i know this may sound a bit harsh, but considering it's a dangerous surgery - why go through it again if it didn't work?? It only works if you can disconnect from food as your "drug of choice' and that often means years of therapy, setting up a strong boundry system, commiting to daily exercise and recoginizing that even with the surgery - you have a lot of personal responsibility to keep the weight loss off and prevent the gastric pouch from stretching. I have heard some people repeat the surgery - with the same dismal results the second time around - becuase they can't "fight the food battle." it's also quite costly and insurance will never cover it a second time.
I would recommend geting long term help from a therapist who works with these issues and spend the money on a trainer and dietician, who along with the therapist can hopefully help you to resolve your lifestyle issues.
Hi, I also had a bypass 4 years ago and am starting to put the weight back on. I am no where near to where I was(410lbs), but it is scaring me. I recently heard of a procedure that is called R.O.S.E. I am not sure what it entails surgically, but it sounded like it was just a stitch or two to retighten where the pouch may be stretching. I am waiting to hear from a surgeon in my area, as we have moved and I am no longer near my surgeon. Good Luck!! Sue
IM 46 AND HAD THIS PROCEDURE TWICE ALREADY, I GUESS IT VARIES FROM PERSON TO PERON HOW OFTEN THIS SHOULD BE REPEATED FOR PEACE OF MIND, I AGREE ITS NOT A FUN PROCEDURE BUT I FEEL A NECESSERY ONE TO HAVE DONE, IM SURE YOUR DOCTOR MUST HAVE FELT THE SAME WAY.
WISHING YOU ALL THE BEST........
I had gastric bypass in 2001. I was keeping if off with controlled eating and exercise. I was in an auto accident that prohibited me from doing the exercises for almost 2 years. I have gained about 50 pounds back and it is depressing. I asked my surgeon about having it redone and he told me it was a very, very risky procedure and he would rather I did not do this. He referred me to a nutritionist and I am starting back into exercise slowly. I am not saying to not do it, but please check and double check about the procedure, because the 2nd time around your life is more at risk than the first time. Good luck with whatever you choose!!
I gotta ask why did you have the surgery in the first place. Didn't you go to your support groups, didn't you learn anything at all from it, from what you read, from what the dietitian instructed you on. If you failed at it the first time what makes you think the second time around is going to work. It's all about change, changing what you eat, portion control, exercise and support. I've just started going thru the process to ready myself for the surgery and got the thumbs up from the Psychologist which is great. I see the dietitian again in about 4 weeks and hopefully after that they give me the list of the doctor's so I can choose whom I'd like to have do my surgery. Due to my insurance I can only have the Bypass and I'm totally okay with that. I currently don't have high blood pressure, high cholesterol, diabetes or heart disease or many other diseases that go along with obesity and I want to keep it that way. I'm just 45 years old and want to be around to see my children reach their goals, start families and etc. When I went to my first support group there was a gentleman there and he was still going to the support group and he'd had his bypass done over 10 years ago. Get out the bible (as they call it) they gave you and start reading it again, get back to your support group. When I go out with my fiance or my kids to eat I'm getting a salad as my meal when I can, I've given up soda for good. Like someone else stated there is no guarantee the second time around will be successful either. Good luck either way and don't give up.
Risky, I would say and wouldn't fix your obesity problem permanently. Every case is different and particular. The problem most Gastric Bypass patients encounter is a weight regain after a few years, mostly due to an enlargement of the stomach pouch.
Consider discussing your case with a Bariatric-Laparoscopic Surgeon... and maybe put a LAP-BAND in place.
Surgery is not a magic bullet for weight loss and there are risks to the procedures. Patients should be fully informed about the benefits, risks, and post-operative expectations and needs. In addition, patients will need nutritional counseling and may need behavioral modification, emotional support and an appropriate exercise program.
check out www.sergicalweightlossinstitute.com
i had the surgery 5 years ago so that i could have a double hip replacement as i could not walk much less exercise. i lost 163 pds and am now gaining it back. i got a blood clot when i had my hips done and due to so many precautions i cannot exercise much. i absolutely hate life and hate being fat. i feel as i failed again as usual. if i could have this done again it would be great i wish that they could make the stomach so small you couldnt eat anything. Pam
I have had 3 Gastric Bypass surgeries in the past, but the revisions were to fix bowel incontintence problems I was having due to Duonal switch procedure which was not the right surgery for me. I did lose most of my weight, however I have regained about 60 pounds. I am still down about 100 pounds but afraid of regaining most of my wieght. I do not eat large amounts of food, but still I think I do eat too much and the wrong foods.
I have tried to locate a doctor that will do another surgery for me, but to no avail. I have since moved from the state that I had the surgery in. Do you have any advice for me, I live in North East Pennsylvania?
I think that Gastric Bypass is wonderful and has changed many lives. My husband has had the surgery too and he has gone below the weight goal he had. He is quite thin now.
Here is my experience with a second surgery, following weight regain after gastric bypass...
