If you have struggled with obesity, you have unquestionably tried losing weight with the aid of trendy diets and fitness routines, and failed. Bariatric surgery is a not a mystic cure-all solution that will miraculously make your excess weight evaporate, it is a tool to utilize while making permanent lifestyle changes. Complications can arise even for the best candidates and if you are experiencing weight gain, haven’t reached your goal weight or suffering from bothersome symptoms, it’s time to discuss weight loss revision surgery with your bariatric team.
Signs and Symptoms: When to have a Candid Chat About Weight Loss Revision Surgery
After having weight loss surgery, your body goes through many changes and your body can also signal a warning that something is wrong. Most of the time, your system adjusting to its new normal, and the symptoms will diminish over time, but if you feel a greater issue is looming, then talking about weight loss revision surgery options with your bariatric physician is crucial.
The next five signs could mean that a trip to your bariatrician’s office is warranted.
Your Weight Loss Goal Has Not Been Reached
The amount of weight that a patient who has had bariatric surgery differs by procedure, but a rule of thumb is that 40-80% of your excess weight should be lost within two years. If you have not reached your goal your bariatrician will advise you if you are on track or experiencing an extended weight loss plateau. An examination of your diet plus assessments to check the functionality of your new stomach could be ordered to determine if you are a candidate for a weight loss revision surgery.
Gaining Weight Back
It is not unusual for bariatric patients to regain a few pounds. This is referred to as “rebound” weight, and it takes place several reasons, including breaking your diet and exercise plan. Straying from your bariatric diet can cause your pouch to stretch out, allowing you to take in larger portions and more calories.
Your weight gain could be the first sign that is an intake problem. If you had a malabsorptive procedure like the Roux-En-Y Gastric Bypass or the Biliopancreatic Diversion with Duodenal Switch, your body can become acclimated and more calories will be absorbed without any pouch enlargement.
Heartburn or Acid Reflux
Before your bariatric procedure heartburn and acid reflux may have been commonplace and you have felt firsthand how uncomfortable this gastrointestinal disorder is, but if after your gastric band placement the discomfort is higher than normal and you are unable to control symptoms with a medication, appointment to see your bariatrician is merited since this is a sign that your gastric band has slipped. If slippage is diagnosed, a weight loss revision surgery is mandatory.
Nausea and Vomiting
Immediately after your bariatric surgery, you dealt with nausea and vomiting while introducing new foods to your diet, and this is perfectly normal, but if you are having difficulties eating due to queasiness or are unable keep your meals down, then contact your weight loss surgery team.
Symptoms of this type can signal that an obstruction is present. An obstruction can arise if your stoma becomes blocked, which keeps food from passing from the new stomach into your bowels, or through the band in the case of a Lap Band. If your symptoms are persisting for more than 48-hours, call your bariatrician’s office or head to your local emergency room and have the on-call physician contact your bariatric surgeon.
Difficulty swallowing after your gastric band surgery can mean you are suffering from an esophageal expansion due to your gastric band being too tight.