Can I get a revision and how much it would cost me?

I'm sorry to hear you're having difficulty with your gastric bypass surgery.
Gastric bypass can be an extremely effective at helping people lose weight. This can significantly help reduce other serious health issues related to obesity including diabetes, sleep apnea and others.
Most of the physicians on this site are not general surgeons. It is a general surgeon or a bariatric surgeon (a division of general surgery) that specializes in the concerns you have.
You should seek a board certified general surgeon for advice on this.
I hope this helps.

This is a complex surgery and not likely performed by most surgeons on this website.
I would highly suggest contacting your personal physician and asking for referrals.
You clearly want a surgeon who has been performing this type of surgery for many years and have experience in performing revisions.
In some cases they may chose not to pursue a revision but instead to perform a different bariatric surgery procedure, such as a gastric lap banding.
I wish you luck in your pursuit and success in losing weight.

I can understand how discouraging it feels when your results after gastric bypass don’t meet your expectations — you’re not alone in this. Many patients experience limited weight loss or regain over time, sometimes because of an enlarged pouch or connection, stretching of the bypassed anatomy, or metabolic and behavioral factors.
Yes, a revision is often possible, but the approach depends on the exact reason your weight loss stalled or reversed. Common revision options include resizing the gastric pouch or outlet, adding a malabsorptive component, or converting to another procedure such as a distal bypass. The first step is a full evaluation with a bariatric surgeon experienced in revisional surgery. This typically includes endoscopy, imaging, and lab work to determine whether there’s an anatomical cause that can be corrected.
Revisional surgery is technically more complex than the original operation, but when performed by an experienced surgeon, it can be done safely and often helps patients achieve meaningful renewed weight loss and improved quality of life.
As for cost, it varies widely depending on where you live, your anatomy, and whether insurance covers revision procedures. If the revision is medically necessary (for example, due to complications, reflux, or clear anatomic failure of the first surgery), insurance may cover some or all of the cost. If it’s considered elective for weight regain alone, out-of-pocket expenses can range from $8,000 to $20,000 or more in the United States. A consultation will help determine your specific situation and provide an accurate estimate.
Please don’t lose hope. With proper assessment and the right surgical team, revision can be both safe and effective. Taking the step to ask these questions already shows you’re ready to take control of your health again.

You should not be embarrassed, first your surgeon would need to evaluate to understand your current situation with the bypass and figure out the best options to help you.  For example; can eat a similar volume of food compared to before the surgery,  then the focus would be on increasing restriction  to lessen  the food  quantity  intake (a gastric band is great at creating restriction in bypass patients), if the problem  is not related to  the amount  then the focus should be on nutrition, and if necessary conversion to another form of procedure.  A complete evaluation with a bariatric surgeon with experience in revision surgery would be the first step to figure out what the best option is.  

Unfortunately some patients may need their surgery to be revised! They will need an X-ray plus an Endoscopy to evaluate their pouch.
Needs to be noted that the chance of complications is higher in revision surgery.
In our program we have a large experience on Revisional Surgey with low complication rate. Therefore we can offer the procedure as low as $18,000.00 in Los Angeles area including all the related costs.

At The New York Bariatric Group in New Hyde Park, NY we specialize in revision of previous gastric bypass surgery.  It is not an uncommon problem affecting about 20% of patients.  We offer both the ROSE procedure performed endoscopically through the mouth and placement of a Lap-Band over the gastric bypass.  Costs are variable for the procedures and range between $11,000 and $17,500.

You may have tricked yourself into eating more and more and stretched the stomach in which case revision may be necessary or other types of restrictive procedures or bypass procedures may be performed by Board Certified Bariatric surgeons. I know of several in the NY City area that are great - Dr. Colin Powers, Dr, Geiss are internationally renowned and can help you.
There is also the new procedure with balloon inflation in the stomach which is under FDA study - Dr Colin Powers may be able to help you with that.
Get some help and don't be depressed.

If you lost weight initially and then gained weight, you likely stretched out your pouch. There are salvage procedures available which may include revision of the pouch, or perhaps even a lap band.
Also possible is to move the intesting downstream more so less food is absorbed. I don't do these procedures, but failures in bariatric surgery are not rare, and salvage procedures are available. You should start with a bariatric surgeon.

Don't be enbarassed and don't blame yourself.  The problem may be the gastric bypass, and that can be surgically addressed.  On the other hand, the problem might be that you were not prepared appropriately before surgery to deal with the dietary and psychological changes that are required to maximize your success after gastric bypass. As far as revision options, band over bypass is the most straight forward.  The ROSE procedure does not work, and most Bariatric surgeons do no offer endoscopic interventions as likely to provide durable results.  The finial option is reversing the gastric bypass and converting it to a sleeve gastrectomy.  It is a complicated surgery and comes with real risks, but it may be the solution to give you the results you are looking for.  Good luck and never give up!!

It's a common misconception that weight gain after gastric bypass is from stretching of the pouch. The fact of the matter is that we really don't know. There are patients with big pouches and dilated stomas (the opening between the stomach and the small intestine) that do great. We can't really correlate the anatomy with the success of the operation. If a patient has gained weight and we see one of those things, we may assume that this is the problem; but we can't be sure. Patients undergo revisional surgery where the pouch is made smaller... and they still don't lose weight. So many surgeons are reluctant to offer these types of revisions because we don't want to do an operation that won't work.There are a number of endoscopic procedures to shrink the pouch or the stoma; such as ROSE, StomaphyX, and sclerotherapy. ROSE and Stomaphyx are already off the market, as they don't work. Sclerotherapy is just injection of a medication around the stoma, and has had some limited, though temporary success. The best thing about it is that it is relatively inexpensive.The most reliable revision is conversion to duodenal switch, or doing a major revision of the small bowel anatomy to create malabsorption. The latter option is fairly easy to do, and would be successful in giving you better weight loss, though at the expense of life-long problems with vitamin deficiency, osteoporosis, and anemia.P.S. Note to plastic surgeons: I promise not to answer questions about plastic surgery if you promise not to provide ignorant answers to questions about bariatric surgery.