Revising a Proximal Gastric Bypass to Distal Gastric Bypass - My Bariatric Life

Patient Expert

Because we are human beings, we possess the powerful characteristic of hope. We hope for the best even while anticipating the worst. We have been told that without hope, all is lost.
Even children have been named Hope with the anticipation (hope) that their name becomes their legacy.

I do not know whether or not hope is a trait that we share with other living creatures. I do not know if my dog, as she waits eagerly at the side of my bed consciously hopes that I will call her up. I do not know if the Morning Dove resting in my yard hopes that a hawk does not see her.

The ninety-nine and one half percent certainty that I have that only humans are capable of hope still has that half-percent margin for error. Whether or not hope is universal, I am sure that human beings have it and, more so, exercise it freely and often. We hope frequently, usually hoping for the best (at least for ourselves).

When I decided on gastric bypass weight-loss surgery, my hope  was pretty high. Perhaps my hope was even a little extreme:

I hoped weight-loss surgery might return my prior good health and vitality of youth, perhaps to the point of being bullet proof...

I hoped that once the weight was gone I would never be hungry and there would be no need for dieting, and pouch rules, and vitamins everyday. I especially hoped I would not have to exercise...

I also hoped my relationships would turn perfect and that love would be exactly what I thought it was when I was twelve years old.

Unfortunately, my particular brand of hope was flawed. Reconstruction  was needed: a revision of my near-perfect hope into a more realistic brand of  hope. I am thankful for my 100-lb weight-loss from gastric bypass, even though I envy those who got near-super model thin from their weight-loss surgery.

But what if your hope was realistic to begin with, and the desired outcome was still not attained.  Simple enough: have more hope. Try again. The most definitive method for ending things is to do that ourselves, just give up and stop trying. I suppose the trick of it all is to figure out what is realistic and what is not, hence the need for a support system to help us think it through. But again, what if we were realistic and did not get what was anticipated. It is then that we revise.

If we did not get what was desired or what was anticipated after weight loss surgery, we can exercise our hope and seek revision.

Proximal Gastric Bypass Surgery

Proximal Gastric Bypass is the most often performed weight-loss surgery in the United States. Better known as gastric bypass, it is a procedure in which the stomach is divided into two compartments. The upper part of the stomach, or the pouch, is the smaller part. The small   bowel is split and raised to the upper stomach where an opening is made between the pouch and the small bowel. This opening is called a stoma. The stoma size holds food in the pouch, and the patient feels full for many hours on a small portion of food. The size of the stoma is critical whereas one that is too large will not allow the patient to feel full while one that is too small can cause heartburn, nausea or vomiting.

Should Proximal Gastric Bypass not yield the desired results (gaining back weight or not losing as much weight as projected) an alternative Distal Bypass Surgery is an option. But first a word or two of caution: the most common mistake made by patients who have weight gain after gastric bypass is falling back into old eating habits. In addition, be careful with regard to skipping meals, snacking, and eating foods that are high in carbohydrates. Having flashed that red light, back to the alternative.

Conversion to Distal Bypass Surgery

Distal Bypass Surgery is when more than 120 inches of the intestine is bypassed as opposed to the eighteen to forty inches in Proximal Gastric Bypass. If more intestine is bypassed then weight will be lost through the process of malabsorption. This means that there is less intestine to absorb food. The amount of small bowel that is bypassed will regulate the amount of fat and complex carbohydrates that can be absorbed. After this type of surgery, patients do not absorb fat as efficiently. This will change over time and the patient will be able to absorb more fat.

Do not misunderstand and think I am recommending multiple weight-loss surgeries as a shortcut solution to weight loss. I am not. What I am recommending is a keeping of the faith in times of complication. Other recommendations will be made by bariatric surgeons and other healthcare professionals, and you and those professionals will determine the recommendation that best meets your needs. One of those suggestions might be a revision weight-loss surgery from Proximal Bypass Surgery to Distal Bypass Surgery, and I hope this writing provides you with some information about the differences. Good Luck.

WinkPlease heart this article to support weight-loss surgery topics on HealthCentral. Thank you!** My Story...**

You can read about my decision to have weight loss surgery back in 2003 and my journey to maintain a lifetime of obesity disease management since that time. My wish is to help you on your own journey of lifetime obesity disease management with shareposts along the way to help you navigate that journey successfully.