Are you contemplating a revision for your gastric bypass procedure? Look no further than Dr. Reza Keshavarzi, a distinguished bariatric surgeon renowned for his expertise in complex revisions and compassionate patient care.
At our bariatric center, we understand that sometimes a previous gastric bypass procedure may not have yielded the expected results due to various reasons. Some individuals might have undergone initial surgeries by practitioners who did not perform the procedure optimally, while others may have experienced weight regain due to personal changes or inadequate initial counseling.
Dr. Reza Keshavarzi, with his extensive fellowship training and unparalleled expertise, now offers qualified candidates the opportunity for a revision of gastric bypass surgery. He begins by carefully assessing each case, prioritizing patient well-being and health above all else.
The initial step involves a comprehensive evaluation. Dr. Keshavarzi will conduct an EGD or other types of endoscopy to gain insight into the current condition of your gastric bypass. Based on his findings and your individual circumstances, he will determine whether a revision surgery is the best course of action for you.
Common reasons include insufficient weight loss, weight regain after initial success, complications such as stomach stretching or leakage, persistent acid reflux, or anatomical changes that affect the efficacy of the initial procedure.
As with any surgical procedure, there are potential risks, including infection, bleeding, complications related to anesthesia, and the possibility of additional complications specific to revision surgery. Our qualified bariatric surgeon will discuss the risks and benefits of the procedure with the patient before the operation.
Success rates vary among individuals and depend on various factors, including the patient’s commitment to lifestyle changes, their health condition, and the specifics of the revision surgery. It’s crucial to follow post-operative guidelines and maintain a healthy lifestyle for optimal results.
If a patient is not eligible for or chooses not to undergo revision surgery, there are often medical weight loss options available. These alternatives may include dietary counseling, lifestyle modifications, medication, or other non-surgical interventions to support weight management.
The best way to determine if a gastric sleeve revision is suitable for your situation is to consult with a qualified bariatric surgeon experienced in revision procedures. They will assess your individual circumstances and provide guidance on the most appropriate course of action based on your needs and health goals.
Gastric bypass revision can be more effective than gastric band surgery and sleeve gastrectomy for certain patients, as it directly alters both the stomach size and the small intestine, thereby helping to reduce calorie absorption and restrict food intake. Unlike some procedures that may require open surgery, many gastric bypass revisions, including advanced techniques like TORe, are minimally invasive. However, the effectiveness varies depending on individual factors and the specific revision performed.
Revisional bariatric surgery carries a higher risk of complications compared to primary procedures due to the complexity of operating on altered anatomy. Patients may face a higher likelihood of challenges during surgery due to the following conditions: scar tissue, changes in blood supply, and previous surgical modifications. Nevertheless, careful patient selection and our experienced surgical team help minimize these risks and improve outcomes.
Remember, this FAQ provides general information and should not replace personalized medical advice. Consultation with a qualified bariatric surgeon is essential for accurate evaluation and guidance tailored to individual needs.
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