Question:
what is a revision
what exactly is a the revision? Is this helpful in reaching ones goal. Jennie — zydeko47 (posted on February 4, 2009)
February 4, 2009
A revision is what one has when one's Weight Loss Surgery FAILS for one
reason or another. Often the failure is because the person who had the
surgery neglected to use the tool that was provided PROPERLY, sometimes the
failure is due to a poor metabolism, but occasionally, the reason for the
revision is because the procedure ITSELF failed. This frequently happens
most often with the LAP-BAND because of the MECHANICAL NATURE of he device,
but can also happen with the OTHER surgical methods of weight loss. What
can happen in about 1 percent of the LAP-BAND procedures is that the
MECHANICAL device fails in such a way that it actually INJURES the stomach,
and thus requires a REVISION to a DIFFERENT surgical procedure. Sometimes
the RNY (Gastric Bypass) is used, but FREQUENTLY, the only option that can
be used is the Vertical Sleeve Gastrectomy (or the Duodenal Switch) because
there is so much damage to the stomach lining that there is not enough GOOD
lining LEFT on the stomach for the surgeon to USE for the Gastric Bypass.
The surgeons often opt for the VSG in the case because all that is required
is a small "Sleeve" to make the procedure work. The Duodenal
Switch is another option that can be used, because like the VSG, it uses
the "Sleeve," but it takes the procedure one step FARTHER, and
does a "Bypass" similar to the RNY, or "Gastric
Bypass." UNLIKE the RNY, the output of the gastric "Pouch"
is not taken from the SIDE of the "pouch," but from the bottom of
the "Sleeve." An ADDED part of the surgery is the removal of the
GALL BLADDER. The bypassed part of the intestine is then attached to the
pancreas, and the surgery is completed. ALMOST any surgery can be revised
to a different surgery, but NOT every surgery can be revised to just ANY
surgery. You CANNOT have a VSG turned into a Gastric Bypass. The reason
for this is that part of the surgical process with the VSG is the REMOVAL
of about 85% of the stomach! To have a Gastric Bypass, you need to have a
COMPLETE STOMACH. After the VSG, you do NOT. You CAN have the VSG revised
to the Duodenal Switch, however. THAT is a better procedure, as far as I
am concerned. With the LAP-BAND, you can have a revision to ANY other
procedure. The same can be said of the Gastric Bypass, but it is not as
EASY as it is with the Lap-Band. All that is required for a revision with
the Lap-Band, should there be no medical complications other than the
failure of the device to provide the desired results, is the removal of the
device, and the actual operation to convert to the desired procedure. A
revision from the Duodenal Switch would essentially entail converting the
Switch to a Vertical Sleeve Gastrectomy, since there would be no way to
insert the part of the stomach that had been removed. There are also
BANDED versions of some of these procedures, such as the BANDED RNY, the
BANDED VSG, and I suppose you could probably get a BANDED Duodenal Switch,
but I can't for the life of me think of who would get one. There is also
the Banded Gastroplasty, but that has pretty much fallen out of favor with
most surgeons. It is essentially the old fashioned "Stomach
Stapling." I hope that this helps answer your questions. Hugh
— hubarlow
February 4, 2009
Hugh - while you gave a thorough explanation, I think your tone was
extremely NEGATIVE.
— NJOY
February 5, 2009
For example- I have the Lap-Band, and I am having a revision to gastric
bypass. My esophogas cannot handle the tightening of the band which has
caused me severe SEVERE abdominal pain (even had exploratory surgery) and
frequent vomiting no matter how much or how little is in my band.
Consequently, I have not lost any weight with this procedure. But
everybody is different!
— jtaormina
February 7, 2009
I also wondered what the revision was. Great explaination Hugh and I did
not think the tone was negative. You just expained the procedure.
— redlilies
February 7, 2009
Hugh you are a wealth of great information & I really appreciate your
answers. I think for everyone it is important that we remember you cannot
"hear" the tone in written words - we cannot presume that things
are meant negatively - we must give the poster the benefit of the doubt. We
do not have the pleasure of hearing the tone of voice or seeing a smile on
someone's face. This is a very tough way to attempt to judge how someone
meant something so we need to give them the benefit of the doubt.
Blessings to all!! :~)
— Fluffee
Click Here to Return