Obesity revision surgery for those who regain weight
General Surgery Specialist Assoc. Dr. Kamil Gülpınar explained the revision surgery applied in unsuccessful obesity surgeries for you.
What is revision obesity surgery?
In obesity treatment, obesity surgery is used. The aim is to provide physical and hormonal control by reducing the volume of the stomach. While very successful results are achieved in weight loss with obesity surgery, in some cases the targeted results may not be achieved. As in all surgical operations, there may be some complications in bariatric surgery and the desired weight loss cannot be achieved. In some cases, bariatric surgery may need to be revised.
Why does obesity surgery fail?
One of the reasons why obesity surgery fails is the life required for the surgery to have a good result. Not making any changes in shape or diet comes first. In rare cases, medical complications may occur. Many of the complications are related to specific bariatric procedures. For example, after adjustable gastric banding surgery, the band may slip, damage to the stomach tissue due to band pressure, the stomach spreading behind the band restriction, or infection. In addition to complications specific to the technique applied, intestinal obstruction may also occur.
It is applied when weight regain or insufficient weight is lost.
Although it is not exactly a medical condition, The most common and obvious reason for the failure of obesity surgery is not losing enough weight or regaining it. Sleeve gastrectomy (Sleeve gastrectomy), Biliopancreatic diversion (BPD), Roux-en-Y gastric bypass (RYGB), vertical banded gastroplasty and then adjustable gastric banding(AGB)are the most effective joint procedures for weight loss according to existing studies. Significant weight loss is targeted with these bariatric procedures.
Revision obesity surgery is determined according to the previous technique
“A multi-faceted examination and evaluation is carried out to determine the personalized revision technique. experience was required r. Revision surgery is performed with a multidisciplinary approach. A surgeon specializing in revision bariatric surgery and, where necessary, an endocrinologist to consider effects on insulin and other hormone production, a gastroenterologist and a radiologist to determine details of the current condition of the stomach and intestines (checking the size of the pouch, looking for ulcers or other abnormalities). /strong>), a treatment is applied jointly with a psychologist and a dietician.
Assoc. Dr. Kamil Gülpınar “In revision obesity surgery, gastric banding or unsuccessful sleeve gastrectomy surgery may be preferred to be converted to gastric bypass or revision to sleeve gastrectomy. As obesity becomes more common around the world, obesity surgery will begin to be performed more frequently. For this reason, continuous improvements will be made in revision obesity surgery. As a result, in order for both primary and revision obesity surgery to be successful, it is very important to choose the surgeon and hospital correctly, fully comply with pre- and post-operative instructions, and make improvements in lifestyle and nutrition. In fact, it is recommended to get support from a dietician and exercise specialist who are experts in their field.”
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