GASTRIC BYPASS REVISION SURGERY
Roux-En-Y Gastric Bypass
Patients who have under-went gastric bypass surgery for some reason, seek revision of this surgery generally for two reasons. 1) Patient fails to loss the weight adequately /or weight regain
2) Post-operative medical complications (this may lead to the failure of surgery)
Failure of Gastric Bypass surgery may be due to mechanical or metabolic complications. However, the eating behaviours of a patient should also be considered. In fact, the most important first step in assessment of a patient who fails to lose adequate amount of weight after Gastric Bypass, is to look carefully at the patient's dietary habits. Take a detailed history of food diary. Patients often get shocked on knowing how many calories they were consuming daily. When a patient is not taking diet according to physician’s advice, getting him /her back on tract is crucial to relieve the symptoms. A number of things that could happen next are:
• Some patients start following the physicians advice, essentially getting back on track and start losing weight.
• A few may not be successful at weight losing weight despite returning to proper dietary behaviours.
• The others may never be able to return to proper eating habits. This could mean the patient …show more content…
patient with an anastomotic stricture may develop "soft-calorie syndrome" because the soft foods are the only foods that the patient can tolerate without vomiting. Another point to consider is exactly what the compliance is after Gastric Bypass. "Proper" eating after Gastric Bypass represents a foreign pattern of eating for the majority of humanity who have not had weight loss surgery. Some individuals are just not "wired" to live this type of lifestyle, even with the assistance of a small gastric pouch. A person's character, for better or worse, does not necessarily contribute to this
Roux-En-Y Gastric Bypass
Patients who have under-went gastric bypass surgery for some reason, seek revision of this surgery generally for two reasons. 1) Patient fails to loss the weight adequately /or weight regain
2) Post-operative medical complications (this may lead to the failure of surgery)
Failure of Gastric Bypass surgery may be due to mechanical or metabolic complications. However, the eating behaviours of a patient should also be considered. In fact, the most important first step in assessment of a patient who fails to lose adequate amount of weight after Gastric Bypass, is to look carefully at the patient's dietary habits. Take a detailed history of food diary. Patients often get shocked on knowing how many calories they were consuming daily. When a patient is not taking diet according to physician’s advice, getting him /her back on tract is crucial to relieve the symptoms. A number of things that could happen next are:
• Some patients start following the physicians advice, essentially getting back on track and start losing weight.
• A few may not be successful at weight losing weight despite returning to proper dietary behaviours.
• The others may never be able to return to proper eating habits. This could mean the patient …show more content…
patient with an anastomotic stricture may develop "soft-calorie syndrome" because the soft foods are the only foods that the patient can tolerate without vomiting. Another point to consider is exactly what the compliance is after Gastric Bypass. "Proper" eating after Gastric Bypass represents a foreign pattern of eating for the majority of humanity who have not had weight loss surgery. Some individuals are just not "wired" to live this type of lifestyle, even with the assistance of a small gastric pouch. A person's character, for better or worse, does not necessarily contribute to this