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

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.
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.

Related Questions

Is gastric bypass surgery good?

It works. But i favor doing anything and everything else possible first! Read more...
Operations. In terms of ultimate weight loss, the bypass would be #1 followed closely by sleeve. The band would be a distant third. For fixing problems like diabetes, high blood pressure, high cholesterol, sleep apnea, the ranking is the same. Sleeves are a good option for someone without diabetes or heartburn. If you have those problems or have a bmi over 50, the bypass is a better option. Read more...
The gastric bypass. Is the gold standard weight loss operation that has been around since 1967. The results, however, are only as good as the surgeon who performance the surgery and the patient who uses it well. Read more...

Does gastric bypass surgery work?

Bypass surgery. Gastric bypass surgery, and all the surgeries for the overweight, essentially work by decreasing the number and or the amount of calories that you are able to absorb. Each of the several procedures work in slightly different ways. All of the surgeries have their unique complications, so ask your surgeon specific questions. Read more...
Bypass works. Gastric bypass "works" in 95-97%. Works in three ways: 1. Small pouch makes you feel full. 2. Decreased ghrelin (hunger hormone). 3. Diverts food from lower stomach and duodenum (helps with diabetes). Must eat appropriately. Solid food, no sipping with food, no sweets, no bad snacks. Most lose 80% of excess weight at one year. Then some bounce back with total loss at 5-7 years of 70% excess wt. Read more...
Yes. . The gastric bypass is the gold standard weight loss operation. Read more...

How risky is gastric bypass surgery?

Gastric bypass. The the bypass is the gold standard for weight loss operations. It's been around for over 50 yrs and is a proven operation. It is the best in terms of overall weight loss. It is a safe operation but should only be done by an experienced gastric bypass surgeon. There are many lap band surgeons out there, but few are good gastric bypass surgeons. I have recommended bypass for family members. Read more...
Very safe. . Bariatric surgery has come a long way in the last 20 years. The major complication rate is in the range of 1-2 % but varies considerably between surgical groups. Find a skilled group who focuses on bariatrics and are fellowship trained in it. The bottom line is that the risk of death from living with morbid obesity is higher than the risk from surgery, by far. Read more...

How extensive is the gastric bypass surgery?

Major surgery. Significant rerouting of the plumbing. It is a combo restrictive (make a small stomach pouch) and malabsorptive (shorten effective absoptive capacity of small bowel). "centers of excellence", with ample experience (not the occasional bypass operator) reasonably safe track record. Can have significant complications at and after surgery, short and long term. Balance risk/benefits of surg or not. Read more...
Not really. . The gastric bypass is now laparoscopic and takes about one hour. Most patients go home the next day. Back at work in 2 wks. Driving to store in one week. In experienced hands, about as safe as appendectomy. Specifically suited for patients with significant acid reflux (heartburn) or severe diabetes. Read more...

To what extent does gastric bypass surgery cost?

Check withDoctors. It may vary check with a surgeon for fee schedule many costs to it pre op evaluations -cardiac /pulmonary/gastro/dietitian hospital cost and surgeons fees all these vary it is not cheap. Read more...
Cost of bypass. That depends. Generally speaking, health insurance covers the cost of surgery. However, you may have a co-pay of 10, 20, even 50%. If you didn't have any insurance at all, it could cost you $30, 000 to have a gastric bypass done depending on where and by who. Read more...

How effective is the rny gastric bypass surgery?

Depends on behavior. A roux-en-y gastric bypass can be quite effective in weight loss if it is part of a multi-modality treatment process. This can include support, diet, exercise, as well as the surgery. Your doctor can guide you in finding a qualified bariatric program, but you must be willing to accept that such a procedure is not the end, and you will have to actively participate in your recovery. Good luck. Read more...