Thanks
Bariatric (Obesity) Surgeon, General Surgeon, Laparoscopic Surgeon, Upper GI Surgeon (Abdominal)
It would first be important to know exactly how your surgery has been performed, and what the surgeon has done to the gastric pouch, or whether the surgery is a BPD with Duodenal Switch in which case a sleeve gastrectomy may already have been performed.
If you have experienced weight regain, it is important to ascertain what the reasons are behind the weight regain, as you already have a malabsorptive procedure designed to prevent absorption of a proportion of your caloric intake.
Reasons could include:
1. Food choices you are eating
2. Snacking
3. Lack of exercise
4. Absence of satiety or restriction with eating leading to excessive caloric intake
If numbers 1, 2, or 3 are issues, then these should be addressed FIRST before considering any further surgery.
If Number 4 is the main issue, and the gastric pouch has not been created to be a narrow pouch, it would be possible (but potentially difficult also) to revise the gastric pouch to a narrow pouch, which may also require the gastrojejunostomy anastomosis to be recreated.
Kind regards,
Dr Jason Wong
Weight & Metabolic Solutions Australia
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