Gastric bypass surgeryis considered one of the premier options for those that are struggling with obesity. It has a very high weight loss success rate, along with excellent health outcomes that can lead to partial or complete cures of diabetes, sleep apnea, and other obesity related diseases.
Weight Gain After Weight loss Surgery
But as effective as Roux-en-Y gastric bypass is, it is not a magic. A small percentage of individuals that undergo the treatment will find that they struggle with weight gain after gastric bypass surgery, and when they do it can be both disheartening – and potentially dangerous – for the patient.
What Causes Weight Gain After Roux-en-Y Gastric Bypass? Weight regain after bariatric surgery is not common, especially if you choose gastric bypass or gastric sleeve – two of the most effective procedures. But it does happen. Often the most common reasons
- High Calorie Diet
- Lack of Exercise
- Stretching of Stomach Pouch (Allowing More Food)
Most of the time, the primary cause of weight gain after weight loss surgery is not engaging in the lifestyle changes necessary to continue to lose weight or maintain your weight loss. Bariatric surgery is the first step towards lifelong changes that are all meant to help you lose weight. If you start to slip on these changes, weight regain is possible.
Treatments for Weight Gain After Gastric Bypass
If the weight regain is minor, no treatment may be necessary. Most patients, after losing as much of 60% of their excess body weight or more, will gain some small percentage back simply because they have hit their floor.
But when the weight regain is more significant, that can quickly become a problem, and something that should be dealt with quickly to avoid complications and health challenges. Your treatment choices include:
- Therapy/Counseling – Depending on the severity of the weight gain, it may be important to seek therapy and determine if and why you are struggling with eating, exercise, and other necessary health changes. Often it is an underlying issue that can be controlled with the right counselor and program. Nutrition counseling may also be helpful.
- Pouch Reset – Another option is known as a “pouch reset.” This is where patients go back to the diet that they had immediately after surgery in order to “shrink” their pouch and bring it back to normal. There is no medical evidence that a pouch reset exists, or is anything more than a crash diet to lose some weight quickly. It appears to be a bit more of a myth but anecdotally some people find it is very helpful. If you decide to go this route, only do so with a doctor’s supervision.
- Revision Surgery – If changes have occurred in your stomach or intestines that have led to a decrease in the effectiveness of your gastric bypass surgery, a gastric bypass revision may be necessary. Revisions for gastric bypass do come with an increased risk of complications, so it is only used as a last resort. Learn about the Gastric Bypass Revisional Surgery Options.
If you’re struggling with weight gain after gastric bypass, the first issue you should evaluate is your diet and exercise. If you have not been keeping to either, then your first step should be immediately speaking with a nutrition counselor, psychologist, personal trainer, and other experts that can lead you in a healthier direction.
But if the issue is more severe, a revision gastric bypass may be necessary, as well as continued counseling to help you learn to diet and exercise in a way that contributes to weight loss.