The band over bypass procedure can be performed on patients who have undergone gastric bypass surgery and have subsequently regained some or all of the weight back. In order to be a candidate the patient must also meet the standard requirements for bariatric surgery, and have a gastric pouch which will allow for an additional bariatric procedure.
The laparoscopic adjustable gastric band — commonly known as the “lap band” — is normally an alternative to gastric bypass. In the lap-band procedure, a ring is placed around the upper part of the stomach, making a small “pouch” that holds very little food; despite eating very little, the patient is full quickly and for a long time. It is one of several effective bariatric surgical options available to patients considering weight loss surgery.
In a band over bypass procedure, a lap band is placed around the stomach of someone who has already had gastric bypass surgery. The band is filled with saline via a small port located beneath the skin. The lap-band procedure can re-start weight loss in someone who has undergone gastric bypass but regained weight. Post-gastric bypass banding helps to continue the patient’s efforts to lose weight.
For the operation you will be placed under general anesthesia, meaning you will be fully unconscious during this stomach surgery. At Marina Del ReyHospital we work with anesthesiologists experienced in the treatment of bariatric patients to ensure that the procedure is performed as safely as possible.
The surgical team at Marina Del Rey Hospital performs the band over bypass surgery using laparoscopy. This means that instead of making a large abdominal incision, the surgeon makes small incisions, through which heor she inserts cameras and specially designed instruments. These instruments allow the surgeon to perform operations very precisely while causing much less trauma to the patient’s body. Laparoscopic technique allows for quicker recovery, lower chance of surgical complications, and less patient discomfort. Using these tools, the doctor will place the lap band around the stomach, as well as the port through which the doctor tightens and loosens the band, in the muscle of the abdomen.
If you have already undergone bariatric surgery, but you have begun to regain weight, then the potential benefits are considerable. You can stop regaining weight and retake power over your health. Many patients see their good results continue, and that's what we want to help you accomplish.
Recovery time for the band over bypass procedure is similar to that for the gastric band. Expect to stay in the hospital for about a day. Within about one week, you will be able to return to your normal activity level — less time than with other surgeries. For a couple of weeks, you will need to follow a special diet as your body gets used to the lap band.
Periodically, you will need to come in for adjustments and post-operative check-ups. This follow-up care is a normally scheduled part of the weight loss surgery process.
The team at Marina Del Rey Hospital will create a customized post-operative treatment plan to help you meet your health and lifestyle goals, and will be with you every step of the way on your path to success.
Side effects and surgery risks are similar to those associated with the two procedures performed on their own — while these are generally two very safe procedures, complications can happen. Please refer to the lap band and gastric bypass pages, or call our office for more information. We will be happy to go over the available information with you.
If you are concerned about regaining weight after gastric bypass or other surgery, please call Marina Weight Loss at (310) 577-5540.
4650 Lincoln Blvd. Marina del Rey, CA 90292