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 Ur are absolutely right. My friend had WLS about 10 years ago. He has put on almost all his weight again. He swears the Dr. made his pouch and opening too big. And after researching this and asking my doctor,  I think he was right.

My Dr. explained about 10 years ago, doctors made the open from the pouch to the small intestine 30 cm. Now imagine what that would open up to after time, even eating correctly 

My Dr. said he makes his openings only 5 cm. so when it does stretch out and he said it inevitably will, it won't be so great.

I don't know the formula they use, but can say that it's very important to do your own research, get armed and ask questions.   My surgeon was very good at explaining exactly what he wanted to do and why in addition to risks and complications.   From the stories I've read, not sure many actually go to these lengths.  In the end, he has made it his life's work to see his patients succeed.

The only surgery that you have that you will know precisely how much was bypassed, how long your common channel is and how long your aliementary channel is is the DS. Especially if the surgeon uses the Hess method. My surgeon measured my entire small intestine and used a mathematical formula to figure out what to do from there. I have a 50cm common channel (the smallest one out there) a 300 cm aliementary channel (carries the food to the common channel) and a 300 cm biliary channel (carries the bile to meet with the food in the common channel).

The whole guesstimation of most RNY surgeons as to how much is done is one of the problems I personally had with the surgery. Too much is left to chance. What happens if you are someone who has 1000 cms of small intestine and they only bypass 100 cms of it? You're hardly getting ANY malabsorption and all you really got was a restrictive procedure when you were supposed to get one with both malabsorption and restriction.

I really and truly think that you need to consult with some DS revision surgeons. Dr Keshishian in Delano and Glendale Ca. (who has replied to you at least once I think), Dr Rabkin in San Francisco, Ca., and Dr. Husted in Kentucky are among some of the best revision surgeons out there. Send them your endoscopies or any other sort of information you have and they can give you their opinion on what can/can't be done to help you.

And most importantly, YOU DID NOT FAIL. YOUR SURGERY AND SURGEON FAILED YOU. I'm so sorry for all you've gone through. I hope you find a solution.

I'm sorry, he replied to someone else. It can be found here: http://www.obesityhelp.com/forums/failed_wls_second_time_aro und/4062009/VSG-Stretched-Pouch/

I'm going to say it again - YOU did not fail. Your SURGERY has failed. Do not let anyone brow-beat you into thinking anything else.