Revison after gastric bypass due to weight gaine

Hello,

I am looking for any information about post-gastric bypass revision surgery.

I had a gastric bypass and have gained back 60 lbs.

Anybody have post gastric bypass surgery for weight loss.

If so I want to hear your story.

What kind of surgery did you have and where did you get it?

I am looking for a good surgeon and a good surgery.

Is there something wrong with your pouch?

Have you tried going "back to basics?"

If you can gain weight after your first surgery, what's to prevent you from gaining weight after a revision?

Most insurance companies have a one WLS per lifetime clause in their policy. They will sometimes approve a revision if there is a mechanical failure of the original surgery. Just gaining weight is not a mechanical failure and considered "user error" from not being compliant with the post-op rules.

Have you had any testing done to make sure that your RNY is still intact and functioning properly? Revisions to an RNY surgery are complicated since there is not much they can revise that surgery to. There are procedures to tighten the stoma, but the success rate of those surgeries is pretty dismal. Most people only lose about 20 pounds after a stoma tightening. There are surgeries that lengthen the channel (Distal RNY) but many people have serious complications with vitamin deficiency and diarrhea after that surgery. Any other revision surgery should be done by a VERY experienced surgeon. Real RNY revisions (not stoma tightening) are extremely difficult and there are very few surgeons who can do them.

Before considering a revision you really need to examine why you are gaining weight. Any WLS can be eaten around and the patient can gain every pound back if they do not follow the rules. Many of us consult a therapist to work through the reasons why we choose to over eat. Try going back to basics for a few months. I know people who have lost 60 pounds 15 years after they had their surgeries just by going back to the way we were instructed to eat right after surgery...low carb, high protein.

You can do this!!

I hope you will take the time to answer Sparkle's and Rocky's questions. If you can keep an open mind and engage in a fact based discussion I think you may find yourself learning something new.

I'm an RnY and I too gained 60 pounds. I was 4 or 5 years out and it was my first regain. The only thing "wrong" was what I was eating. Pretty determined not to go back under the knife again, I purposed to lose the regain with no more surgeries. It took a while (just as long as it took to put it on), but I did lose it and I went on to lose two smaller regains as the years past. (I'm a slow learner).

Last year, I decided to lose regain number 3. It was 20 pounds. I started really paying attention to what I was eating and why I was eating it. Snacks made their way out of my life as did most easy carbs. Not only did I lose the 20 pounds, I went on to lose over 35 more. At 10 years out I now weigh 142 pounds. That is my lowest post op weight ever.

I share this only to show that even if we regain, we still have everything we need to drop the excess weight again without surgery. No matter how far out we are. There's another amazing lady on here who is I believe 15 or 16 years out who also lost a huge regain this year. She was my inspiration.

Good luck to you. We all do what works for us, but please really consider everything involved in a revision. The good and the bad and yes there are both. And always keep in mind that sooner or later, all of us will face the regain beast. There are only so many revisions available and only so much you can do to alter your insides. Take care of yourself.

Amy, what is the name of the lady you referred to.....15 to 16 years out, who lost a huge regain? Would love to check out her blogs / posts.

I am also dealing with a huge regain of about 100 pounds.

My surgery was 2008. Originally Lost about 140 ?? Pounds

I'm not sure who Amy is talking about but I'm 19 years post op and am working on an 80-90ish pound regain. I was 340 pre-surgery (2000) dropped to 165-170 (2003), went back up to 260 (2013), hovered between 210-235 for several years, weighed 225 (2018), and am currently 170-175. I still want to drop another 30ish pounds. This summer has been difficult for me to maintain a proper life style, but as things clear up this fall I hope to get back on track and reach my goal weight.

I had talked to a surgeon in 2015 about a revision and he basically told me to get off my butt and start doing/eating what I'm suppose to. His words hurt, but he was right. I only know of one person that needed a revision because of damage to the pouch. Her problem didn't cause weight gain, but instead she had excessive weight loss that almost killed her. When I went back to basics and followed the life style of protein first and no processed carbs, the weight came off.

Good luck in your journey. It can be challenging but can also be accomplished.

Thanks !

It's me that Amy referred to ...

Thanks!

Hi,

• I recently got a revision from RNY to Duodenal Switch by Dr. Roslin about 5 days ago. I did not lose much weight as i had hoped with the RNY despite exercise and diet. It took much contemplation throughout the years but i did my research, and went for it. I'm here in NY so i would recommend Dr. Roslin if you're not far. Good luck and do what feels right to you!