A key element of Gastric Sleeve Surgery is the use of CO2 to “inflate” your abdominal cavity in order to have room to comfortably perform the procedure, but after surgery is over, there’s some remaining CO2 inside. There are two main methods of getting rid of the gas: 1. Walking: When a patient walks, it helps to move the gas and to dissipate it quicker out of their body and reduce the bloated sensation they have. 2. Spirometer: The inhaled air helps expands the lungs. This reduces space in the chest causing the gas to be pushed out.
It doesn't look like you will need the Lap Band emptied unless you have some sort of obstruction. Normally, the lap band is removed during the first part of the revision surgery. You also asked which revision surgery is best for you (sleeve or bypass). It would depend on your current BMI. If you have a BMI higher than 50 then a bypass would typically be the best option. Under 50 BMI you could go either way and it depends a lot on you current medical condition and weight loss goals. Talk to a bariatric doctor in order to get a better idea of your options.
Typically, patients see a rapid amount of weight loss within the first 6 months after the surgery. This doesn't mean that the weight loss is distributed evenly. The best thing to do is not to worry. Work with a nutritionist in order to start a healthy meal plan in order to maximize your weight loss. All patients need to modify their lifestyle in order to have a successful outcome. Also, get active and try some light exercise like walking.
Phenegran may given after gastric sleeve surgery in order to control nausea, vomiting and/or pain after surgery. It is not very common but there are many cases where the medication is necessary.
Gas problems are also common in the early phase after weight loss surgery. Normally, these post surgery inconveniences can be cured or managed with Gas-X or a simthicone drop. If the gas pain has suddenly begun after 5 years you may want to contact your doctors office and get it checked.
