11 years after wls

I had open roux_y in 2001. 2 years later I gave birth to twins. since my surgery I have gained back over 80lbs. I have had several edoscopy procedures all of which shows my exit is stretched but my pouch is still very small. when I eat my tummy feels empty after about 25 minutes. I say when I eat because I do not eat a lot. This is what is so confusing and frustrating. I didn't go through all of these 13 years ago to have this kind of failure. I had an additional ednoscopy today and the dr. said my exit is stretched into an oval/oblong shape. He said this is something he doesn't go in and fix surgically. Any suggestions? I am so upset by all of this! I never feel full when I eat. I haven't since after I had my twins. I am so afraid to eat because I don't want to get back to my presurgery weight of over 400lbs. Seems no matter what I do I am not losing weight.

I would start by tracking every bite I put into my mouth with something like MyFitnessPal.  

You know the guidelines and rules. Proteins first because they take the longest to get through (even with a stretched intestinal opening) and weigh them. You normally wouldn't be able to eat more than about 3 ounces of protein at a time. Stick with no/low sugar, no white breads, pastas, etc. You can knock this out. Just go back to basics and remind yourself of portion sizes by weighing and measuring for a few weeks. 

Try eating more meat and 3 times a day. Makes you feel fuller longer and your body doesn't feel like you are starving it.