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  • Q&A with Australian Health Practitioners

    Sleeve surgery possible after BPD Surgery

    Related Topic
    Can sleeve surgery be performed after Biliary Pancreatic Diversion (BPD) Surgery which was undertaken over 13 years ago? Weight has gone back on. Thankyou.
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    Dr Jason Wong

    Bariatric (Obesity) Surgeon, General Surgeon, Laparoscopic Surgeon, Upper GI Surgeon (Abdominal)

    Jason Wong is a skilled Laparoscopic and Bariatric Surgeon with expertise in sleeve and gastric bypass surgery, gallbladder, hernia, endoscopic pilonidal, antireflux and emergency general … View Profile

    It would first be important to know exactly how your surgery has been performed, and what the surgeon has done to the gastric pouch, or whether the surgery is a BPD with Duodenal Switch in which case a sleeve gastrectomy may already have been performed.

    If you have experienced weight regain, it is important to ascertain what the reasons are behind the weight regain, as you already have a malabsorptive procedure designed to prevent absorption of a proportion of your caloric intake.

    Reasons could include:

    1. Food choices you are eating

    2. Snacking

    3. Lack of exercise

    4. Absence of satiety or restriction with eating leading to excessive caloric intake

    If numbers 1, 2, or 3 are issues, then these should be addressed FIRST before considering any further surgery.

    If Number 4 is the main issue, and the gastric pouch has not been created to be a narrow pouch, it would be possible (but potentially difficult also) to revise the gastric pouch to a narrow pouch, which may also require the gastrojejunostomy anastomosis to be recreated.

    Kind regards,

    Dr Jason Wong

    Weight & Metabolic Solutions Australia

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