Help!! I've heard from many people that your pouch can stretch, is that true?? How does that happen. My sister who works at Olive Garden said she just had two customers come in who both had the RNY and their pouches stretched and they had to have the surgery done again... What can I do to prevent this from happening? My doctor said it's impossible to stretch your pouch if you don't eat and drink at the same time, or drink carbonated beverages...

Sorry for the freak out, but I'm freaking out.

You need to follow your plan - don't overeat and you will be fine. Many people don't change their eating habits and just hope that WLS will cure them of their obesity. It doesn't work that way - it's a Tool to help you make life long changes in when, what and how you eat.

From what I have read if you eat larger amounts it can. But also read that even if stays small after a certain time period that your body compensates for it and absorbs calories other ways.

Its a tool that gets you going. Its not a permanent fix to go back to what you ate before it.

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There are so many points of view on this topic written by physicians. The best thing you can do is not freak out but follow the plan. Stay away from carbonation and eating and drinking together as well as overeating. In the beginning it is difficult to overeat because your body will simply cause you to vomit, in the future you are more apt to push yourself further because something tastes good. We all do it once in a while but it is not good and if you do it all the time for every meal it can become a big problem.

Many times people who have had revision from bypass to bypass again it's because they did not follow the plan, learned to eat around or overeat consistently. They did not follow the rules thereby causing them to gain their weight back, they will blame it on a stretched pouch but that likely is not the reason for the revision.

To eat around you have to be grazing....eating small quantities all day. I have done it once or twice and boy do I regret it when I do. It's usually a holiday and I immediately get back on the plan.