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Thinking about weight-loss surgery? Not sure which procedure is best for you? Wondering what life is like after surgery? Search the learning center or ask our bariatric pros to get the answers you need.

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Signs you may need bariatric surgery revision

You've had bariatric surgery, and you've been successful with your weight loss for several months post-surgery. But then, you begin gaining back the weight you lost. Or perhaps you're continuing to gain weight after bariatric surgery instead of losing it. You also find that you are able to eat the same portion sizes you were eating prior to your surgery without a sense of feeling full sooner.

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LAP-BAND after gastric bypass

Some gastric bypass patients may not achieve their weight loss goals. According to Bariatric Times, the long-term failure rate for Roux-en-Y (RNY) gastric bypass patients is 20 to 35 percent. In patients with a BMI of 50 or higher, the failure rate can be as high as 60 percent.

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ROSE - Restorative Obesity Surgery, Endolumenal

Gastric bypass patients who experience stretching of the stomach pouch or stoma may begin to experience weight regain a few years after surgery. A new outpatient procedure called Restorative Obesity Surgery, Endoluminal (ROSE) can restore the pouch to the original post-operative size, limiting food intake. Patients who have regained a portion of their weight and notice that they feel less full after meals may be candidates for the procedure.

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StomaphyX

StomaphyX is a 30-minute revisional procedure to correct pouch stretching in patients who have had weight loss surgery, such as a duodenal switch or vertical sleeve gastrectomy. However, it is most commonly performed as a fix for gastric bypass. Like the new Transoral Gastroplasty (TOGA) procedure, StomaphyX is completed transorally, or through the mouth. First, an endoscopic camera and StomaphyX device is placed down the throat. The StomaphyX device will then re-fasten the stretched folds (or pleats) of the pouch opening together with staple-like fasteners. Ideally, this will return the pouch opening to its original size.

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