Not losing weight after lapband removal and sleeve revision. What can be causing this?

Question

Got LapBand lost 100lbs had complications had to open band, gained weight tightened back up complications again had removed with sleeve revision and never lost weight, I supposedly had another revision and I am still not losing any weight. I am in full menopause so I have been gaining weight.

Jorge Maytorena, MD · Answer

First of all, you have to do X-ray studies, and see the conditions of the stomach before a bariatric procedure, you must control the hormonal problems, it is essential

Ali Solmaz, MD · Answer

It sounds like you’ve had a long and challenging journey with weight loss surgery, and I can understand how frustrating it must feel to go through multiple procedures without seeing the results you were hoping for. The combination of surgical revisions, menopause, and weight regain presents a complex situation that likely involves hormonal, metabolic, and anatomical factors.
Menopause itself can make weight loss more difficult due to shifts in hormone levels, particularly a decline in estrogen, which can slow metabolism and promote fat storage, especially around the abdomen. This is compounded by natural muscle loss that occurs with age, which further reduces your basal metabolic rate.
Additionally, repeated revisions, including transitioning from Lap-Band to a sleeve gastrectomy, may have affected the effectiveness of the surgery over time. When the initial sleeve surgery doesn’t result in significant weight loss, it can sometimes be due to issues like insufficient stomach restriction, hormonal adaptations, or even anatomical factors like dilation of the remaining stomach. It’s also possible that metabolic adaptation – the body’s natural response to sustained caloric restriction – is at play, making it harder to lose weight despite lower caloric intake.
Another important aspect to consider is how lifestyle factors, such as nutrition, activity levels, and psychological factors like stress and emotional eating, may contribute to weight regain or plateaus. Since you mentioned gaining weight during menopause, it may be helpful to assess your current dietary patterns and exercise routine to ensure they align with your body’s changing needs.
I would recommend discussing this with a bariatric specialist who can evaluate whether your stomach has stretched, if there is any anatomical issue post-revision, or if other interventions might be necessary. In some cases, medications such as GLP-1 receptor agonists (like Wegovy or Mounjaro) are prescribed to help with weight management in post-bariatric patients who struggle with weight regain. Hormone replacement therapy (HRT) might also be worth exploring to mitigate some of the metabolic effects of menopause, if you and your doctor determine it’s appropriate.
It’s important to acknowledge the emotional toll this can take. Feeling like you're putting in the effort without seeing progress can be discouraging, but there are often additional strategies that can help, even if surgery hasn’t produced the desired results.

Walfre Edwin Guerrero Burgueno, MD · Answer

Hello. How are you?
Weight regain or difficulty losing weight after multiple bariatric procedures can be influenced by various factors, including age, comorbidities, hormonal changes like menopause, metabolic adaptation, and lifestyle. It’s necessary to evaluate your current anatomy, metabolic rate, and diet to identify the best approach. A comprehensive review of your case, including labs and imaging, would help determine the next steps for optimizing your results.

Hector Perez, MD · Answer

Due to the initial lap-band procedure, the success of a revision to the existing sleeve will potentially be minimal. For the following reasons: your metabolic setpoint was altered by your first restrictive procedure, revision to bypass is encouraged since it also causes malabsorption.
-Dr. PerezRenew Bariatrics

Cemal Kara, MD · Answer

In order to examine the situation that you have been through, we should see your endoscopy test result. And, we should remember that sometimes sleeve revision should be performed with bypass. So, to say the best solution for you, I need some test results. Thanks

Not losing weight after lapband removal and sleeve revision. What can be causing this?

Answers (8)

Answer: Lapband to Sleeve Challenge

Answer: Lapband to Sleeve Challenge

Answer: Solution

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Not losing weight after lapband removal and sleeve revision. What can be causing this?

Answers (8)

Answer: Lapband to Sleeve Challenge

Answer: Lapband to Sleeve Challenge

Answer: Solution

Answer: Solution

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Everything you need to know about Gastric Sleeve Surgery

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