Weight loss with gastric bypass 2023

Weight loss with gastric bypass 2023

Weight loss with gastric bypass and the body volume that is lost through this technique will depend both on the personal characteristics and the degree of commitment of the obese patient.

Changes in lifestyle and eating habits will be directly linked to the success of this treatment, which facilitates weight loss in people suffering from obesity.

The most common in this sense is that throughout the first month and post-surgery, the patient loses between 10 and 20% of their excess body weight, that is, between 8 and 16 kilos.

After three months, the results oscillate around 40% and in six months to 60% of excess body volume. Most patients with a gastric bypass placed in their body usually lose between 80 and 85% of their excess body weight during the first year and a half.

Weight loss with gastric bypass 2023

To understand each other, excess weight is that surplus with which the obese patient exceeds the limits of normality. It is calculated by subtracting the actual weight from the ideal weight. The difference corresponds to the volume that the patient must lose to promote a good quality of life.

Generally, if the patient follows the instructions stipulated by the specialist in the letter, he can lose between two and five kilos after the second month during the first year. And, if weight loss is not achieved during the second year, the newly established habits will allow you to maintain it more stably.

What is valuable in this sense is that, regardless of the level of excess body weight lost, most obese people who undergo this type of surgery manage to change their style and quality of life radically. In addition, they recover health by resuming the practice of certain physical activities that they were previously forced to stop.

Something exceptional is that this type of aggressive obesity treatment fails since the leading causes usually focus on the consumption of caloric liquid foods such as:

  • Liquid chocolate.
  • Premade fruit juices.
  • Blended caloric food.

Is it possible to recover the lost weight?

It is usually one of the most widespread concerns among people who suffer from obesity. It is one of the questions the specialist asks most frequently before deciding to undergo surgery.

The reasons why obese patients manifest this type of fear and fear that weight loss with gastric bypass will not be successful are usually the following:

  • Constant diet failures keep the patient frustrated at the impossibility of losing weight.
  • Knowledge of other people’s negligence.
  • Not wholly convinced of undergoing this intervention, they justify themselves in this way.

In this sense, experts usually dedicate a series of recommendations to try to demystify the feeling of fear on the part of those obese people who feel frustrated in their long journey against the disease. Some of the considerations are listed below:

1.- Favor realism. Although failures exist, they do not have to arise if things are done correctly and the patient shows firm commitment. For techniques such as gastric bypass placement, there is a probability of recovering the lost weight of less than 20% after five years.

2.- Only some interventions are the same, and not all are carried out in the same way. The surgical procedure must show quality and optimal technique. For example, the gastric bypass limits the capacity of the gastric reservoir, and this should not be greater than 50 ccs. In addition, the junction between the stomach and the small intestine must have a container size. If these factors are well practiced, the chances of stomach dilation decrease; the patient must fail a lot and in large quantities with his diet for the result to be reversed.

3.-The patient must be willing to change their lifestyle. In this sense, the specialists handling his case will be his primary support when re-educating his lifestyle. On the other hand, bulimic patients will require additional help.

And it is that one of the essential premises to enhance the effectiveness of this type of intervention is the patient’s commitment. Thus, to facilitate the decision to opt for this technique, there are a series of protocols that will determine each case’s characteristics, the disease level, or the long-term risk of suffering pathologies associated with obesity.

It is also advisable to weigh this decision, that is:

  • Balance the benefits and risks of surgery.
  • The kind of quality of life you’ll get.
  • The damages to which it will be subjected in this regard.

Likewise, once the decision is made, it is essential to choose the best team of specialists with the experience and faculties to ensure success throughout the intervention. That weight loss with gastric bypass is remarkable.

Moreover, this team committed to monitoring the patient must also support him in his postoperative process since it is a fundamental tool to avoid therapeutic failure in the obese person. And is that the more support they have, the more secure the patient will feel when it comes to strengthening their commitment.

Although the fear of undergoing an operation is entirely normal, the obese person should know that going through the operating room is only considered a last option, that is, if diets, exercise, and medications have failed. In addition, if this type of surgery were dangerous, it would directly stop applying.

Weight Regain after Successful Weight Loss and Bariatric Surgery

A significant number of patients experience weight gain after bariatric surgery. Why?

How often have you successfully lost weight, kept it off, and then started to gain weight? If you answered “Absolutely all the time,” then you are not alone. Regaining weight is the nightmare of those who have had successful weight loss from bariatric surgery and has resulted in many people abandoning their weight loss goal.

I will explain how to combat this problem and win the battle against those extra kilos.

First, let’s understand why our body wants to regain lost weight. To explain this, we will understand a concept called the metabolic set point. A set point is the weight range in which our body is programmed to function optimally. The Fixed Point theory holds that one’s body will fight to maintain that weight range. When you go below the body’s natural set point, appetite and metabolism adjust to bring us back to your set point.

Essentially, when we have been overweight or obese for a prolonged period, our body tends to adapt to this state of being overweight and obese and creates a hormonal and systemic environment to sustain and maintain this weight. Still, when trying to lose weight, we are essentially fighting against the established system; therefore, when we lose weight successfully, our body tends to want to return to the original weight and metabolic rate.

Weight loss with gastric bypass 2023

It has been estimated that, on average, it takes approximately 3-5 years for someone to effectively lose weight, maintain it, and allow their body to understand a new metabolic set point. Also, the longer we have been overweight or obese, the longer it will take to lower this metabolic set point.

So what steps can we take to reset our metabolic set point during and after successful weight loss?

