Band over Bypass procedure in New York

About This Procedure

Many obese people suffer from one or several conditions associated with their weight on a day-to-day basis, such as high blood pressure, type 2 diabetes, sleep apnea or joint pain.  Successful weight-loss surgery can immensely improve quality of life, often reversing such conditions, as well as promoting rapid weight loss.

Some gastric bypass patients, however, experience weight regain over time, occasionally leading to the return of the pre-existing medical conditions.  This is most often caused by changes in the gastric pouch and the stoma (the pouch bowel connection).  In these instances, a revisional bariatric procedure known as Band Over Bypass surgery is available to correct the issue and return the patient to their healthy weight-loss path.


New York Bariatric Group

What Is Band Over Bypass Surgery?

Band Over Bypass surgery is a gastric banding procedure that’s placed over an existing gastric bypass. It consists of a hollow silicone band containing saline solution that is placed around the top portion of the gastric pouch. The restricted opening reduces the rate at which food can pass through the pouch.

After the procedure, the amount of food that can be consumed will be limited and the digestion process will be slowed down resulting in the patient eating less and losing a significant amount of excess weight.

Based on the patient’s needs and results, the tightness of the band around the pouch can later be adjusted by adding or removing the amount of saline solution in the band via tubing that connects the band to a small access port placed under the skin in a muscle in the chest wall.

Who Is A Good Candidate For Band Over Bypass Surgery?

Anyone whose previous gastric bypass surgery has failed can be a viable candidate for Band Over Bypass surgery. Failed Gastric Bypass Surgery is defined as less than 50% of excess weight lost, significant regain of weight after original weight loss, decreased quality of life or the return of health conditions related to excess weight such as high blood pressure or type 2 diabetes.

What are the Benefits?

Resumption of Weight Loss: Most patients can expect a similar rate of weight loss as a patient that has received a Gastric Band as an initial weight loss surgery; which is approximately one pound per week and roughly 50 to 60 pounds in the first year.

Improved Overall Health: After surgery, patients who had experienced the return of weight-related conditions such as hypertension, type 2 diabetes, and sleep apnea can expect great improvements and in some cases, complete elimination of these conditions.

Improved Quality Of Life: After surgery, most patients enjoy higher energy levels, a greater sense of confidence and improved mobility.

Lower Risk: Statistically speaking, Band Over Bypass surgery has fewer risks, compared to surgically revising the original Gastric Bypass surgery, as there is no stapling or sewing of the bowel required.

Short Recovery: In most cases, the surgery is an outpatient procedure allowing the patient to return home the day following the procedure. Most patients are able to resume many of their normal activities within 5 days and experience a full post-operative recovery within 1 to 2 weeks.

The Gastric Band Is Adjustable: The band can be tightened or loosened based on the patient’s requirements to optimize successful weight loss. The first adjustment usually takes place roughly 5 weeks after surgery. Future adjustments can also be made when required.

What is the Weight Loss Success After Surgery?

It’s important to think of Gastric Bypass surgery as the tool with which a patient can lose weight. Patients are given a post-surgery plan that includes adopting a healthy lifestyle. The degree to which they follow their post-surgery plan will determine how successfully they will make use of their new weight loss tool.

Diet: For the first 10 days after surgery, patients remain on a liquid diet that includes vitamin supplements, followed by a diet of soft foods. By the fifth week, patients can begin to reintroduce solid foods to their diet. It is critical that patients continue to take their vitamin and mineral supplements daily to avoid the risk of nutritional deficiencies.

Exercise: Patients are encouraged to walk as much as possible following the surgery to minimize the risk of blood clots forming in the veins of the legs. As the weight begins to disappear, patients can expect greater levels of energy. A regular exercise program will help them maintain muscle mass, improve their mobility and improve their overall health.

Post-Surgery Follow-Up Plan: At the Port Jefferson office of the New York Bariatric Group, our commitment to our patients extends far beyond the surgery. That’s why we insist on a long-term follow-up plan that includes regular return visits. During these visits, we can monitor the patient’s progress, answer any questions they may have, ensure their diet meets their nutritional needs and help keep them motivated and on track with their weight loss progress.

To find out if Gastric Bypass surgery from New York Bariatric Group’s Port Jefferson office is right for you, contact us today.

What are the Risks?

Although Band Over Bypass surgery is comparatively lower risk than surgically revising the original gastric Bypass, it is important to note that any surgery has some risks and possible side effects. The most serious of these could require further hospitalization or additional surgery.

  • Gastric Band slippage or prolapse
  • Gastric Band erosion
  • Infection of the band or port leak
  • Bleeding
  • Deep-vein thrombosis (blood clots forming in the legs), which can result in pulmonary embolus if they travel to the lungs

Is There a Follow-Up Plan?

The post-surgery plan that follows a Band Over Bypass procedure is every bit as important as that of any initial bariatric surgery. The Port Jefferson team of the New York Bariatric Group works with patients following the procedure to give them the tools and support needed to achieve the greatest possible success.

Diet: For the first 4 weeks after surgery, Band Over Bypass patients are instructed to limit themselves to liquid or soft foods with an emphasis on protein. After 4 weeks, solid foods can be reintroduced. Certain foods and beverages must be avoided and portions must be smaller. Snacking must be avoided. Patients will be given specific directions and guidelines that must be followed to ensure success and to avoid discomfort.

Exercise: Patients are encouraged to adopt a healthy lifestyle that includes exercise. Exercising will help improve mobility, curb hunger, benefit almost every organ in the body, and therefore lead to greater overall health.

Post-Surgery Follow-Up Plan: It is critically important to monitor the patient’s progress in the weeks and months that follow the surgery. The surgeon can adjust the tightness of the band, if necessary and make sure that the recovery is progressing well, as well as making sure that the patient’s diet and eating habits are appropriate.

The aftercare portion of any bariatric surgery with the New York Bariatric Group is an essential part of the weight-loss procedure. Our patients enjoy personalized, individual care and have the greatest chance of optimal success through the life-long follow-up that is available to them.

To find out more about Band Over Bypass surgery, contact the Port Jefferson office of the New York Bariatric Group today.

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Additional Information: This is a free information seminar for patients that are interested in Gastric Band, Bypass, Sleeve Gastrectomy and Gastric Balloon.


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