When you are thinking about having weight loss surgery, one of the first questions that is likely to come to your mind is whether or not the procedure is reversible. This is an especially relevant question when you are comparing adjustable devices like the Gastric Band (LAP-BAND®) versus permanent surgeries such as the gastric sleeve or gastric bypass.
Let’s explore these different types of weight loss surgery and what “reversible” really means in this context.
What is the Gastric Band / LAP-Band?
A Gastric Band, often referred to by the brand name LAP-BAND, is a hollow band made of special material that is placed around the upper portion of the stomach to create a small pouch. The band is inflated with a saline solution, and increasing or decreasing the amount of this solution will tighten or loosen the size of the passage into the larger remainder of the stomach.
The idea is to reduce the stomach’s capacity and limit the amount of food that can be consumed to achieve weight loss goals. This procedure does not require cutting, stapling, removing tissue, or rerouting intestines. The band is placed laparoscopically using small incision sites. In other words, it is a completely reversible procedure.
If there are complications or you are experiencing unsatisfactory weight loss results, the LAP-BAND can be adjusted via a saline-filled port under the skin. It can also be removed entirely, restoring your stomach’s original anatomical structure. However, scar tissue often remains after removal, which may make future surgeries more complex, and long-term digestive function might be affected.
What is the LAP-BAND Reversal Process?
The gastric band reversal has three stages: band removal, anatomical restoration, and recovery. Let’s examine what each stage entails.
- Gastric Band Removal Procedure: Band removal is done laparoscopically, using the original incision sites that were used for placement. The tubing is disconnected, and any scar tissue or adhesions are removed. The band and access port are then removed entirely.
- Anatomical Restoration: After removal, the stomach will re-expand to its original size. However, some adhesions or tissue changes may remain.
- Recovery: Recovery after gastric band removal is short. Many patients go home the same day or after a night’s stay.
Weight gain is not uncommon after the reversal. Some people also experience reflux after removal, just as they may during a band adjustment.
Are Gastric Sleeve or Gastric Bypass Surgeries Reversible?
Many people who experience unsatisfactory results with the LAP-BAND procedure will choose to have the more effective gastric sleeve or bypass surgeries. However, unlike the LAP-BAND procedure, the gastric sleeve and gastric bypass are considered permanent weight loss surgeries. However, in some cases, the gastric bypass could be reversed, but only if medically necessary.
With the gastric sleeve surgery, a large portion of your stomach is permanently removed via a minimally invasive surgery, resulting in a smaller stomach that fills up quickly. Because the portion of the stomach is permanently removed, it is not possible to reverse the procedure and restore the stomach’s original form. However, if necessary, the gastric sleeve can be revised or converted into a gastric bypass, which is still a permanent change, not a reversal. Also, a revisional surgery should be undertaken only when there is no other option because of the greater risk of complications.
The gastric bypass procedure has two steps. First, a small stomach pouch is created to restrict food intake. Next, a Y-shaped section of the small intestine is attached to the pouch, allowing food to bypass the lower stomach, the first segment of the small intestine (duodenum), and the second segment of the small intestine (the first portion of the jejunum).
While this surgery is technically reversible, it is rarely done because it is a very complex procedure with high surgical risk and extensive internal healing, scarring, and tissue remodeling. Reversal is typically only considered in rare medical cases, such as severe malabsorption, chronic complications, or uncontrollable hypoglycemia. Full restoration of normal function can never be guaranteed.
Reversible Weight Loss Surgery at Birmingham Minimally Invasive
If you are looking for a reversible or adjustable approach to weight loss surgery, only the gastric band (LAP-BAND) qualifies. Both the gastric sleeve and gastric bypass are intended as lifelong anatomical changes to help manage obesity where other weight loss options have failed.
When it comes to revisional surgical procedures, which should only be undertaken when there is no other option for the patient, please contact our office. We have extensive experience in bariatric and revision surgeries, and we are dedicated to making sure you understand your options to correct weight gain.
At Birmingham Minimally Invasive Surgery, we believe all patients considering permanent weight loss procedures should have a full understanding of the procedures and the permanence involved. Weight loss surgeries are a long-term commitment, and we are here to answer any of your questions.
Bariatric Surgery by the Experts at Birmingham Minimally Invasive
When you decide to have weight loss surgery, there is a lot of information to take in and many decisions to be made. Choosing a bariatric surgical center that will be there for you every step of your weight loss journey will ensure you stay on track year-round. To learn more about patient experiences with bariatric surgery or the surgical center at Birmingham Minimally Invasive Surgery, contact us at (205) 858-1211.
