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!!

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.

Update: I met with a different surgeon today and came away feeling very... dare I say, hopeful. It is not his usual practice to do revisions in 2 surgeries. ? He said that in essence what the first doc said was partially true, you don't ever 100% know what the outside of the stomach looks like with just imaging, ask any mom who was told she was having a girl but then delivered a boy. But you can get a pretty decent idea of what the surgeon will encounter. He fully expects there to be scar tissue, but that it just goes along with being a surgeon that does bariatric revisions. I go in for my EGD on Monday. Hopefully, we'll get a more concrete plan after it's complete. Fingers crossed!

Thanks for telling me your history. I'm hoping to have it revised to a bypass as well. I'm unfortunately on a tight time line. I go tomorrow and hopefully will have a better idea. Considering how long it's even taken to get an initial appointment, I'm not particularly optimistic. Fingers crossed though. Good luck in July!

Hello. I'm sorry you're going through all of this. I had my band removed in November of last year. I had my fluid removed in June. I wanted it removed because I was having problems swallowing and even throwing up water. My bariatric doctor requires a waiting period of 3 months between surgeries for healing. My insurance required 6 months. Eek. I would ask for the endoscopy first! My endoscopy revealed that I had Barrett's Esophagus. Good luck!! I hope all goes well for you. I'm having gastric bypass on July 15th.

Just added: My insurance denied me. I had to fight tooth and nail for approval. If you have a good surgeon and team on your side, you will succeed!