Possible to Have Second Gastric Bypass Surgery?

I had gastric bypass surgery 30 years ago. I received no follow-up support. The surgery was reversed about 8 years later. I had lost a lot of weight and kept it off until after the reverse.

I am quite obese again. What are the chances I could be approved for another bypass surgery? I believe the surgery is much improved and there is better support. My knees are failing because of my weight.

Doctor Answers 4

Repeat bariatric surgery after reversal of gastric bypass

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If I understand your question correctly, your gastric bypass has been reversed, and you are now again morbidly obese.  The short answer is that you could still have another weight loss operation.  The long answer is that we need to get an accurate history of what was actually done before, and why it had to be reversed.  You may not have actually had a gastric bypass.  You may have had a jejuno-ileal bypass, or some other type of malabsorptive procedure.  The safest way to find out, other than doing exploratory surgery, would be to get your old operative reports.  It may take a bit of detective work, but most hospitals store these records for a very long time.

As to whether or not your insurance company will agree to pay for another operation, that depends on your specific policy.  Some companies will cover it, and others won't.  But the bottom line is that you can have another weight loss operation.

Bloomfield Hills Bariatric Surgeon
5.0 out of 5 stars 21 reviews

Revision after gastric bypass

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Revision surgery is almost always more difficult (and carries a higher risk) because scarring occurs after every operation.  However, this does not mean you are not a candidate for a repeat gastric bypass.  You would need to consult with a bariatric surgeon experienced in revision operations.  He/She would likely want to review your old records to understand exactly what procedures were done and discuss what procedures (if any) you may be a candidate for. 

David Oliak, MD
Orange County Bariatric Surgeon

Second gastric bypass

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The risk of another gastric bypass with that history is extremely high.  I would consider a Lap-Band instead which would have much lower risk,

Shawn Garber, MD FACS

The New york Bariatric Group

Revision Gastric Bypass Surgery

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First of all revision surgery for gastric bypass has a higher potential complication rate than primary gastric bypass (gastric bypass for the first time). Revision is a catch all word that means change so a patient can have revision from lap band to gastic bypass, revision from sleeve gastrectomy to gastric bypass, revision VBG to gastric bypass etc..

Once a bariatric procedure is revised to a gastric bypass, it is very rare to have a second surgical revision although a patient may be candidate for endoscopic procedures that are now currently available to decrease the size of the pouch. These procedures are at their early stage and we don t have long term data on efficay and safety at this point in time. Your may consult with your local bariatric surgeon. I hope this helps.

Ricardo M. Bonnor, MD, FACS
Houston General Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.