Regaining weight after gastric

bypass surgery?

You may have a new option!

Want to learn more?Visit www.cabellhuntington.org

or call 304.399.4121 or 1.877.WLS.CENTER to book

an appointment or schedule a slot at one of our monthly informational seminars.

Patients who regain weight after their

initial gastric bypass now have options!

20th Street Professional Building1115 20th Street • Huntington, WV

BLAINE NEASE, MD, FACS, BARIATRIC SURGEON

Dr. Nease performs the full range of surgical weight-control procedures, including gastric bypass, adjustable gastric band, duodenal switch and sleeve gastrectomy. In addition to his full-time surgical responsibilities, he serves as the medical and

surgical director of the Center for Surgical Weight Control. Dr. Nease sees all patients during their pre- and post-operative visits and conducts all educational seminars.

1115 20th St., Huntington, WV 25701 www.cabellhuntington.org

Blaine Nease, MD, bariatric surgeon, and his team at the Center for Surgical Weight Control at Cabell Huntington Hospital offer a full range of surgical weight control options.

Special devices passed through a scope allow physicians to place sutures along the outlet.

Physicians place sutures until the outlet is back down to around 10 mm in diameter.

Sutures can also be added around the pouch to reduce its volume.

Scientific illustrations. Not actual anatomy.

PATIENTS WHO REGAIN WEIGHT AFTER THEIR INITIAL GASTRIC BYPASS NOW HAVE OPTIONS.

Have you started to regain weight after your initial success from gastric bypass? For many gastric bypass patients, over time, the small stomach pouch and the outlet that connects it to the small intestine stretch out. As a result, patients begin to eat more food before they feel full. We offer a safe and effective endoscopic procedure to repair your enlarged pouch and outlet and return them to their original post-gastric bypass proportions.

WHY WOULD I REGAIN WEIGHT AFTER GASTRIC BYPASS?

Several studies suggest that the majority of patients regain significant weight after their initial gastric bypass. Common causes include gradual stretching of the stomach pouch and outlet. When the standard-of-care Roux-en-Y procedure, is performed, the stomach and outlet are made very small which reduces the amount of food that can be consumed and slows the passage of food through the digestive tract. Together, this helps people feel full after eating just a small amount of food. As a result, weight loss occurs from a dramatic decrease in calories. Many investigators have shown that when the stomach pouch and/or stoma gradually stretch, it takes longer for the patient to feel full. As a result, patients start eating larger meals and may begin to regain weight.

ENDOSCOPIC OUTLET AND POUCH REPAIR

We now offer qualified patients an endoscopic procedure to reduce the volume of an enlarged pouch and the diameter of the outlet. Through an endoscope passed through the patient’s mouth, a physician can safely place the same type of sutures used during traditional abdominal surgery. Instead of being admitted to the hospital and facing the risks associated with abdominal surgery, this minimally invasive endoscopic procedure can be performed in an outpatient setting and leaves no external scars.

Outlet several years after surgery.

Outlet following gastric bypass.

ANATOMICAL CHANGES OCCUR OVER TIME

ENDOSCOPIC OUTLET AND POUCH REPAIRS

Center for Surgical Weight Controlat Cabell Huntington Hospital

20th Street Professional Building1115 20th Street • Huntington, WV

WHAT ARE THE BENEFITS OF THE ENDOSCOPIC PROCEDURE?

An endoscopic repair eliminates the need for an open or laparoscopic procedure. With traditional abdominal surgery, scarring and adhesions from the initial bypass procedure often make open or laparoscopic revision surgery very challenging. Abdominal revision surgery usually takes longer than the original gastric bypass and patients are three times more likely to develop complications.

With the endoscopic approach, patients reduce their risks to major abdominal surgery, have less post-operative pain, recover faster and have no abdominal scars. Typically, patients go home the same day, but each patient’s discharge will vary based on his/her physician’s recommendation. Please discuss your options for enlarged outlet and pouch repair with your physician or surgeon.

WHAT ARE THE SIDE EFFECTS?

It is anticipated that patients will feel little or no discomfort from the endoscopic procedure. Minor side effects may include nausea, a temporary sore throat, swollen tongue, and lip pain from the insertion of the endoscope into the mouth.

WHAT IS THE RECOVERY PROCESS?

Typically, patients return to their normal routine within 48 hours. Following endoscopic suturing repair, patients should follow the same diet and exercise regimen they did after their initial bypass surgery.

WILL IT BE COVERED BY INSURANCE?

It depends upon the patient’s insurance plan. For further information, please speak with your physician at your next appointment.