We are pleased to offer non-surgical, less-invasive revisional options for patients who previously had bariatric surgery, initially achieved good weight loss results, and slowly over time regained some of the weight back. These are only tools to assist in weight loss, and without any dietary and lifestyle changes, weight loss results can be disappointing.
We highly advocate enrolling in our Back on Track program to maximize weight loss benefits.
These procedures include:
Occasionally, when the gastric bypass pouch stretches or the outlet enlarges over time, this could eventually lead to some weight regain as people start losing the satiety feeling and are able to take in more calories.*
Though the best approach in this situation is to get back on track with diet and lifestyle changes, reducing the pouch or outlet size may be a useful tool for some people to aid in losing the extra weight they gained.
Criteria for potential outlet/pouch reduction candidates includes but is not limited to:
Exclusion criteria for outlet/pouch reduction includes but is not limited to:
*Influence of pouch and stoma size on weight loss after gastric bypass, Bipan Chand. Et al, Gastrojejunal Stoma diameter Predicts Weight Regain after Roux-en-Y Gastric Bypas, Christopher C. Thompson, et al. Transoral outlet reduction for weight regain after gastric bypass: long-term follow-up, Nitin Kumar, MD, Christopher C. Thompson, MD, GIE 2015.
Providing educational and emotional support.
February 15, 2019