Typically, gastric bypass patients will initially have rapid weight loss in the first 6-12 months. The patient’s weight loss will normally level out during the next 18-24 months. Some patients may start regaining weight. This weight gain is typical of the opening of the stomach to the intestines enlarging or stretching of the stomach pouch.
Reasons For Gastric Bypass Failure
Stomach Pouch Stretches-this leads the patient to eat more frequently in larger quantities.
Stomach opening expands–food travels through the stomach quicker.
Small intestine starts to work more efficiently, therefore adapting to the bypass and easily absorbing food and calories.
Complications, such as ulcers.
Poor technique of the bypass procedure.
Patient’s failure to make dietary and exercise changes.
The LapBand® is laparoscopically placed at the top of the stomach to decrease the amount of food that flows into the stomach. The decrease of food leads to a decrease in calories which in turn can lead to weight loss. It is still critical to make wise nutritional decisions, avoiding high calories liquids and foods high in fat. Ultimate Bariatrics has a dietitian on staff to help with dietary concerns.
Many patients can and have been successful with their weight loss following a band over bypass.