I had RNY gastric bypass in August 2003. A few years ago, I regained some weight, so I had a procedure called StomaPhyx. It is very much like the ROSE procedure but the ROSE procedure was developed after StomaPhyx.
I lost about 30lbs from StomaPhyx, which was terrific. I worked very hard with a nutritionist at my surgeon's office, following the surgery, to follow an eating plan and exercise program that worked for me. I also attended OverEaters Annonymous to address my psychological realtionship with food.
About a year later, I became completely exhausted for reasons unknown. None of my doctors have found a cause and to this day, two years now, I have problems with exhaustion. Anyway, the point is that I stopped exercising because I had no energy. And I slowly began not following the strict eating plan my nutritionist had put me on. The weight came back on. All 30lbs that I had lost.
I tell you all of this because I want you to be sure that you research the success rate of the ROSE procedure. StomaPhyx has a high failure rate. I knew this going in but I was committed to diet and exercise and working with a nutritionist and addressing my issues with food through OA... and yet I, too, failed. At least I was fortunate that my insurance company paid for the StomaPhyx procedure. Paying $16k out of pocket AND regaining the weight would have been awful.
Please tell the community what you have found out about the ROSE procedure. What is the long-term success rate? Is it covered by insurance? Many can benefit from your research. Thank you and good luck.
I have not researched the ROSE procedure totally; however, I did contact my surgeon again and had a consult with him. He sent me for a few tests to see if there is a physiological problem, or whether it was something else. After having an EGD, a colonoscopy as well as x-rays with contrast to view my pouch, I have found that all is well. My pouch is normal. I am going for thyroid tests as well. I do take medication and cannot exercise much because of injuries and arthritis, which may explain the added weight. I am supposed to consult a nutritionist also for 6 months. The only thing my surgeon is willing to do after all is said and done, is put a band on my pouch to restrict food intake. I do not know at this point if I am going to do that until I have exhausted nutrition counseling.
I must admit that my food choices are not always the best despite the fact that I do not consume a lot of food. With that said, I think I have to face the raw truth and buckle down and be accountable for what I put into my mouth. It’s not always how much, but WHAT goes in.
I wish you the best of luck.
Some of you guys comments are so harsh. I lost weight on weight watchers and gained it back. I tried all the diet fads, pills, and postions. I had the GBP 2009 and lost 200 pounds but I'm still concided obese weighing 249(was 449). People have a miss conception about it. They think the surgury is the easy way out. Now that I had it it's not the easy way out. I have to take meds and vitamins more now than I ever had. We need to look at eating in a different way. Drugs or alcohol can be left alone or not a nessecity but we need food to survive. I know people who had it twice and it worked for them and some it didn't work for. Find you a good surgeon and support team to work out what's best for you. Everyone is different. So I pray God will guide you to do what is best for you. Remeber everyone thinks the know best until it happens to them and it all a different ballgame. Good luck your prayer partner!
Hi, you are not a failure but you will alays be a comulsive overeater and there is no CURE. I had the gastri bypass 12 years ago with a weight of 310. I lost 100 ounds in nine months but experienced anal fissures, tooth loss, explosive poop sessions, hair loss and anemia. I started to regain within 3 years and was up to 340 only this time had a host of health problems. At my wits end I slowly started to eat a plant based diet and walk one hour a day. When I started i could not even walk a blok without thinking I was going to have a stroke. Tonight as aI sit here and type this I just returned from my nightly 90 minute walk and I weigh 196. I have kept over 100 pounds off for five years by giving up wheat, dairy and meat aslthough I do eat fish and eggs 3-5 times a month. The majority of my diet consists of plants. I make a great vegie curry! I also eat walnuts and almonds in very limited amounts and somtimes dark choolate and peanutbutter. Frozen blueberries with stevia, powdered dark chocolate and a few almonds all stired up in almond milk has replaced my Ben and Jerys addiction.
I lost the weight over a four year period by changing what I eat. I am still a complulisive overeater but you cant get to 300 punds on a plant based diet. It just aint possible.
I am free and you can be too.
Operations and diets are not the ansewer. Turst me. Look into following a plant based diet and you will lose weight in a real and lasting manner.
God Bless you and best wishes.
I had gastric bypass in Sept 1999 I was 340 but the smallest I ever got down to was 225 then i got pregnant and have had 2 kids . My husband passed away 3 years ago and I was up to 270 I lost weight down to 210 but now I'm dating and am back up to 260 i'm so tired of the roller coaster ride. I know that gastric bypass works but it doesnt fix the problem off me putting the food in my mouth and no excersise I've thought about the surgery again but I also know that i can lose it for myself its just the keeping it off I'm going to do the nutritionist thing and counseling and support groups like Weight watchers .
