When is a revision necessary for those that have previously had gastric bypass surgery?

When it doesnt work: Once you can eat any amount of food and have stopped losing or are gaining weight, you may be a candidate for a revision. Talk with your surgeon about a revision. Having done the first bypass, he will know better than anyone what to use as parameters for a revision.

Big pouch, outflow: The pouch does not usually stretch out. Above picture is the outflow from the pouch. When it is this big, some narrowing will help. Sclerotherapy is a simple 15 min endoscopic option that we have found to be helpful to reduce outflow size and help people stay full longer. Check out the youtube video: http://m.Youtube.Com/?Reload=3&rdm=m1n4ps37u#/watch?V=gofxmkpx-qo.