Failed Sleeve - Gastric Sleeve Reconstruction - DS 2nd Stage- Dr. Campos - MBC скачать в хорошем качестве

Failed Sleeve - Gastric Sleeve Reconstruction - DS 2nd Stage- Dr. Campos - MBC

Dr. Edgar Campos, part of the MBC team , explains what the gastric sleeve reconstruction is and what in particular the doctor evaluates in their patients to determine what the proper revision procedure is. Read full transcript of the video below. For more information please contact: www.mexicalibariatric.com Toll Free US: 888-344-3916 [email protected] What is a sleeve reconstruction and what happens when a gastric sleeve fails? First, we have a patient that recently had a gastric sleeve and begins losing weight; everything is going well. But then, after 6 or 8 months he stalls on the weight loss, they stop losing weight, regain it or they begin with reflux or other issues with the surgery. So basically, we need to review what’s happening with the surgery. Sometimes a gastric sleeve was very well performed. In that case our patients might have hiatal hernia. So the first step is to sit at the office, review the whole case, not only about the surgery but also about what’s going on with the patient: what is he eating and if he’s exercising. We need to see if both the sleeve and the patient are working properly. If we have a patient doing everything right with his lifestyle but they still stopped losing weight, then we need to review the size of the gastric sleeve. Sometimes, with a gastric sleeve there are pockets, that’s what we call the remanent of the fundus of the stomach. So, if in the primary surgery we have those pockets, these will stretch and you’ll be able to eat more, grehlin will rise and then you’ll begin to regain weight. In that case, we go on and review with a barium swallow, that is a very simple test where you drink barium under the fluoroscopy x ray and then we can review what’s happening with the gastric sleeve. That will be the set point. If you have a gastric sleeve that’s bigger than normal, the next step is to change your diet to make you feel full with vegetables and protein with 5 or 6 very healthy meals a day. If after that you’re still not losing weight, the next step is to do a sleeve reconstruction or review it and staple and cut the remanent of the stomach that was left in place. In some other cases, we have a very good sleeve and the patient does reach the weight goal. But then, in the long run they begin eating more often and begin to regain weight. We proceed to review the diet, we change things like in the example above and if doesn’t work, we need to review if your intestines are too long. If that’s the case, the best scenario is to convert that very well made gastric sleeve into a Duodenal Switch, which is the natural evolution of the sleeve. In some cases, with the sleeve you have a lot of reflux and you’re struggling with it, and even the medication is not working properly to resolve it. What we do then is convert the surgery into a gastric bypass. With a DS we sometimes don’t need a full one, we can perform a SADI DS (Single Anastomosis Duodenal Switch), which has less malabsorption but very efficient weight loss. So basically we need to take a lot of care in every single case. What we advice is to go to your doctor or call us and let us know what are your struggling with, then we can perform a full evaluation and see the options.