Hello

About 10 years ago I had the gastric bypass at UCLA. I was about 400 pounds. I was sent to one group meeting prior to the surgery and had tree appt with the nutritionist after the surgery. I received very very little education and support through their program. I don’t know if it was because I feel through the cracks or if it was simply my own ignorance. From reading this website it seems their program has changed a lot. J In about a year and a half I went down to 260 pounds. Over the past few years I’ve gained 70 pounds. Until recently I carried a lot of guilt about gaining some of my weight back. I felt like a failure. But I have let that go. I’ve learned so much about my food and myself since that time. If only I’d know then what I know now. I really wish I had known about the lap band or had not had the BP. Does anyone know if you can have the lap band if you’ve had an unsuccessful BP?

Yes you can get the lap band after bypass. Here's a link to get you started on research etc:

Bariatric Surgery Revision - LapBand After Gastric Bypass

Good luck on your new journey! LB is a great tool to help you lose weight!

I think it depends on the surgeon. I went to several information meetings with different surgery groups and all said they didn't do lap band on patients who had BP in the past. Hopefully there are surgeons in your area that will perform the surgery. Best of luck to you

I think it depends on the surgeon. I went to several information meetings with different surgery groups and all said they didn't do lap band on patients who had BP in the past. Hopefully there are surgeons in your area that will perform the surgery. Best of luck to you

Some doctors are not able to do the procedure. You'd want an actual revision surgeon for it. It's not that it can't be done, it's that they can't do it. ;o)

Yes you can get the lap band after bypass. Here's a link to get you started on research etc:

Bariatric Surgery Revision - LapBand After Gastric Bypass

Thank you so much for that info RestlessMonkey!:laugh: I didn’t even know if it was something that was done. It’s great to know I’m not the only on that has had GB and now want the LB.J

Hello

About 10 years ago I had the gastric bypass at UCLA. I was about 400 pounds. I was sent to one group meeting prior to the surgery and had tree appt with the nutritionist after the surgery. I received very very little education and support through their program. I don’t know if it was because I feel through the cracks or if it was simply my own ignorance. From reading this website it seems their program has changed a lot. J In about a year and a half I went down to 260 pounds. Over the past few years I’ve gained 70 pounds. Until recently I carried a lot of guilt about gaining some of my weight back. I felt like a failure. But I have let that go. I’ve learned so much about my food and myself since that time. If only I’d know then what I know now. I really wish I had known about the lap band or had not had the BP. Does anyone know if you can have the lap band if you’ve had an unsuccessful BP?

Really the first step here is to get an upper GI. You need to define why you are gaining. If your pouch and/or stoma is stretched then a band might be an option. If they are not dilated then a band will not help.

Assuming you need restriction again the band is an option. It's probably your safest option but not your only option. Since you were bypassed you are likely to be metabolically challenged and weight loss with a band after bypass is going to be extremely slow.

There is Rose, Stomaphyx, and Revise. Those are designed to tighten up the stoma or pouch and have all been very expensive failures that insurance does not typically pay.

Then there is another procedure that I'll be darned if I can remember how it is spelled. If your pouch is okay but your stoma is dilated they can go in and with a caustic material burn the stoma so it shrivels up a bit and shrinks down. It's not known to be overly effective.

Then you have ERNY. That's not a great option, they just go in and bypass more intestine to distal. You'll malabsorb more nutrition and need to bump up supplements including protein. That *seems* to afford about a 50# loss of weight and it tends to come to a stop.

If your insurance covers the grand daddy of them all you can go to one of a handful of surgeons and have them take down your RNY and do DS. That is going to be the riskiest procedure but the most effective long term. You'll lose more slowly than a newbie DSer but far faster and more permanent than any of the other procedures.

There is something new out, I forget the name but I can find out. It's BRAND new, no studies, no anything. I haven't the slightest idea if it will turn out to be the best of the best or not. If you want more info I can get it for you. Or, you can find Dr. Husted's website and there should be plenty of info on there.

