3 July, 2023

What Is The Best Revision After Gastric Bypass?

Given the complex nature of obesity, it is not surprising that even after bariatric surgery, people often regain their weight and are back at square one. The rates of weight gain after bariatric surgery vary. Recent research shows,  almost 50% of the patients regained their lost pounds within two years after gastric bypass. You might be wondering what is the best revision surgery for gastric bypass. In this article, we will discuss this question in detail.

Why Do So Many Gastric Bypass Patients Regain Weight?

Some of the causes of weight gain after Roux-en-Y gastric bypass (RYGB) are:

  • Dietary factors – patients may revert to old eating habits, make poor dietary choices, consume high-calorie foods or drinks, and frequent snacking.
  • Inadequate physical activity
  • Psychological factors – stress, depression, and lack of coping mechanisms can lead to overeating by means of using food as a source of comfort which can contribute to weight regain.
  • Enlargement of the gastric outlet – the small opening (made during the bypass surgery) between the stomach pouch and the intestine can gradually widen.  This allows more food to pass through easily thereby reducing satiety, and resulting in more food consumption.
  • Stretching of the stomach pouch – The pouch made during surgery may stretch over time allowing patients to eat more without feeling full.  This results in weight regain.

How to Lose Regained Weight After Gastric Bypass Surgery?

When patients do not lose enough weight or regain weight due to the different factors mentioned above, the solution is gastric bypass revision. While there are different revision surgeries, not all of them might be appropriate for patients with certain conditions because they can entail even higher risks and complications than the original weight loss surgery.

In order to choose the best revision method for you, the first thing to do is identify the cause of the weight gain which requires the expertise of weight loss professionals. Therefore, consulting with an experienced doctor will provide you with the best-informed decision.

Reveal Weight Loss Offers Safe and Effective Gastric Bypass Revisions

About 9-17% of patients who had gastric bypass undergo some type of revision surgery. This means a second potential surgery along with its inherent risks, a second prolonged recovery, and another potential financial burden. Thanks to the latest advancements in the field of endobariatrics, the specialists at Reveal Weight Loss are able to address weight regain after gastric bypass with Transoral Outlet Reduction, also known as TORe.

What Are the Benefits of the TORe Procedure?

  • Minimum risks involved
  • No cutting or incisions required
  • Short recovery and procedure time meaning less time off from work
  • Same-day procedure meaning you are back home shortly after your procedure!

How Does TORe Work?

Transoral outlet reduction or TORe is a minimally invasive endoscopic revision of RYGB. During transoral outlet reduction, Reveal Weight Loss doctors will put an endoscope (flexible thin tube with a camera at the end) through your mouth to reach the stomach. Then they will decrease the volume of the enlarged gastric pouch by stitching its parts together with a special suturing device. With the reduced outlet, you will once again feel full faster with small amounts of food and restart your weight loss journey.

Transoral Outlet Reduction Best Revision After Gastric Bypass

Why Is TORe The Best Revision After Gastric Bypass?

Since its development in 2013, TORe has gained wide popularity as one of the best revision procedures after RYGB. Throughout these years, it was demonstrated that transoral outlet reduction is not only very safe but also a highly effective solution to weight gain after gastric bypass.

According to one study, when the pouch was decreased by about 77%, patients lost approximately 26 pounds in 6 months. Based on the findings of other researchers, the average weight loss ranged from 20 pounds to 33 pounds in 6 months and from 18 pounds to 37 pounds in 18 months with no serious complications.

Highly Effective Yet Durable Approach

Most importantly, TORe can be a long-term solution to weight gain after Roux-en-Y gastric bypass. This claim is backed by the findings of a recent five-year study which demonstrated that patients were able to maintain a weight loss of 8.5% of total body weight at 1 year and 8.8% of TWL at 5 years. The majority of the patients, to be precise, 77%, successfully stopped weight gain and 62% of patients kept weight loss of more than 5% of the total body weight.

Reveal Weight Loss Is Always There For You

Losing weight and keeping it off is never easy. So, even if you did not get the results you wanted the first time, we are here to provide a second chance at successful weight loss!

Dr. Shahid and Dr. Sarkar at Reveal Weight Loss are experienced double board-certified gastroenterologists who also have years of training and experience in advanced endoscopy which guarantees excellent results.

Apart from our expertise in such innovative revision techniques, we deliver a comprehensive approach to each of our patients and support them with a concierge nutritional service to help with questions, concerns, and symptom management.  The nutritional service also provides behavior modification therapies to address and rearrange patterns and habits around nutrition to ensure long-term attainable and sustainable weight loss and overall wellness. We are compassionate obesity medicine professionals who have helped thousands of people just like you to take control of their bodies.