Regained weight post Rou-y-gastric bypass. What are my surgical options for weight loss again?

Question

I am a 33 year old mom of 4. I had the gastric bypass when I was 22 before I had children. I now have birth 7 children altogether and have since gained my weight back plus some. I just had my last baby about 3 years ago now and I am 350Ib I am finding it hard to get the weight off now. I still of course have the effects of the surgery in that I have to eat small amounts of food and I get full quickly. What are my surgical options if any for weight loss again?

Jorge Maytorena, MD · Answer

Gastric bypass revision surgery is a surgery that is most frequently seen for weight gain, and there are ways to provide greater malabsorption, and thus obtain sustained weight loss.

Ali Solmaz, MD · Answer

Since you’ve already had gastric bypass, your surgical options for weight loss are more limited but still possible. You could consider a gastric bypass revision, which tightens the pouch or stoma if they’ve stretched over time. Another option is converting to a duodenal switch (DS), a more intensive procedure with higher weight loss but increased risk of nutritional deficiencies. Endoscopic procedures like an endoscopic stoma reduction (TORe) are less invasive options that shrink the pouch without surgery. There's also the lap band over bypass, where a band is placed around your existing pouch, but this is less common due to potential complications. Finally, a revisional sleeve gastrectomy may be possible, though it's rarely done post-bypass. You need to consult your surgeon for the best option in your considition.

Walfre Edwin Guerrero Burgueno, MD · Answer

Revisional gastric bypass surgery consists of analyzing the current situation of the anatomy of your gastric bypass, and analyzing whether the following can be done:
1. Reshape the gastric pouch. If the gastric pouch is large, it can be made smaller.
2. Remove candy cane. There is a part of intestine that is next to the gasteojejunal anstomosis, which remains as a blind intestinal loop, it is called candy cane, if it exists, it could be removed.
3. Distalization. The length of the pancreatic loop, the intestinal loop through which food will not pass, is increased, so there will be less length of intestine to absorb the nutrients from food.
Of course, with good follow-up and adherence to the recommendations, it is most likely that you will be successful with weight loss, and will not have complications such as malnutrition.

Riza Ozdemir, MD · Answer

Gaining weight after Roux Y bypass has 3 reasons : 1. Expansion of the stomach2. Expansion of the connection between stomach and small intestine3. Expansion of the small intestineAs you mentioned that you get full very easily the 3rd option is more likely for you. All 3 reasons can be treated with a revision surgery in our hospital. The best alternative will be appointed after an endoscopy treatment.

Regained weight post Rou-y-gastric bypass. What are my surgical options for weight loss again?

Answers (4)

Answer: Revision surgery... No need to delay it....

Answer: Revision surgery... No need to delay it....

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Everything you need to know about Gastric Bypass

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Regained weight post Rou-y-gastric bypass. What are my surgical options for weight loss again?

Answers (4)

Answer: Revision surgery... No need to delay it....

Answer: Revision surgery... No need to delay it....

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Recommended reading

Everything you need to know about Gastric Bypass

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