Question:
can i have another gastric bypass surgery??

i had gastric bypass surgery done may 8th of 2000 as of today (3-28-02) i have gained back 23 pounds. i am up to 196 pounds and very depressed. i have scheduled an appointment with my surgeon on april 10th. i want to know if i can have another gastric bypass surgery done. if anyone out there knows the answer can you email me at [email protected] i would love to hear from new friends around the country. still trying to get over sept. 11th, i am from manhattan, new york city. god bless everyone and to my fellow people losing weight, " keep up the great work" sincerely, mary    — MARY R. (posted on March 28, 2002)


March 27, 2002
Seen a nutronuist? What are you eating? Were you transected? Definete possible emotional eating with WTC. Please tell us more about you and whats going on. Yes revisions can be made. What surgery did you have EXACTLY? RNY? VBG?
   — bob-haller

March 27, 2002
Hi Mary! Not sure if I have it correctly but I think medically you still have to qualify with a BMI of 39 or above and over 100# overweight. Since you at your weight may not be classified as morbidly obese, they may not do it. But since you still have the surgery intact, you might consider going back to your original diet and lifestyle when you had the surgery of increasing protein and water and exercise to lose what you have gained back. I am a pre-op but have talked to many who have been where you are and most find that when they do this and remove some of the old habits that have crept back in, they lose that weight. I wish you the best and cannot even imagine how life must have been in Manhatten during the last few months. My thoughts are with you.
   — AJC750

March 28, 2002
I don't mean to be uncaring, but how could you let yourself gain 23 lbs.??? I'm just saying this, because I weigh myself once a week (I'm 13 months post-op) and if I ever creep up even one pound, I'm back to straight protein. I've lost 171 lbs., and I'm NOT regaining the weight, no matter what scary things happen to me in my life. I just refuse to rely on food as a coping mechanism anymore. If you are abusing food, do you think having another gastric bypass will solve anything? You may initially lose the weight, but you'll gain it back once you're able to eat again. Have you considered counseling perhaps or meds to treat obsessive-compulsive eating? I don't want to put you down or make you feel bad, but I think your weight problem is due to using food to cope, and I don't know that any surgery to your stomach is going to fix your head. I really, truly hope you haven't taken offense at my comments. I do not mean to be rude, but I'm afraid I'm coming off that way. I just don't want to see you having another gastric bypass everytime you gain weight, rather than dealing with the core issues that make you overeat in the first place.
   — Terissa R.

March 28, 2002
Are you still intact? If not, then yes, revision is possible. And if you ARE intact, but hypertrophy has changed your absorption rate, then you can also revise. I'm not speaking for your doc or ins. co., of course. But I recently hosted 3 people with older proximal RNY's that were not working. They were rebuilt to a more modern, little bit more distal procedure and are losing nicely again. They also have good nutritional guidance and follow up from him, so we are hoping that they now have ALL the tools they need to cope with the horrors that sometimes attack is while living the real world.
   — vitalady

April 2, 2002
I GAINED TOO. IM DOING ATKINS VERY STRICTLY AND NOT LOSING WEIGHT. SOME PEOPLE POST AND SHOULDNT BE SO QUICK TO JUDGE. IM IN THE SAME BOAT AS YOU. ALMOST. IM STUCK AT 215LB. THOSE THAT THINK A GOOD DIET WILL WORK EVERY TIME MAY BE WRONG. IF ANYONE KNOWS OF A DOC NEAR OHIO THAT DOES REVISIONS FROM RNY TO BPD/DS PLEASE EMAIL ME. [email protected] IF IM WRONG, FORGIVE ME BUT, NOT EVERYONE CAN DO IT THE SAME WAY.
   — JOSHNSUZIE

April 2, 2002
I feel for you. I had a VBG in 1984 that began failing in 2.5 years. I was young and didn't have the research skills to find a surgeon to revise me at the time. As time passed, I continued to gain all my weight back. I married, had two babies in three years, and added another 85 lbs. My husband was very against me having the surgery out of fear. After he was killed in a car accident, I had to do something to take care of myself and our children. Let me tell you how I wish I would have had the revision when I first realized I had a problem. If your problem is mechanical, you should be able to revise. If it is your eating habits, seek our the help of a nutritionist. Unless someone has walked in your shoes, I don't feel they have a right to comment on what is a very personal situation. I hope you don't let the negativity affect you. Best of luck.
   — [Deactivated Member]

April 2, 2002
Hi Mary, I'm so sorry to hear of your loss. Like you I'm thinking of having a revision from a VBG(6/89) to RNY. When I had my VBG I was at 300lbs but never could get my weight to go under 220lbs, no matter how much I exercised. I don't know if I'm intact or what "transected" means. Maybe you or someone out there can answer that question for me. I went on Fen/Phen in 95. I was at 285lbs and desperate to get my weight back down. Food is not my enemy but sweets are! Fen/Phen totally wiped out my desire for sugar and my weight dropped to 215lbs, then it was taken off the market. I continued to exercise (power-walking) but injured my back and was unable to work as a hospital nurse anymore. I lost a lot of income which was very depressing. My weight has remained between 275-285 since and I'm 49 years old. I also have severe fibromyalgia and MVP. I hope both of us can get the answers we need from someone out there. Blessings to you and I wish you great success! Melony Dervin
   — Melony D.

April 2, 2002
Transected is when they cut away the lower portion of your stomach from your new little pouch. It's still there, just not attached. If you are resected your lower part of your stomach was completely removed. If you weren't transected (lower stomach separated) then you just have a line of staples separating the two parts of your stomach. If you developed a hole through between the two stomach portions you have a staple line disruption and thus are no longer intact. That can cause you to stop losing and to begin gaining again. Staple line disruptions in people who weren't transected are common. You can have a another surgery to have the two parts permanently separted (transected or resected). If that's the case you would lose once again. Or if your body has adapted itself to your surgery and so does not malabsorb properly you can have another surgery to bypass more of your intestine. I hope this helps some on your confusion. Your best bet would be to consult your surgeon. I believe they'd be able to answer all your questions in detail and determine for certain why you've regained and what your options are. Best of Luck.
   — Shelly S.

April 2, 2002
I read today that a woman had the VBG and then went back for RYN. It had to be on this site. I finally finished all the photos and stories today after about three weeks so it had to be someone toward the end of the photos. Sorry I can't remember the name, but I do know that she had VBG and then revised to RNY. Good Luck!
   — LISA O.

October 29, 2004
it is called revision of gastic bypass- where they go in a revise your old bypass such as remake your stomach smaller again.
   — TERRI B.

August 10, 2005
I was just reading through this post and I am one of those people who had surgery prior to the stomach being resected and have a disruption inmy staple line I started at 354 went down to 135 and now weigh 208. I am having my surgery revised on August 25 2005. I'd love to hear from anyone who has had a revision and has some tips on what to expect. I do know that the requirements were not the same for my surgical aproval because my initial by-pass was considered failed so I didn't have to meet all the requirements that I had to meet the first time in order to have my surgery aproved.
   — melibop




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