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Yes, it's called "Revision Surgery." While the "bypass" portion of the surgery you've already had won't be repeated, there are often revisions which can be done to re-tighten the reduced stomach (which, as a muscle, stretches over time due to overeating or returning to bad habits) or the stoma. In some cases, if you've had RNY and simply need to retighten the pouch, a lap band procedure can be done to reintroduce you to restrictive eating. In some cases, surgery the second time around is more difficult than the first, however, as the surgical area has already been compromised by the first surgery, and obviously, many emotional and psychological factors are involved -- including why the revision is needed or why the rules of the first surgery were not followed.

You can have gastric surgery again if you not found sufficient result with the previously done surgery or you have any complications like band slippage, inflation or other. But you must be ware that revision surgery is totally depend upon the success and failure of previous surgery results and is more complex than previous one.

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13y ago
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12y ago

A gastric bypass involves removing a portion of the small intestine as well as surgically making the stomach smaller. Once this section of small intestine has been removed, it would be unwise to remove any more of the small intestine since the risk of developing problems from not being left with enough functioning intestine (including risks nutritional deficiencies and long-term wasting) would be much greater.

Having a working portion of small intestine is necessary for long term survival - this is where the nutrients from food are absorbed. In patients who do not have a working small intestine, they will be placed on TPN feeds (total-parenteral nutrition), which is essentially a feeding regime via an IV line (into a vein). This has some significant side effects in the long run (including liver failure) and in the short run it is inconvenient since in most cases it has to be done in a hospital. In the long run, these patients may go on to having small intestine transplants to improve quality of life.

This means that in most cases it would not be recommend to have more than one gastric bypass due to the huge reduction in the amount of small intestine you would be left with. However, if your stomach had expanded in size from the original bypass, you may be 'safely' reassessed as being able to have stomach-stapling or a gastric band fitted, since neither of those necessitate removal of more small intestine.

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15y ago

There is a HUGE risk. DO NOT DO THIS. No reputable surgeon would dare do such a thing. Most people I know who have had a gastric bypass once but gained weight back are better to have a LapBand afterwards instead. A Lapband can help restrict you from eating too much and gaining weight for the rest of your life. So this would be your safiest option. It averages between 15 to 20k in the USA. However many people are finding the benefit of travelign to Mexico for these surgeries now. You can get it done for as low as $6500. Check sites like obesityhelp.com and medpathgroup.com for unbiased reviews of different surgeons all over the world not just in the USA, Canada, and Mexico.

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14y ago

Gastric bypass surgery is considered permanent. Banding procedures maybe reversed for medical reasons, such as severe malnutrition.

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12y ago

yes you can.

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11y ago

yes

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Q: Can you do gastric bypass surgery twice?
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