Question:
Can this surgery be repeated?

I had surgery 3/2003. I lost about 120 lbs. (I started out at 364lbs.) Sadly, I'm back up to about 285lbs and climbing/. What can be done? Willpower is very poor!!    — Bobbie N. (posted on April 29, 2007)


April 29, 2007
Maybe start over with the liquid diet.
   — the7thdean

April 29, 2007
I agree with the other poster...Back to the basics...I honestly don't think that any insurance will pay for you to have this again, as they figure if it didn't work the first time, what's going to make it work the 2nd time? It's an expensive surgery and they won't continue to pay for it. This surgery is a TOOL not a guarantee'd way to lose weight. You still HAVE to eat right for the rest of your life. Again, back to the basics and start from there. Don't forget to exercise too! Good luck!
   — crystalsno

April 29, 2007
If you started with a RNY some get a lap band or DS. Weight regain about 5 years out is very common.
   — bob-haller

April 29, 2007
Bobby... I know that this is a support site, but it is also a site where we should be able to be honest, as if we can't do that here, we won't be able to do it anywhere. No procedure is ever going to work for you, or any of us, if you/we don't choose the right foods to put in out mouths. 95% of us are/were obese because we have issues with food. Without taking care of those issues, we are doomed to repeat the same mistakes that got us there prior to surgery. My advice to you, is yes go back to basics, but more importantly get into some counseling (1 on 1 most important for you) Overeater's Anonymous would be a good group support. But if you have lost that much and then regained almost all of it, you will need some good one on one and then continued therapy. I believe this is important for ALL of us. The lap band or RNY are just tools, if you don't use them... they don't work. ... . You did it once, you can do it again, it just takes motivation. What are your priorities in life? Why did you want to lose weight before you last surgery? What changed for the better after you lost the weight? What is lacking now? You HAVE to make this and your health a priority. You are the only one who is with you 24/7, make good choices.. don't beat yourself up.. just learn from your mistakes and move forward...
   — Kari_K

April 29, 2007
Bobbie, I just wanted you to know that you are not alone. I had my surgery on 08/12/2003 and I was at 133 lbs. Now I am at 175 lbs. I am moving and changing jobs so I have to wait so that my insurance wont consider it "preexisting" but I am going to get some counseling. My eating disorder has definately reared its ugly head. I hope we both find some peace. take care. jane.
   — peanutpatty

April 29, 2007
Bobbie, you ask a very serious question, but I am afraid you need a reality check. Surgery does not fix your problem. Will power is the problem, not surgery. I don't mean to be unkind, but you have to fix your desire to take care of your body and listen to it's ques and respond. 120 pounds ia a great weight loss, and I would really encourage you to get back to where you were. There are many ways you can do this. You can join a weight loss support group, like weight watchers, you can take a class on nutrition at the local college or just get some books from the library. You can go back to wls basics, protein, water and exercise. I would guess (respectfully) that those three things are missing in most of your day. You have regained about 60 pounds after your great loss, and I know you are probably discouraged, but you need to find the "fight" in you and fight for what you had, and even go farther. You didn't have surgery to go backwards, so why surrender now? I had surgery in March of 04 and also took off 120 pounds. I have to diet and exercise like everyone else now, and it is not fun, but if I want to keep off what I lost, I have to listen to my body and change my habits. Bobbie, obesity is a head issue with a body consequence. You are getting more consequence than you want. The thing here is that it is your choice. You can choose what you eat and drink, and if you exercise. You sound like you have a good measure of health still, and you can make good choices. You have to deal with the head issues. Many many people have wls and are not prepared for the head issues. They want their poor willpower and they want their weaknesses to go unchecked. We still want food to be our god and escape, and yet look great and have good health and weight loss. I don't think that happens for anyone slim or obese. We have to take care of the bodies we have, and Bobbie, I really strongly encourage you to take care of the body God gave to you. You only get one. It is not worth it to abandon your health over food. Please consider some type of counseling to get a hold of the head issues and find a way to exercise, get plenty of water and protein in. Skip the soda and caffine, get tough on yourself in these areas and make solid changes to affect your body and health. You probably can find a surgeon to do a "revision", there are plenty out there, but Bobbie the risk of complication after a revision is huge compared to an initial surgery, keep that in mind. Also keep in mind that an 2nd surgery isn't going to help anymore than the first without head changes and life reconstruction in the area of eating and attitudes toward food. Surgery only gave me a tool to use, I have to activate my brain to use the tool. I fight that battle myself every day, sometimes I am thankful, and other times I hate it, but I willl fight the battle every day and protect my little tool as long as possible. I encourage you to do the same. Your really have a good chance to lose the weight again, get some help and some support, and I wish you well. Take care, Patricia P.
   — Patricia P

April 30, 2007
Hey if you've seriously have tried to go back to basic and you just can't control yourself then maybe a Revision of your RNY. But as Bob suggests, My Surgeon told me that because of how much I need to lose that after two -three years when I've stablized they he'll then go back in to put the Banding around my pouch. So yes it can be done. But will your insurance pay for another procedure if you were to submit to the same insurance company?
   — Michael Eak

April 30, 2007
Hi Bobbie. I understand your plight. Did you have RNY? I had RNY in 1994 and slowly regained 5 yrs out. You are not alone. I had the lap band put on in 1/06 and could not be happier. The weight loss took off once I had proper restriction. I reached goal and will stay there because lap band is an adjutable procedure with no "window of opportunity" like the RNY has. Lap band over bypass is getting quite common. It may be an option you wish to look into. Good luck!
   — mish




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