Dr. Johnell explains when the Bariatric Center at North Colorado Medical Center provides bariatric surgery revisions. Dr. Johnell is an advanced laparoscopic bariatric surgeon at the Banner North Colorado Medical Center in Greeley, Colorado.
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Bariatric Revision at Banner Medical Center At North Colorado Medical Center’s Bariatric Surgical Program we do offer LAP-BAND® revisions. Revisions are done for bands when the band is not functioning properly and that usually is the case when a patient has developed something called a hiatal hernia. A hiatal hernia is, it occurs when a portion of the stomach that’s supposed to be below the band actually slips up above the band and so the band then becomes uncomfortable for the patient. They are not able to tolerate eating as much as well as they used to previously, and so they have more symptoms of reflux and heartburn and indigestion and inability to eat and often times it’s associated with more frequent vomiting. When the banding patient has that kind of a problem we usually work it up with an upper GI and possibly we even do an upper endoscopy. We have our GI docs perform that. And if the hiatal hernia is conformed we will offer the patient a revision procedure and that means usually repairing the hiatal hernia laparoscopically and then revising the band so that it’s in a more normal position in the upper part of the stomach. That usually takes care of the symptoms that the patient had previously and the patient then can go on with their normal weight loss progress.

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