Reasons for the need to Redo-Bariatric surgery:
Can Bariatric surgery fail?!
Bariatric surgery like any other surgery may fail (even if this percentage is too low) as a result of many reasons that we will be discussing now:
These reasons are summarized as follows:
1- Not achieving the ideal weight and not reaching the expected weight even as the months pass.
2- Return in weight again.
3- Failure to recover from the complications of obesity such as high blood pressure, diabetes, heart disease, high cholesterol level, bone and joint diseases. Especially that, it is expected to cure these diseases after bariatric surgeries.
4- Complications of the operation such as leakage, bleeding, infection, persistent vomiting, inability to swallow or absorb nutrients.
5- Wrong choice of the appropriate surgery from the beginning. Each patient has his own history and habits that requires choosing the right procedure for him.
6- Errors in the operation as a result of the inexperience and competence of the surgeon who performed it.
7- The need for a bariatric surgery complementary to the first process, in cases of morbid obesity and high weights.
8- Expansion of the stomach as a result of the surgeon's inability to cut the stomach and get rid of the part responsible for its dilation. Also because the patient does not comply with post-operative instructions and being over-eater.
What is the definition of failure in bariatric surgery?
Specialists and consultants of Bariatric surgeries and endoscopy define failure in bariatric surgery, as failure to lose 50% of excess weight after two years of operation.
As we mentioned earlier, this failure returns to many reasons, but is this the end?!
Isn't it the right of an obese patient to reach the ideal weight and enjoy a healthy life without obesity diseases and complications, even if there is a failed experience in the world of bariatric surgeries?!
Yes, it's his right. And Thanks to medical advances and the progress of bariatric surgery, bariatric surgeons can correct previous bariatric surgeries that have not been achieved its aim.
Gastric band, gastric stapling and other bariatric processes are near-deletion phase due to their failure to achieve the desired weight loss, also causing many complications for the patient.
Gastric Bypass is the perfect choice to correct a previous bariatric surgery. However, Dr. Osama Khalil explains that correcting bariatric surgery achieves outstanding results but is slower than the first ones. Therefore, Dr. Osama emphasizes the need to wait and make the right choice for the surgeon who will perform the operation. To get the best results from bariatric surgeries.
Experienced surgeon...is the need for a Redo-Bariatric surgery:
One of the most difficult surgeries that require experience and competence is the Redo-Bariatric surgeries. They are more difficult than the first operations. So choose your doctor carefully.
Surgeon and patient... Shared responsibility in the success of Bariatric surgery:
The success of bariatric surgeries is not limited to the surgeon alone. The surgeon has a role and the patient also plays a big role in the success of the operation.
The role of the surgeon in the success of the Bariatric surgery:
1- The need to choose the right operation for the patient from the beginning, for example, the Gastric Bypass surgery is the most suitable operation for diabetics type 2, sweet lovers obese patients and patients with esophageal reflux.
Gastric sleeves are the most suitable solution for those who like to eat in large quantities.
2- The stomach must be cut with skill and experience in order to completely eliminate the part of the stomach responsible for the secretion of the hunger hormone. Also, the stomach fundus which is the part that expands, should be eliminated too.
3- The surgeon should make sure that the stomach is cut to the right size no more or less.
4- Also make sure that there is no sprained stomach during the procedure.
5- A leak test must be performed during the operation to make sure there is no leak.
6- The use of American surgical tools and staplers of the most updated types, as they have a big factor in the success of operations.
7- Following international safety and quality standards in surgery.
8- Avoid clots by giving the patient proper injections and encouraging movement after two hours of operation.
The patient's role in the success of the Bariatric surgery:
1- Comply with the post-operative instructions prescribed by your doctor.
2- Continuous follow-up with the doctor after the operation.
3- Avoid eating in large quantities more than the stage of satiety to avoid vomiting of the patient and stretching the stomach again.
4- Follow the diet prescribed by the surgeon and nutritionists carefully. Especially in the first months after the operation.
5- Exercise regularly to maintain the result of the operation, avoid sagging and achieve fitness.
6- For patients who have performed the gastric sleeve surgery, they should not eat sugars and sweets frequently.
7- Commitment to take vitamins and supplements prescribed by the doctor daily, to avoid malnutrition or anemia as a result of reduced absorption of nutrients and sugars as in Gastric Bypass surgery.
To see the reasons for the failure of some Bariatric surgeries, click here to watch a video of Dr. Osama Khalil
Gastric sleeve and Gastric bypass are the most successful:
Many names have been spread about the surgical techniques used to lose weight. Scientific studies and researches, as well as patient experiences, have shown that gastric sleeve and gastric bypass are the most popular and successful processes and having the least complications.
How do you know if you are good candidate for bariatric surgery?
You may be obese, but you don't realize: are you in need for a bariatric surgery or are there are other ways that may yield satisfactory results.
Dr. Osama Khalil explains the answer by calculating body mass (BMI) as it is the key to determine the extent for the need of bariatric surgery.
Body Mass Index = weight/ (length in meters)2
If the result is 25-30, the patient is preferred to lose weight by following diet regimens and exercising regularly.
If the product is above 30, you should visit a bariatric surgeon to determine the best way for you to lose weight.
Obesity is not only determined by the outward appearance, but the BMI must be calculated.
Dr. Osama Khalil has become distinguished with decades of experience in Redo-Bariatric surgeries. He has many success stories in this field.
To see the success story of correcting a previous stapling surgery to a case having the highest weight in Egypt, click here