Off the top of my head those are the options I can think of. If I think of more I'll let you know. ;o)

Really the first step here is to get an upper GI. You need to define why you are gaining. If your pouch and/or stoma is stretched then a band might be an option. If they are not dilated then a band will not help.

Assuming you need restriction again the band is an option. It's probably your safest option but not your only option. Since you were bypassed you are likely to be metabolically challenged and weight loss with a band after bypass is going to be extremely slow.

There is Rose, Stomaphyx, and Revise. Those are designed to tighten up the stoma or pouch and have all been very expensive failures that insurance does not typically pay.

Then there is another procedure that I'll be darned if I can remember how it is spelled. If your pouch is okay but your stoma is dilated they can go in and with a caustic material burn the stoma so it shrivels up a bit and shrinks down. It's not known to be overly effective.

Then you have ERNY. That's not a great option, they just go in and bypass more intestine to distal. You'll malabsorb more nutrition and need to bump up supplements including protein. That *seems* to afford about a 50# loss of weight and it tends to come to a stop.

If your insurance covers the grand daddy of them all you can go to one of a handful of surgeons and have them take down your RNY and do DS. That is going to be the riskiest procedure but the most effective long term. You'll lose more slowly than a newbie DSer but far faster and more permanent than any of the other procedures.

There is something new out, I forget the name but I can find out. It's BRAND new, no studies, no anything. I haven't the slightest idea if it will turn out to be the best of the best or not. If you want more info I can get it for you. Or, you can find Dr. Husted's website and there should be plenty of info on there.

Off the top of my head those are the options I can think of. If I think of more I'll let you know. ;o)

Howdy!

I wanted to thank you for all the above info. It was a great help. Now I am on the path I've been interested in for a long time. I’m going to call my pcp to talk about getting a referral to see a gastro dr. I’m with Kaiser so this should be interesting journey. But I’ve got a positive attitude. J If necessary I will get a PPO instead of HMO when I re-enroll for my benefits at the end of the year. From what I have been reading it is easier to get it done with that type of health insurance. I'm just happy to know it not the end of the line.

Howdy!

I wanted to thank you for all the above info. It was a great help. Now I am on the path I've been interested in for a long time. I’m going to call my pcp to talk about getting a referral to see a gastro dr. I’m with Kaiser so this should be interesting journey. But I’ve got a positive attitude. J If necessary I will get a PPO instead of HMO when I re-enroll for my benefits at the end of the year. From what I have been reading it is easier to get it done with that type of health insurance. I'm just happy to know it not the end of the line.

Before you change insurance find out exactly which revision procedures are covered. They are not going to cover them all. See which procedures your current ins covers and then compare that to the PPO. Don't make changes until you know all your options with both.

Keep in mind, ins coverage changes. What your PPO is now may well change with your employer's fiscal year. It's up to the employer if WLS benefits are covered, it's an extra premium. What if you wait for your PPO just to find out they do away with WLS completely? Keep that in mind as well.

Alex is starting a new revision message board. I'd keep an eye on that as well. A friend of mine is an absolute expert and various revisions and stats for each. She'll be posting there. She's a wealth of information. I'd pick her brain for the details.

Who's Alex?

Have you heard of the Rose procedure? It is a surgery that restores your stomach pouch to the size it was after gastric bypass surgery. Here is a link ROSE Procedure at Los Angeles Weight Loss Centers

This center is in Los Angeles. They may also have better after care.

Good luck

Who's Alex?

The owner of this forum.

Nchaka:

Have you heard of the Rose procedure? It is a surgery that restores your stomach pouch to the size it was after gastric bypass surgery. Here is a link ROSE Procedure at Los Angeles Weight Loss Centers

This center is in Los Angeles. They may also have better after care.

Good luck

Rose has turned out to be a huge and expensive failure. People lose about 20# on the post op diet and then as soon as they start eating solid foods they regain that 20#.

Ins doesn't typically cover it, it was investigational. Now it's just a failure.