|A Message About Revision Surgery from Dr. Nusbaum|
If you or a loved one has had previous weight loss surgery and has either gained most or all of the weight back or has never lost the weight at all, then there is still hope. Revision surgery with either Dr. Michael Jay Nusbaum or Dr. Deborah Abeles may be the answer. It wasn't until several years ago that new techniques were employed to make a small gastric pouch stay small. Today, we utilize new techniques and incorporate a different part of the stomach in order to control how large that small pouch will get. Typically, revising the size of the pouch or the size of the anastamosis (opening at the bottom of the pouch) or the length of the roux limb can correct the problem.
In the case of other weight loss surgeries such as the VBG or vertical banded gastroplasty, the problem is quite different. Here, the staple line can break down and permit food to enter the rest of the stomach. Thus, you eat the way you did before the surgery and can gain most or all of the weight back. As a result, the answer is to convert the VBG to a Roux-en-Y Gastric Bypass. Perhaps you have undergone a Lap Band procedure and found that it was not the right choice for you. No problem. The band can be removed and a Roux-en-Y Gastric Bypass can be performed.
In almost all instances, despite the fact that the original surgery may have been performed with a large open incision, Dr. Nusbaum can perform the revision Laparoscopically (several small incisions) while Dr. Abeles can also provide incisionless revisional surgery. Please feel free to call and schedule a consultation with Dr. Nusbaum or Dr. Abeles to discuss your Revision options.
|Michael Rothkopf, MD FACP, FACN|
is a caring, compassionate physician with outstanding credentials. He has been a member of the faculties of two major medical schools and has contributed to many scientific publications, including 4 textbooks. He holds a patent on the use of growth hormone to augment nutritional repletion.
Dr. Rothkopf graduated from Syracuse University and the Eastern Virginia Medical School. He did his residency in Internal Medicine at the University of Medicine and Dentistry of New Jersey.