What standard for failed wls?

My question is what is the "standard" or the certain things a baratic surgeon will look for to say that yes your wls has failed you need a revision??

I gained about 50 pounds and had been gaining and whining about it for 2 years. Then I went to my surgeon and said something is not right. Of course they think you are grazing or something..... I told him what I could eat. He told me I definetly needed an upper GI to start and that I should not be able to consume a whole hamburger with the bun. So I did the upper GI and lo and behold my staple line is not intact. I have had a ct scan and this week I go for an endoscopy so the surgeon can determine the amount of scar tissue involved. Then we will put in for approval.

It seems to be: Staple line failure - RNY Enlarged Stoma - RNY Band Slipping - GB Band Erosion - GB Just to name a few. I would think it would be something physically going wrong with your surgery causing more food to get in. I think if you loose a certain percentage of weight its a success. I think if you loose all of your weight and gain all of your weight back and there are no physical complications that would cause it you would have eaten your way around the surgery which is unhealthy and unwise and can happen. It will always be a struggle and we have time to find out weaknesses and time to conquer our problem with support and counseling. I wish you all the best!! Elizabeth M

I believe the medical definition of WLS Success is a loss of 50% or more of the excess weight. So failure to meet that threshhold would probably be the first place to start in defining Failure. If that threshold wasn't met, then they need to figure out why...was there a mechanical problem? Compliance problem? Something more mysterious? Whether or not a revision was required would be determined by whether or not the cause for failure was due to a mechnical problem with the original surgery. Nancy 394/286/180