Hi, I ha RNY 8 years ago at the weight of 360. At my 6 month checkup I lost 145 lbs & was EXTREMELY exhauste even though all my bloo work was normal. The next evening I was tol I was pregnant. 2 weeks later we foun out it was triplets. a week later one was not forming & we were having twins. Because I was only 6 months post op they were worrie about the nutrition of all 3 of us. My twins were perfectly healthy & will be 7 in March. Mom however has gaine back all but 60 lbs of what I lost. I ha two back surgeries in 2010 which limite exercise so 30 of it was gaine since then ue to restrictions on exercise. I still can't eat big portions but can eat more than 7 years ago. I am now looking into having some type of "fix" because I o have several health problems relate to weight. Gastric Sleeve, R.O.S.E, ban but no RNY.
So as you can tell over eating is not always the cause of weight gain post WLS.
Goo luck to all an Thx.
PS. I just realize that the letter between c & e on my keyboar is not working...LOL
Hi. This is my first attempt at "blogging" so please forgive any breach of etiquette. I am 52. I was obese for most of my life--tried EVERY diet with no success. Finally in May 2007, at 5’7” and 379 lbs I had gastric bypass. My doctor said that I should weigh no more than 159 lbs so I had 220 excess pounds. However, he told me that typically patients only lose 80% of the excess weight (176 lbs) and, if I did that, he would consider it a major victory. It has been 5years and 2 months since my surgery. I lost 260 lbs (I weigh 119) and I have managed to keep it off. I long ago “out-ate” the surgery. If I want, I can easily eat a 12” sub, a bag of chips and a soda (I have done this in the past). But through prayer, I have found a lifestyle that works wonderfully. It promotes incredible health and well being. I work at McDonald’s and I am in a supervisory position over 7 restaurants and I am permitted to eat free. McDonald’s was my “drug” of choice when I was morbidly obese. I have dozens of customers who have seen my transformation and have prompted me to become a motivational speaker or writer to help others. It would be a dream to be able to quit my job and help others fulltime. My question: does anybody have any suggestions on how to go about making this a career? I do not have “Facebook / Twitter / etc.” but I am willing to learn. Thank you in advance for any suggestions!!!
I understand this post is very old, but it's a subject that a lot of post op patients wonder about. As someone who has had revision surgery, let me give my two cents.
First of all, if the surgery didn't work, it's because YOU didn't work. The surgery - regardless to which form of weight loss surgery you had - is only a tool. It does not do the work for you, long term. The first year, your body is in shock and your restriction is high (and, in the case of the bypass, your absorbtion is low) so it's "easier" to lose the weight. You still have to change your eating habits and you still have to create an active lifestyle. The mental/emotional aspect of this journey is INTENSE and very, very important. You have to deal with the reasons you had issues with food to begin with. It's not easy, at all. You change COMPLETELY as a person, but yet still feel like the same food addiction/out of control individual that you were prior to surgery.
I STRONGLY recommend seeking therapy for the first two years with either a bariatric counselor or a food addiction/eating disorder specialist. They really are the only two types of professional guidance that will truly understand our unique set of circumstances and issues.
Now, as for a revision, yes, they exist. You can have a lapband revision, which only works with the sleeve or the bypass and only works if your stomach has stretched out. In my particular case, my stomach size was still the same, yet I had no real sense of restriction and I was only 2 years out. After having an endoscope done, it was determined that my stoma was 2 1/2 times bigger than it should have been - which explains the lack of restriction! It was caused by two things: (1) The surgeon never made it small enough to begin with and/or (2) I ate too large of portions and ate too fast, which stretched it out. In my case, my doctor and I both took responsibility. I ended up having the gastric bypass revision, meaning he tightened the stoma and made me stomach even smaller.
I can say that being a month out, I do regret having the revision. I didn't have it in order to lose weight, but instead to gain some sense of restriction while dealing with the mental aspect of my food issues with my eating disorder specialist. I have been extremely sick because the stoma is TOO TIGHT now. If I take too many gulps of water too fast (typically at a water fountain), I will throw up water. It's THAT tight. I'm still living off mostly liquids and purees, which I should have been off now for two weeks. My surgeon did an x-ray last week (don't you love that barium drink? Just kidding...) and determined that it IS too tight and now I have to go back in and have another endoscope done, this time so he can dialate the stoma and open it up a little bit.
I am so tired of hospitals and surgeries. My body is too. Externally, the scars healed well, but the basic functions of my body are sluggish, to say the least. The first week home I nearly passed out a handful of times. I've only had three bowel movements in a month and two of those times I needed to use suppositories. Fortunately, Milk of Magnesia and Miralax have recently helped to move things along. I have to take medications on a daily basis for nausea and acid reflux (taking it for acid reflux is normal after any weight loss surgery). Vitamin supplements are always important, but if I don't take mine on a daily basis, I'm so lathargic that I can barely function. So, simply based on my experience, I can't say I recommend a revision. I have lost 20 lbs in the past month, but again, that wasn't my intention when I had the revision done. It's just another side effect to me.
I hope this helps you - or others reading - to understand more fully the realities of weight loss surgery and revision. I have a youtube channel that allows people to follow my entire weight loss journey. You can find it on youtube - my channel name is siva418. Thanks, and good luck!
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