Step 1 Consistency

We must create a 3-5 year weight loss plan and stick to it. It’s much harder to do than it sounds, but it’s doable. If genetics drive our weight level, is it impossible to want to achieve weight loss maintenance? It depends on your current weight and your goals. Despite healthier diets and more active lifestyles, some body types are “fatter” by nature. On the other hand, obesity (BMI of 30 or more) is a severe problem that needs to be addressed.

Step 2 Lifestyle

It is always recommended to reflect on one’s lifestyle, explicitly eating well and staying active. Diet and exercise contribute to weight changes, even if they are not the only cause of weight regain.

Step 3 Medication

There are five FDA-approved prescription drugs for weight loss. These medicines work in different ways. Some help you feel less hungry, while others make it harder for your body to absorb fat from food. Weight loss medications work best with lifestyle changes, such as regular exercise and a healthy diet.


Weight regain after bariatric surgery.

Although bariatric procedures fundamentally change the way your body works, thus changing your set point or set point, it is widespread for you to gain weight back after these operations.

Among bariatric surgeries, the Roux-en-Y gastric bypass (RYGB) procedure has been the gold standard until it recently lost its top spot to a newer, less-invasive procedure known as sleeve gastrectomy. But even as RYGB procedures become less common, many post-RYGB patients, despite losing weight in the first few years after surgery, are regaining significant weight eight to ten years later. The average person who undergoes a gastric bypass will eventually recover 20 to 30 percent of the weight they initially lost. About a third of patients will regain almost all the weight lost.

Weight loss with gastric bypass 2023

It is common to gain weight back after gastric bypass/sleeve surgery.

People who regain weight after bariatric surgery often experience various negative emotions, such as disappointment, shame, or frustration. However, as studies show that gaining weight is expected, this should not be viewed as a personal failure but rather as a medical reality. This problem is common after gastric bypass, so you are not alone. We know that bariatric patients will gain some weight back over the long term, and we can work together to help you lose weight again.

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Weight regain is often related to the anatomy of a post-RYGB patient

Gastric bypass surgery changes the anatomy of the stomach and small intestine. During surgery, the stomach is connected to the second part of the small intestine. This new connection is called a “gastrojejunal anastomosis” or an “outlet.”

Over time, the outlet dilates (opens up), and this enlargement can cause weight gain. Because it is common for the outlet to be enlarged, people are often faced with regaining weight years after gastric bypass.

The anatomy of the stomach before and after Roux-en-Y gastric bypass. Exit occurs at the bottom of the new stomach pouch (green).

Weight loss with gastric bypass 2023

Minimally Invasive Options for Post-RYGB Patients Experiencing Weight Gain

Bariatric surgeons rarely recommend a second surgery after RYGB, as repeat procedures can carry risks. Fortunately, undergoing another surgery to treat weight regain is not necessary. Many options are available to post-RYGB patients struggling with weight, including endoscopic procedures, medication, and lifestyle changes.

Endoscopic Procedures

The goal of endoscopic procedures is to reduce the size of the outlet. Reducing output induces weight loss and may also affect hormone levels in a way that reduces hunger. Post-RYGB patients may have output ranges ranging from 20 to 40 millimeters; The average size or diameter of the outlet is eight to ten millimeters.

An endoscopic procedure is an excellent option for people who do not want to undergo another weight loss surgery. These procedures are quick and minimally invasive, performed through the mouth. They are also reproducible, so if you start gaining weight again, you can return for a follow-up procedure.

Complications are rare. They may include bleeding, which can be counteracted with antacid medications. The output can become too small, but that can also be reversed.

IBI Healthcare Institute regularly performs three endoscopic procedures to treat weight regain. The choice, of course, is a combination of patient preference and physician recommendation, and the physician will work with you to find the most appropriate procedure.

  1. Argon Plasma Coagulation (APC)

During an APC procedure, a laser is applied to the outlet, causing it to contract and become firmer. The procedure takes approximately 10 minutes, and the patient returns home the same day. Usually, a few visits are necessary: ​​the process is repeated every three months until the exit size is reduced from eight to ten millimeters.

Early data shows that patients who undergo APC lose approximately five to eight percent of their starting weight after one year.

  1. Transoral Outlet Reduction (TORe)
  2. A TORe procedure involves placing dots around the outlet to reduce its size. The process takes about an hour. TORe helps with weight loss and problems that accompany obesity, such as high blood pressure, diabetes, and high cholesterol.

The data shows that after one year, patients lost 8.4 percent of their initial weight, and its effects lasted for at least five years.

Weight loss with gastric bypass 2023

  1. Plication
  2. The application involves folding the tissues around the outlet inward to reduce size. The concept of plication is similar to suturing, but the devices differ. The BWH Endoscopy Center is currently performing endoscopic gastric plication for patients who have regained weight after RYGB/LSG in the US.

Ongoing studies show that in 6 months, patients lost an average of 10.7 percent of their starting weight.

Before considering an endoscopic procedure at GSC, patients are evaluated to determine compliance with lifestyle changes. We only want patients to undergo a bariatric process if they are committed to maintaining a healthy lifestyle post-op. The endoscopic approach involves the patient’s commitment to eating right and exercising.

The Multidisciplinary Approach at GSC

At all of our centers in the Atlanta metropolitan area, IBI Healthcare Institute takes a multidisciplinary approach to bariatric surgery and endoscopic treatments.

We all work together as a team. We evaluate our patients before and after procedures at the bariatric endoscopy clinic. In addition, we work closely with our bariatric surgeons, nutritionists, psychologists, and bariatric medical colleagues.

Weight regain after RYGB/LSG is common, and many studies are beginning to reveal why. We emphasize that people need to be aware of the resources available to them. If you are suffering from weight regain, please seek help. Don’t suffer just for it. Many people have this problem, and we have compelling and minimally invasive solutions to treat it.

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Weight loss with gastric bypass 2023

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