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Band Over Bypass

Some patients experience weight regain after gastric bypass. The most common cause of weight regain or insufficient weight loss after a patient has received a gastric bypass procedure results from an over- stretching of the stomach pouch. Just like any muscle in the body, the stomach has the ability to stretch significantly, even after it has been reduced in size. This stretching can occur several years after surgery and is usually a result of the patient introducing a more liberal diet than the one prescribed after surgery. In this situation, the lowest risk procedure is the gastric band over bypass. Placing a band over the bypass addresses both of these issues and allows for renewed restriction. Often times, the restriction provided by the band over bypass may offer even better results than the original surgery.

How does it work? The band is placed at the top of the stomach pouch and tightened to restore restriction. This makes you feel full on a small amount of food and restores the main function of the original bypass. In essence, this creates an adjustable gastric bypass. As with every gastric banding system, the band is fully adjustable and can be tightened or loosened in order to increase or decrease restriction respectively.

Weight regain or lack of weight loss may be a result of lifestyle or dietary choices. For this reason, members of the UC Health Weight Loss Center work extensively with individuals who may be considering a band over bypass procedure to ensure that the desired outcome can be safely achieved.

A decision to undergo a revisional procedure should not be taken lightly. If you are considering such a procedure, we encourage you to speak with a member of the UC Health Weight Loss Center team to better understand the options that are available to you. There are many important considerations that should be made before deciding upon a revisional procedure.  We would be happy to thoroughly evaluate your condition, your weight loss goals and assist you in making an informed decision.

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