There are many reasons for failure of a gastric band or lap band, the most common being an intrinsic failure of the band itself resulting in poor weight loss. Recent data suggest that at least 15% to 25% of laparoscopic adjustable gastric bands or lap bands will be converted to another bariatric procedure such as a gastric sleeve or gastric bypass. At Texas Endosurgery Associates in Houston, we have an experienced revision program in revising previous gastric bands to another bariatric operation.
Before & After Photos
Reasons for Lap Band Removal/Revision:
The majority of patients with an adjustable gastric band or lap band don’t have adequate weight loss results. Typically, the most common reason for removal would be if a patient can’t lose enough weight or experiences significant weight regain. In these scenarios, lap band removal and conversion to another, more effective, bariatric procedure may be indicated.
Furthermore, a patient may need a lap band removal or revision if they experience symptoms of band intolerance consisting of:
- Excessive nausea
- Difficulty swallowing
- Or pain after eating
Another reason for removal of a lap band and conversion to a subsequent bariatric operation is the development of band slippage. A band slippage occurs when the band moves down the stomach, creating a bigger pouch above it. Some patients may also develop new heartburn symptoms after a lap band procedure. For patients with severe heartburn symptoms that do not respond to anti-acid medications, lap band removal may relieve the symptoms.
With long-term use of lap band, some patients may develop esophageal dilation (expansion of tissue), dysmotility (lack of movement) or esophagitis (inflammation). Because of these issues, we do not perform the adjustable gastric band, more commonly known as the “Lap Band” procedure at Texas Endosurgery Associates in Houston.
If you are experiencing any of these issues related to your gastric band, we specialize in both the removal and conversion of an adjustable gastric band into another, more suitable, surgical weight loss treatment.
Am I a Candidate for Lap Band Revision, Houston?
Before proceeding with a revision, it is imperative to perform an adequate evaluation of the existing anatomy. To determine this, upper endoscopy and x-rays (where the patient drinks a contrast liquid) are typically required. The most common revision performed is for patients who previously had an adjustable gastric band.
Removal of the band and conversion to a sleeve or bypass can be often done in one stage. If there is extensive scar tissue, however, it is often better to let that heal and then proceed with a sleeve or bypass several months later. Typically we do not use drains for both types of revision. The average length of stay for revising to a sleeve is overnight and one to two nights for revising to a gastric bypass.
We encourage all who are contemplating a lap band revision to a gastric sleeve (or longitudinal sleeve gastrectomy) to consider the likelihood of developing acid reflux. About 15% to 20% of patients who choose a sleeve gastrectomy have this problem. The shape of the sleeve plays an important role and depends heavily upon the surgeon’s skill.
Schedule a consultation with Houston’s highly skilled bariatric surgeon, Dr. Bonnor and see if you are a candidate for revision bariatric surgery.
*Weight loss results can vary depending on the individual. There is no guarantee of specific results.*