Reversal - Takedown 

back to Obesitysurgery-info.com     Back to gastric bypass page

Reversal on gastric bypass and DS/BPD surgery

People researching gastric bypass surgery or duodenal switch surgery should realize that despite what some might tell them, these procedures PERMANENTLY change the configuration of your digestive system and are not reversible!

Reversal on gastric bypass or Duodenal-Switch surgery is not an easy task. As Dr Flancbaum stated in his book, DOCTOR'S GUIDE TO WEIGHT LOSS SURGERY, the procedure creates permanent structural changes in the digestive tract.  Dr Terry Simpson of Phoenix, AZ, a WLS Surgeon who prefers the DuodenalSwitch surgery, agrees.  "It's like remodeling your house. We can take down parts of it but basically it's not reversible."  Dr Simpson added at a recent seminar "Some people ask 'can't you just take the staples out?'  (like you can unstaple your newspaper!)" 

Additionally, few WLS surgeons care to do reversals for various reasons although often when asked by pre ops about reversal 'just in case' they assure the pre op that reversal is easy and say that they would do it. "But," say many, "I've never had to do one of these." 

The patient may end up thinking that reversals are never needed but there is definitely strong evidence to the contrary.  And many WLS surgeons say they have never done a reversal, not because it wasn't needed but because they had chosen to not become involved in reversals.  Reversals tend to be more difficult surgeries than the original procedures and equally risky (although I've never known a patient to die from a reversal and most regain their health to some degree rather soon after a reversal).  According to one nurse who lived in the UK, some hospitals outside the United States, takedown gastric bypass surgery after a year or two, in order to avoid long term vitamin deficiencies.

Dr Elliot Goodman, an excellent highly skilled bariatric surgeon, located in NYC also does reversals and revisions.

To find who does reversals and revisions in your area, it's a case of calling different surgeons until you find one who is willing.  If your WLS is causing illness, it's worth doing.

sources:

A Doctor's Guide to Weight Loss Surgery by Flancbaum, MD

Dr Terry Simpson - Dr. Simpson Web Site  Dr Simpson has also done reversals and revisions.

Phone numbers of other docs who have done reversals

Dr. Miles Weaver in Pittsburgh, PA 1-866-579-6759 click on option 4 hospital office
regular office number is: 412-359-6668

Dr. Huse, in Carmel Indiana. 317-814-4590

Dr. Kuhner in Marshfield, Wisconsin 1-800-782-8581