Is it possible to have surgery revision 22 yrs after the initial Roux En Y Bariatric surgery was completed?

Question

I had this Roux EN Y Bariatric surgery completed 22 years ago when I was 40. I lost from 400 lbs. to 210lbs and stayed there for about 6 weeks. Shortly there after I went up to 250lbs. and stayed at that weight until I reached age 55. I have gain up to 280 at this point and at age 62, I don't like this extra weight I have put back on. Is it possible to repeat the surgery again.

Sina Matin, MD, FACS · Answer

22 years ago, the Roux-en-Y may not have been done the same way that it is done today. Revision surgery to enhance weight loss may be possible based on what was done initially. Generally speaking, a classic Roux-en-Y gastric bypass has very little room for revisions.

Ali Solmaz, MD · Answer

It is possible to have a revision or a second bariatric surgery, but it depends on a few factors. Since you had a Roux-en-Y gastric bypass 22 years ago, the first step would be to determine what’s causing the weight regain. Over time, some patients experience issues like an enlarged stomach pouch, a widened stoma (the opening between the stomach and small intestine), or metabolic changes that make it easier to regain weight. A bariatric surgeon would likely want to do an endoscopy or imaging tests to see if there are structural changes that could be contributing to the weight gain.
If your anatomy has stretched or changed, a revision surgery might be an option. Some people have their original bypass tightened or converted into a more restrictive version. Others undergo a different type of revision, such as a distal bypass (which increases malabsorption) or a duodenal switch. Another possibility is an endoscopic procedure like a transoral outlet reduction (TORe), which tightens the connection between the stomach and intestine without requiring full surgery.
At 62, your overall health and any existing medical conditions would also play a role in whether a second surgery is safe and recommended. If you’re otherwise healthy and still struggling with hunger and weight regain despite following a structured diet, a revision could help.

Pablo Garcia, MD · Answer

Hello, I am sorry to hear you are having issues with your weight again. Fortunately, it is possible to get revision surgery. There are several factors to take into account before determining if you are eligible. One of them is weight regain of at least 40 pounds, which you seem to have. My recommendation is to follow up with your bariatric team to determine what options are available for you.

Is it possible to have surgery revision 22 yrs after the initial Roux En Y Bariatric surgery was completed?

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Is it possible to have surgery revision 22 yrs after the initial Roux En Y Bariatric surgery was completed?

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Everything you need to know about Gastric Bypass

Our mission is to create a world where every investment in modern beauty is Worth It.