I read with great interest the article “Gastric Migration Crisis in Obesity Surgery” recently published in Obesity Surgery. The author, Dr. Runkel, is concerned about the increasing numbers of intra-thoracic migration of gastric sleeve leading to GERD and Barrett’s esophagus development. Continue reading “Gastric Sleeve Migration in Weight loss Surgery”
“Without data, you are just another person with an opinion”, concluded R. Cohen MD his attack and critique of the novel weight loss procedure, endoscopic sleeve gastroplasty also known as Endosleeve. Cohen et al conducted a systemic review regarding the efficacy and safety of endoscopic sleeve gastroplasty. The authors found no supporting scientific evidence to recommend the use of endoscopic sleeve gastroplasty for treatment of obesity in clinical practice. Continue reading “Endoscopic Sleeve Gastroplasty Under Fire”
A recent study by Courcoulas et al titled “Patient behavior and Characteristics Related to Weight Regain after Roux-en-Y gastric Bypass” highlights certain behaviors associated with weight regain years after bariatric surgery. Continue reading “Weight Regain after Bariatric Surgery”
Mini-gastric bypass also known as single anastomosis gastric bypass surgery is a non-endorsed weight loss procedure by the American Society of Bariatric and Metabolic Surgery, ASMBS. Bile reflux and the risk of malignancy have been the main concern with mini gastric bypass when compared to the standard Roux-en-Y gastric bypass surgery. Continue reading “Is Mini Gastric Bypass a Safe Option for Weight Loss?”
Gastric sleeve surgery is a restrictive bariatric procedure. Stomach volume is greatly reduced resulting in small meal consumption. Weight loss, however, is not related to stomach volume reduction. Gastric sleeve induced weight loss is a physiologic result of altered gastrointestinal neuro-hormonal signals secondary to increased Continue reading “Is Your Gastric Sleeve Dilated?”
I have recently evaluated a patient for severe heartburn and food regurgitation following gastric sleeve surgery performed in 2013 in Houston. The patient was happy with weight loss results. She had excellent restriction but suffered from severe GERD related symptoms poorly controlled with high dose proton pump inhibitors. Continue reading “Single Incision Gastric Sleeve Surgery”
Bariatric surgery, including gastric sleeve surgery, is the most effective treatment for type 2 diabetes. The combination of post-sleeve gastrectomy weight loss, decreased food intake and neuro-hormonal changes result in durable blood glucose improvement and in many cases Diabetes remission. Few studies, however, have addressed the preventative effect of gastric sleeve and bypass surgery on new onset type two diabetes development. “Preventative effect of bariatric surgery on type 2 diabetes in morbidly obese patients: a national French survey between 2008 and 2016 on 328,509 morbidly obese individuals” is a newly published study in the Surgery for Obesity and Related Diseases journal. This French nationwide retrospective study shows 82% reduction in new onset type 2 diabetes development following bariatric surgery in obese patients. Gastric sleeve surgery and gastric bypass were equally effective in reducing the development of type 2 diabetes.
Obesity is a major risk factor for type 2 diabetes. If you live in Houston and suffer from excess weight or type 2 diabetes, bariatric surgery may be a great solution for you. Don’t wait until you develop advanced type 2 diabetes to consider a safe, effective and minimally invasive procedure like gastric sleeve surgery. Gastric sleeve surgery unlike insulin supplementation reverses the underlying pathophysiology of type 2 diabetes. Gastric sleeve surgery increases gastric emptying. Gastric sleeve surgery promotes the secretion of neuroendocrine signals that favor lower insulin resistance, lower blood glucose levels and weight loss. Take control of your health today and invest in it, for your health is your best wealth. Early intervention in the form of sleeve gastrectomy is associated with a higher success rate of type 2 diabetes remission and lower rate of type 2 diabetes related complications.
I read with interest the new study “Assessment of Sleeve Gastrectomy Surgical Technique: First Look at 30-Day Outcomes Based on the MBSAQIP Database” published by my colleague Dr. Chaar in JACS current issue. The author compares different techniques in staple line reinforcement in sleeve gastrectomy cases collected in the MBSAQIP database. Continue reading “Sleeve Gastrectomy Technique: Does It matter?”
Gastric Sleeve Revision Surgery Overview
Gastric sleeve surgery is currently the most commonly performed weight loss procedure in Houston, TX. When properly performed, Sleeve surgery results in significant and durable weight loss with minimal short-term and long-term complications. Proper sleeve surgery results in a banana shaped stomach with no twisting, narrowing or retained gastric fundus. The gastric fundus is the upper part of the stomach that stores ingested food, control gastric emptying, and secretes many hormones that affect appetite, hunger and energy metabolism. A retained gastric fundus following a poorly performed sleeve surgery results in poor weight loss and the development of GERD (gastroesophageal reflux disease). GERD also known as acid reflux results in heartburn, cough and food regurgitation. New onset GERD following sleeve surgery is a strong indication of a poorly performed gastric sleeve surgery.
When is Gastric Sleeve revision surgery performed?
If you had a gastric sleeve procedure and you are currently experiencing poor weight loss, or any GERD related symptom like chronic cough, heartburn, and food regurgitation please give us a call. Do not treat yourself with over the counter antacid medications. You need to be thoroughly evaluated by a heartburn and weight loss specialist. If you are found to have an incompletely resected gastric sleeve, or a narrowed sleeve lumen, revision surgery may be offered to amend the problem.
How does Gastric Sleeve revision surgery work?
A revision surgery is indicated following gastric sleeve to correct certain anatomic problems that are causing acid reflux related symptoms and poor weight loss. The most common gastric sleeve revision procedure performed at Houston Weight Loss Surgery Center and Houston Heartburn and reflux center is hiatal hernia repair and resection of retained gastric fundus. A hiatal hernia occurs when the upper part of the stomach migrates into the chest through an enlarged opening in the breathing muscle. This results in significant weakness in the lower esophageal sphincter leading to bothersome acid reflux and bile gastritis following gastric sleeve surgery.
Is Gastric Sleeve revision a good option for me?
Revision surgery is a complicated procedure and many factors are taken into consideration when evaluating a bariatric patient for potential revision surgery. After thorough assessment, Dr. Darido will discuss with you and at length the best treatment options for you. When indicated, a revision sleeve procedure allows you to alleviate your acid reflux and put you back on the right path for weight loss and healthy life.
Who should perform your Sleeve revision surgery?
It is extremely important to choose a knowledgeable weight loss and heartburn doctor to perform your sleeve revision surgery. Why? Poor weight loss and acid reflux go hand in hand most often following incomplete gastric sleeve resection and poor hiatal hernia repair. A specialist in both fields of acid reflux disease and weight loss, like Dr. Darido, is the most qualified doctor to take good care of you.
How much does sleeve surgery cost?
Surgery cost varies depending on your insurance plan. Our insurance and finance specialists are available to answer all your financial questions.
What is my recovery time?
You will usually spend a night or two in the hospital after surgery. It takes around one week before you can go back to work.
Lets get started
If you would like to learn more about sleeve revision surgery, we encourage you to contact our office for a private consultation. During this relaxed and informative session, you will get to meet Dr. Darido and learn if you are a good candidate for revision surgery.
Felsenreich et al. recently published in the journal of Obesity Surgery a very interesting study on gastric sleeve surgery long-term outcomes. The study is titled: “Update: 10 years of sleeve gastrectomy-the first 103 patients” and includes all patients who had gastric sleeve surgery prior to 2006 at participating bariatric centers in Austria. Continue reading “Does Gastric Sleeve Surgery Cause Barrett’s Esophagus?”