What kind of revisions are out there for gastric bypass I had it done in 2004 and weight is coming back on

Just curious how much weight and how fast?

There are a few minor tweaks that are commonly done to bypasses to try to improve things, like band over bypass or stoma tightening procedures, but they overall don't seem to have a great success record. The best results revisionwise is to revise to the DS (duodenal switch) but that's a complex procedure for which maybe a half dozen or so surgeons around the country are qualified - you are in luck if you are in California or the NY/NJ area as that's where most of them are, otherwise count on travelling for that solution.

This is a normal phenomenon in gastric bypass patients. It is called intestinal adaptation. Over the years, the small intestine of a person with a gastric bypass adapts to the malabsorption by increasing villi height and absorbing more calories.

Enhanced caloric absorption = Weight regain (if you eat crap)

It should be noted that those who strictly adhere to the "protein first" dietary mantra do not regain, even after 15 or 20 years out. However, consumption of sliders (crackers, chips, popcorn, etc.) spells trouble.

I met someone who had gastric bypass in 2002. In 2011, during prolonged immobilization after fracturing her ankle, she regained 25 pounds in 6 weeks by grazing on potato chips. The weight regain was quizzically rapid. She got back on track and lost the weight, but her diet today consists strictly of lean meats and veggies.

My point: once intestinal adaptation has occurred, a revision will not help if you consume snacky slider foods.

Some Drs in Mexico will bypass more of your intestine, and some will tighten your pouch.

You are better off just eating dense protein than risking another surgery when you probably have scar tissue from the last one.

Look at this Lady's YouTube

https://www.youtube.com/channel/UC_ZLTY6f9v_YrH7FqVUn7Mw

You can't really revise from RNY, not safely anyway. RNY is a one shot thing. This lady has revised and tried to revise with nothing but problems.

She always talks about revisions but doesn't focus much on food, well not as much as she should have.

Edited May 3, 20179 yr by OutsideMatchInside

14 hours ago, RickM said:

There are a few minor tweaks that are commonly done to bypasses to try to improve things, like band over bypass or stoma tightening procedures, but they overall don't seem to have a great success record. The best results revisionwise is to revise to the DS (duodenal switch) but that's a complex procedure for which maybe a half dozen or so surgeons around the country are qualified - you are in luck if you are in California or the NY/NJ area as that's where most of them are, otherwise count on travelling for that solution.

Dr. Alverdy at the University of Chicago does it too and also laparoscopically!