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Gastric Banding After Bypass

Reviewed By: Louise Chang,

SOURCES: This Video is from the WebMD Video Archive. 2006 Medical Reference from Medstar Television. Dominick Artuso, MD, Bariatric-Laparoscopic Surgeon, New York, NY.

© 1999-2011 Medstar Television

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Narrator:

Gastric bypass surgery helped 28-year-old bryan nugent lose 120 pounds. But in the last few years, he's gained most of it back

Bryan Nugent:

You think it's a fail-safe procedure, the first gastric bypass, but it's not.

Narrator:

Gastric bypass works two ways. The stomach is divided to form a tiny pouch that holds less food and it's connected to bypass most of the small intestine so fewer calories and nutrients are absorbed. But over time, the stomach stretches and for some, the opening between the stomach and intestine expands.

Dominick Artuso, MD:

The patients feel hungry not five or six hours after a meal, but maybe an hour to an hour and a half. And they can do more snacking and more significant eating throughout the day

Narrator:

Also, as time goes by, the reconnected intestine works harder to hold on to the calories.

Dominick Artuso, MD:

It becomes more efficient and it absorbs more than it was in the first six to twelve months.

Narrator:

Doctors can sometimes re-do the gastric bypass, but scar tissue can make it riskier. Instead, Doctor Artuso is one of a handful of surgeons adapting another type of obesity surgery, laparoscopic lap band surgery, to fix the problem.

Dominick Artuso, MD:

We keep the original bypass intact. All we're doing is very non-invasively placing a band over the bypass where the stomach and intestine are connected and then start to gradually restrict or adjust that over the subsequent six to twelve months after surgery.

Narrator:

Bryan hopes the band will help him regain control of his eating.

Bryan Nugent:

The control issue comes in where Dr. Artuso can tighten or loosen, depending on what's going on.

Narrator:

And how much weight is coming off. For WebMD, I'm Sandee LaMotte.

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