Regardless of the cause, some people regain their weight after they have had bariatric surgery. Sometimes they find themselves almost as heavy as they were before weight loss surgery. Usually they are frightened because their digestive system is radically altered by bypass surgery and they have completely defeated it. You may be one of these people, embarrassed because your friends and family have been with you through your long journey. They help you make your decision to have surgery and then cared for you as you healed and learned to live with your new tool. You see looks of disappointment they try to hide when they see your failure. You want to do something, but now you are really scared and don’t know what to do.
You learned that you could not lose weight without a tool to help you
But now you know you can’t lose weight even with what you thought was the ultimate weight loss tool. You think about opening up your stomach and intestinal tract again to have the procedure fixed so it will work again. But you fearfully wonder, how many times can you remove portions of your stomach and alter your intestines before they suffer severe damage and possible failure? The prospect of again going through the discomfort of a long healing process upsets you. But what upsets you more are the odds that you might fail yet again. Why begin something that has proven not to work? Why take the risk?
The first thing you must try before revision surgery is better support
Do not rush into another surgery. You may be able to lose weight again without a revision. All might be well. You just may only have to change your lifestyle to make your existing procedure begin to work for you. Whether you have a revision or not, you have to come to terms with the fact that you must become dedicated to a healthy diet and frequently an exercise program. There is just no getting away from the reality that the quantity of food you eat must be reduced and quality must be increased by following the Glycemic Index (GI). The good news is that this does not mean you lose variety and pleasure in eating. We will show you how to master your diet with exciting yet healthy food choices. You will learn your new diet in our support meetings, but other good sources are Dr. Simpson’s books.
Coming to terms with having a revision to your bariatric surgery
Here comes some really good news. The fact that you are gaining weight may mean that your system is probably healthy. Your system has healed and adjusted to the surgical alterations. In fact your system may be so strong that it actually readjusted itself back to where it thinks (can a stomach think?) your caloric intake should be. Many people have genetics to be overweight and their systems are more likely to correct itself to again gain weight even after surgery. Dr. Simpson’s book “Weight Loss Surgery – a Lighter Look” tells of people who actually re-gained intestinal length after bypass surgery…it just grew back!
Everything gets bigger – especially you if things get too big
Traditional bariatric surgery typically results in a surgical reduction in the size of your stomach and frequently requires the orifice from your stomach to your intestinal track be surgically altered. With RNY surgery the orifice is referred to as the “stoma.” With all weight loss surgeries, your pouch (stomach) will re-adjust and become a little larger over time. But for some the stomach or stoma or both will become too large allowing food consumption levels that result in weight gain. Usually this occurs because the patient does not commit to required lifestyle changes in diet. But for a few (a very few) their stomach and stoma will enlarge no matter what they do. Now your are probably thinking to yourself, “This does not make me feel good! What am I going to do if my stomach always makes itself larger? What will work for me?”
The Lap-band is an answer for systems that re-adjust
The lap-band is a soft, supple and amazingly small device designed to be placed around the top of your stomach. It controls your stomach’s capacity and the size of the orifice to your intestinal tract. The Lap-band requires no surgical alteration to your stomach or intestinal tract. Because of that, you have much less damage to heal from. Your recovery will be much shorter and mostly require that you become re-acquainted with restriction to your appetite. Not being biological it remains unaffected by signals from your body to readjust larger.
The lap-band adjusts your stomach instead of it doing the adjusting
Right now you are in the position that you must have a surgery to reform or adjust the weight loss operation you previously had. Rightfully you are frightened and apprehensive. If you originally had the Lap-band this situation could be fully resolved in fifteen (15) minutes. That is how long it takes for Dr. Simpson to adjust the Lap-band perfectly to your system in his office (no hospital). What is even more beautiful is that you can adjust the Lap-band open if ever you are ill or become pregnant. You can adjust it so you can consume more food at the times in life you need extra nutrition. This cannot be done with any other surgery. With the Lap-band, chances are great that you will never be in the position were you need surgical revision again.
Now you are thinking “I should have gotten the Lap-band first”
While it’s true you certainly could have saved the expense of having two surgeries and it would be better to have all of your stomach and intestines, for most people in your position the addition of the Lap-band ensures that you lose weight. Think of it this way, your system has repaired itself overriding the effect of the original surgery. Because of this you can still have the benefit of being able to adjust the lap-band to get more nutrition for health circumstances such as illness or pregnancy.
Modern Lap-band surgery hospitals makes revisions much safer
We use only modern and advanced surgical instruments, optics and lighting. Revising a bypass surgery such as the Duodenal switch (“Biliopancreatic Diversion” (BPD/DS)), Roux-en-y (RNY), and Vertical Banded Gastroplasty surgery (“stomach stapling”) does present a larger surgical risk than a typical Lap-band surgery. You will be having your surgery done under the safest conditions possible because of our surgeon’s experience and our advanced facilities. You will be required to spend at least one night at the hospital after a bypass revision.
Do not surrender your health or appearance
Being overweight can seriously hurt your long term health and shorten your life. Weight loss surgery revision is not as dangerous as it used to be because of the advent of the Lap-band. You are much better off losing the weight. Now it can be done much more safely with no surgical alteration to your stomach or intestinal tract and with much less healing time. There is no reason for you to give up your hopes to be a slender and healthy person.