Metabolic & bariatric care · Austin, South Austin & Cedar Park
Address the band you have today—and plan for the health you want tomorrow.
A band may need removal because of intolerance, reflux, slippage, erosion, device problems or an unsatisfactory weight response. Dr. Ganta evaluates the band and surrounding tissue, then discusses removal alone or conversion to sleeve or bypass. Some conversions can be combined with removal; inflammation or other findings may call for staged procedures.
After bariatric surgery, anatomy, appetite, medication needs and metabolism continue to change. Weight regain or a return of diabetes does not by itself tell us which treatment will help. We review your original operation, symptoms, nutrition, current health and weight history before recommending medical, endoscopic or surgical treatment.
A conversion from sleeve to gastric bypass or SADI-S changes the pathway of food through the small intestine. That can alter natural meal-related signals, including GLP-1 and PYY, as well as nutrient absorption. A pouch or outlet revision has a different purpose and does not reproduce every metabolic effect of a new bypass. Band removal alone also does not create the hormonal effects of sleeve surgery.
Revision eligibility is individualized according to your clinical needs, including weight recurrence, persistent metabolic disease, reflux or other complications. It is not determined solely by the BMI criteria used for a first bariatric operation. Your plan includes realistic goals, nutrition and laboratory monitoring, and long-term follow-up to help protect both results and health.
Revision eligibility is individualized. Your previous operation, symptoms, reflux, nutritional status, weight response and metabolic health guide the evaluation. Primary-surgery BMI thresholds alone do not determine whether revision is appropriate. Dr. Ganta reviews your records and anatomy to recommend a plan suited to your clinical needs.
Bring the original operative report, prior imaging or endoscopy, current medicines and recent laboratory results when available. We consider weight history, reflux, swallowing, food tolerance and nutrition together. The proposed treatment should address an identified problem and fit the health goals you want to achieve.
Revisional treatment may involve scar tissue, altered anatomy and greater complexity than a first operation. The potential benefit must be weighed against leakage, bleeding, narrowing, nutritional problems and the possibility of further procedures. An endoscopic option has different risks and expected effects from a surgical conversion. Your recommendation follows a detailed evaluation.
We don’t just have patients. We build relationships. Continued long-term follow-up helps you maintain your results and health. The patient experience shown here illustrates a relationship with NuSelf; it does not establish a result for this specific procedure.
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MD, FACS, FRCS, FRCSI
Founder & President · Robotic General and Bariatric Surgeon · Board-Certified · Yale Fellowship-Trained
20+ years. More than 6,000 bariatric patients. Advanced metabolic surgery and complex revisions.
Meet Dr. GantaThe cost conversation starts early. Our Insurance Concierge helps review your benefits and the requirements for the proposed treatment. For self-pay, request a comprehensive, procedure-specific package quote. Financing may help spread eligible costs over time.
Arrange your secure portal access for records, results and private communication.
Make the proposed treatment and expected patient responsibility clear.
Review your health, compare suitable treatments and ask your questions.
Agree on preparation, timing, recovery and long-term follow-up.
Recovery depends on the treatment selected and what is found during the procedure. Your team explains food progression, medications, activity, symptoms to report and follow-up before scheduling. Long-term laboratory monitoring and nutrition continue after revision. Insurance review is specific to the reason for treatment and the procedure proposed.
You can seek a second opinion at NuSelf. Records of your previous operation help us prepare a useful evaluation and coordinate ongoing care.
Book a consultation or use the 60-second assessment to organize your questions. The team can help with secure portal access, insurance review and self-pay information.
Your next step
Meet your surgeon. Get answers about insurance and self-pay. Make a plan for your health—with a team that stays with you.
Education & professional credentials
A foundation of training. A commitment to advancing care.
