Really Great Explanation of yoru pouch and Revision Surgery!

So I have been having quite a few discussions regarding revision and pouch stretching. I wrote my doctor to get some clear cut answers. I found this SOOO interesting I really wanted to share it.

Here is what my Gastric Specialist at Kaiser wrote regarding gaining weight, stretching your pouch, and revision surgery:

Hi there

Good question. I usually explain this visually in person, but I'll try with email
Let me know if I do not make sense.
1. Yes there are revisions, banding of the bypass and all sorts of "additional" surgeries
Bottom line they do NOT work. What caused you (not you specifically!) to regain is still there, snacking and grazing and not enough exercise.
2. Think of 2 elastic bands, one a large newspaper holder band which will stretch along way. (full stomach) The other a tiny kids hair band, still stretchy but will NEVER EVER stretch as much as the big one. (this is the pouch) Initially after surgery the little band is swollen and healing and will not stretch but as you heal the potential it ALWAYS had to stretch a little returns but NEVER to the degree of the big band. Remember all human tissue is stretchy (pull on your skin). What happens is people compensate for having to eat smaller meals by eating more often ending up with the same amount of calories as if they ate 3 large meals a day. In addition they eat consistently past the point of fullness so the body turns off those "wow I'm going to explode" signals.