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Can I Have Lap Band Weight Loss Surgery After Gastric Bypass?


band-over-bypassAnyone who has tried will tell you: losing weight is hard. Whether you attempt to lose weight through diet, exercise, pills or bariatric surgery, every weight loss method has obstacles. Seeing your hard work pay off is the ultimate reward, but there’s nothing more frustrating than regaining the weight you’ve worked so hard to lose.

For some patients who undergo gastric bypass surgery, this is the case. Initially patients who have had gastric bypass, successfully lose weight. But, some of those patients eventually begin to regain the weight they’ve lost. While this is a setback in achieving their health and weight loss goals, it doesn’t mean the journey has to end.

Although the addition of an adjustable gastric band to a bypass (often called band over bypass) is still a relatively new procedure, it has been shown to be effective in re-starting weight loss when gastric bypass is no longer the better option for you.

What is Gastric Bypass?

Gastric bypass is one of the most commonly performed bariatric surgeries. For those who qualify, gastric bypass surgery can be life-saving. It’s been shown to improve or resolve many obesity related health conditions such as type II diabetes, sleep apnea and asthma. You may qualify for gastric bypass surgery if you have a BMI of 30 or higher and have one or more obesity-related health problems, such as type II diabetes. Also, if your BMI is 40 or higher, you may qualify even if you do not have a comorbidity.

The surgery itself has two parts:

  1. Restrictive: The stomach is reduced from the size of a football to the size of a golf ball. This is referred to as the gastric pouch. With such a small stomach, people feel full more quickly and end up eating less. This strategy is called "restrictive," since the new stomach size restricts food intake.

  2. Malabsorptive: Food is made to bypass part of the small intestine. This causes less food to be absorbed. 

What causes weight regain after gastric bypass?

Some patients who initially lose weight after gastric bypass begin to regain their excess weight after a few years. The reasons for this are varied, but include, dilation or stretching of the gastric pouch. This stretching causes patients to lose that feeling of “fullness” when they eat--leading to weight regain.

The failure rate after gastric bypass surgery for weight loss has been reported between 10 and 20 percent. When this occurs, the lap band over gastric bypass option for weight loss is considered.

Can I have Lap-Band after Gastric Bypass?

For some gastric bypass patients who have experienced weight regain, the laparoscopic adjustable gastric band (aka Lap-Band) can help patients begin to lose weight again.

band-over-bypassDuring Lap-Band surgery, a silicone band is wrapped around the upper part of the stomach to limit the amount of food the stomach can hold. The amount of restriction is adjusted by adding or removing saline from the band. The ability to adjust restriction can help patients overcome weight loss plateaus. Lap-Band surgery can also be reversed by removing the band.

The addition of an adjustable gastric band to a gastric bypass, is still a relatively new procedure, but surgical literature and studies have documented its success. Lap-Band surgery has been called a safe and effective revision operation for a failed gastric bypass surgery.

If you’ve already had gastric bypass surgery to lose weight and have experienced weight regain, the band over bypass option could help you overcome this weight loss setback. Contact a bariatric surgery specialist to help you decide.



I had gastric By pass surgery in 2009 and now I've gained 30 pounds very quickly. Can I have the lap band to keep the extra weight off? If so how can I get the access skin removed and a liposuction ? I'm in WI can someone let me know what is going on.
Posted @ Saturday, February 08, 2014 7:27 PM by Sharon Warr
I had gastric bypass surgery in 2010. I loss about 150lbs. Over the last year in a half I've gained 70 to 80 pounds. I'm very disappointed. Am I a candidate for this band over bypass?
Posted @ Monday, June 02, 2014 2:57 PM by Nadine
Yes, you can definitely have a lap band after a bypass. At Riverside, we have a great deal of experience with this and would be happy to see you! Please contact our office at (772) 581-8003.
Posted @ Wednesday, June 04, 2014 9:12 AM by Erin Wachtel
I had gastric bypass back in 2005, I lost 136# I have since gained about 70# back. I'm more then interested in the lap band. I live in Niagara falls, NY American side. Can u help
Posted @ Sunday, August 31, 2014 10:09 AM by Shelli Valenti
I had gastric bypass surgery in May 2002,but have gained 80lbs back. I want to know if i am a candidate for the lap band surgery. How long is the surgery, is there a location near Westmont or Bolingbrook Illinois? 
Please reply as at a very upset about this weight gain  
Looking for HELP ASAP.
Posted @ Sunday, August 31, 2014 4:01 PM by Sheilenese Mason
Hi Shelli -- Please call us at (877) 261-1964 to discuss if you are a candidate for a lap band. We are happy to help! 
Hi Sheilenese -- Please call us at (877) 261-1964 to discuss if you are a candidate for a lap band. We do not have an Illinois location, however several of our patients have traveled to Florida for the surgery and recovery, and were pleased with the experience.
Posted @ Tuesday, September 02, 2014 9:10 AM by Erin Wachtel
I had gastric bypass in 2003, lost 80 pounds and I have regained it all. How can I find out if I am a candidate and are there any surgeons in Boston?
Posted @ Monday, September 08, 2014 9:44 AM by renee
I had the gastric bypass aug. 2001 i lost 210 lbs since then i have gain 110 lbs please i have tried so many things do i qualify for the lap band i want to be small again i was so happy then. Please help!
Posted @ Thursday, September 11, 2014 4:15 PM by Carla
I had bypass surgery in 2005. I lost 165 lb. I have gained 50 lb back in the last 2 years. I live in the LA area. I want info on the cost without insurance. Or what PPO to use for coverage.
Posted @ Sunday, September 14, 2014 11:32 PM by J Anderson
I've had bypass in 2003 but gained back 50 lbs and i ex cerise everyday and can't lose the weight, everyone I know who's had banding has lost weight and kept it off better than myself. Can I get the band? I'm in Long Island. 
Posted @ Monday, September 15, 2014 8:28 PM by Maria Valentin
Hi Renee — Please call us at (877) 261-1964 to discuss if you are a candidate for a lap band. We do not have surgeons in the Boston area, but we have many patients who travel to our facilities and have a great experience.  
Hi Carla — Please call us at (877) 261-1964 to discuss if you are a candidate for a lap band. We are happy to help!  
Hi J — Please call us at (877) 261-1964 to discuss if you are a candidate for a conversion surgery. We'd be happy to discuss cost and info on coverage with you.  
Hi Maria — Please call us at (877) 261-1964 to discuss if you are a candidate for a conversion surgery!
Posted @ Tuesday, September 16, 2014 9:27 AM by Erin Wachtel
I have had gastric bypass 10 years ago, it let me live again I lost 130 I've gained about 60 in last two years my mom had cancer well it's no excuse I just started eating more and I am feeling like crap again I didn't get pencil thin but I'd love to have 40 lbs off. Been on diet pills but also depression meds. Can I do lap or sleeve I live in Corning Ar
Posted @ Thursday, September 18, 2014 8:39 AM by Gidget Ervin
Hello my name is alba I had a gastric by pass 5 year a go and lost 95 pound but am gaing weigh back as right now I have 47 pound extra do I cualify for lap band?
Posted @ Thursday, September 18, 2014 5:58 PM by albanelly ramirez
H Gidget, you maybe be a candidate for a revision surgery or other options. Please call us at (877) 261-1964 to see which is the best path for you!  
Hi Alba, please call us at (877) 261-1964 or fill out our contact form to discuss your options! Contact form here:
Posted @ Friday, September 19, 2014 8:52 AM by Erin Wachtel
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