Trying to reverse the weight regain after gastric bypass surgery

Question Below Submitted By:  

Stacy (a patient from Tomah, WI)

I was at 317 lbs when I had my surgery in 2001, and I was at 170 lbs when I finally quit losing weight about a year and a half ago. It now seems that I have the “creeps”… the weight is coming back about 5 lbs at a time, and I can’t seem to lose it.

Last February, the hole to my stomach (laymen’s term) closed up on me in three days, I had to be rushed to the hospital and spent three days in there. They then put that little thing down my throat to stretch it back out. Ever since then, I have kept gaining weight one day at a time.

I cannot seem to lose it and I am now on depression medication. I had a roux en y bypass. I am now back up to 223, and fighting desperately to get it off. I lose 5 lbs, I gain 5 lbs.

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01.

Expert Responses to the Question Above

Bariatric surgeon at CBGSA , Arcadia , California

by: Dr. Troy LaMar

Hi Stacy,

You certainly have done well after your gastric bypass 12 years ago! You lost a lot of weight. Regaining weight after a gastric bypass can occur...to different levels. Most people will go up or down about 5-10 pounds after about 2-3 years.

However, some patients will "graze" on small amounts of the wrong foods (e.g. carbs, snack foods or fatty foods), all of which can lead to significant weight gain. You have had an unusually late stricture occur which required a dilatation.

Usually, patients will have the same restriction after a dilatation. If you feel you are not full like you were before the dilatation, then you may have been dilated a bit much. But if you are cheating or grazing on the wrong foods, you will have to work hard to get back on track.

If again, you are not full with protein foods, check with your surgeon and you may need a repeat upper endoscopy to check and see if you have been dilated too much.

Good luck, you can get through this!

Troy LaMar MDP.S.

On Wisconsin....I grew up in Madison!

los angeles bariatric surgeon

(click here for Dr. LaMar's full bio & contact info)

DISCLAIMER: This educational advice is based on the depth of your question and the details provided. The above should never replace the advice of your local physicians as they have the ability to evaluate you in person.

Related Pages:
- Weight Gain After Gastric Bypass

02.

Patient Responses to the Question Above

Weight Regain after WLS

by: Traci

Stacy-Let me first say “Congratulations” on your success after weight loss surgery! Know that we are here for you and that you are not alone.

Depression is common in our WLS community and recognizing it’s there and doing something about it is great.

Keep in mind that some of our medications may cause crazy things with our appetites and may make us to gain weight.

That may be one thing to discuss with the doctor who prescribed it for you.

I know this is a frustrating time for you and I want to encourage you to not focus solely on the numbers but ask yourself what’s different in your lifestyle now.

Are you an emotional eater? Is stress playing a factor? Have you gone back to basics? Have you had your annual labs drawn and a follow up with your program & dietitian? Any changes in your eating habits? Are you logging your food intake including protein & calories? Are you staying hydrated? How about exercise? If you are currently exercising have you tried changing your exercise routine? How about support? Do you have a support group or fellow WLS patients you can reach out to when you are struggling? It’s so hard when we have struggled with weight for so long to not get upset when the scale starts to creep up.

Try to remind yourself of where you came from, how much you’ve accomplished and that this is a bump in your journey.

Don’t forget we are all human, we all struggle and that your WLS community is there to help you in any way possible.I hope this helps!Warmly- Traci

Post Gastric Bypass Complications

by: Terry Prather

I had a gastric bypass in 2002. I weighed about 390 lbs prior to surgery. My weight came down to about 175 and I have maintained between 170 to 185 up and down till about Oct 2015.

This past year I have had problems where anything I eat I get nauseous and throw it up, it happens about 90% of the time and doesn't matter what type of food it is. My weight is slowly dropping, I am down to 155 lbs and miserable everyday and hungry. I have been scoped 2 times and the only thing they found was a hernia where part of my sectioned off stomach has gone up into chest cavity. But, the doctor says that isn't causing it. I am reluctant to get fixed for this hernia as the doctor tells me it will involve opening me up similar to original surgery.

But this won't fix nausea problem he said. They cannot tell me why I am sick every time I eat. I have been researching getting my gastric bypass reversed. I don't know what to do.

This is really ruining my life.

Any suggestions?

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