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Band Over Bypass

There is now a highly successful, safe option for gastric bypass patients who have been “left behind” in their weight loss. A revision with Lap-Band surgery over the previous gastric bypass may be the answer — known as gastric bypass band, gastric banding surgery, lap gastric bypass, or simply band over bypass. Whether you have regained weight after a gastric bypass or you never lost the expected weight, utilizing lap gastric bypass can give you back the restriction that you felt in the first months after your gastric bypass.

The gastric banding surgery will give you the tool necessary to restore your ability to limit your food intake and promote a feeling of fullness (satiety) after meals. This procedure is also considered safer than traditional revisional procedures. As with primary Lap-Band surgery, lap gastric bypass band surgery can most often be placed laparoscopically even if your initial gastric bypass was done open!

By placing a Lap-Band around the bypass with gastric banding surgery, we can control the outlet of the stomach via the tightness of the band and restore the restriction that you may have lost over time or give you the restriction that your may have never had.

Watch Dr. Garber discuss placement of a laparoscopic adjustable gastric bypass band over your gastric bypass if you regain weight.


How is a failed gastric bypass defined?

A failed weight loss procedure can be defined as: less than 50% loss of excess weight, an intolerance to normal foods, signs that the overall quality of life is diminishing, or acquiring additional health issues that were caused by the procedure.

Failed gastric bypass (whether by a less than expected weight loss or weight re-gain after gastric bypass) can create health risks for those who expect a long-term dramatic weight loss. Regardless of where patients had their surgery, the gastric bypass can fail for any number of reasons.

Click on this video to watch an animation of the Band over Bypass procedure


Why Bypass Failures Happen

There are many reasons that a bypass failure can happen. One of the contributing factors may simply have been the experience of the doctor who performed the original surgery. There is a ‘learning curve” for most operations. Bariatric surgery has one of the longest. Depending at what state the surgeon was at that time in their career the pouch may not have been properly sized. With the various types of gastric bypass and the number of gastric bypass operations being done every year increasing (16,000 in 1992 to 220,000 in 2008), there are now thousands who fit in these categories.

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Managing a Failure

Finding that you fit into the category of a failed gastric bypass can be disappointing, but the best thing you can do is contact an expert in revisions. At New York Bariatric Group, we have helped many patients who had a previous bariatric surgery, lose more weight. For bypass patients, an option we offer is called band over bypass. A band over bypass involves managing a failed gastric bypass by doing a Lap Band procedure.


Why We Offer Band Over Bypass

By putting a Lap Band over a bypass, our weight loss surgeons can return to you that feeling of restriction that you had when you first underwent the gastric bypass procedure. The band over bypass can help you feel full on smaller meals, and can help you stay full for longer. When we place a Lap Band around the bypass, we can control the outlet of the stomach via the tightness of the band. We use follow up appointments to adjust the tightness of your band so you achieve optimal results.


Adjustable gastric banding surgery is a restrictive type of weight loss surgery

During laparoscopic adjustable gastric banding surgery or Lap-Band or Realize band surgery, two medical devices are implanted into the body. A silicone band is placed around the upper stomach and an injection port is attached to the abdominal wall under the skin. The port is connected to the gastric band with tubing. The silicone band is lined with an inflatable balloon that can be filled with saline via the access port in order to adjust the size of the stomach opening. Adding fluid tightens the band and increases weight loss, while removing liquid loosens the band and reduces weight loss.

A consultation with Dr. Garber or any of the surgeons at The New York Bariatric Group can help determine the reason for failure of your gastric bypass and the various options available to you. At The New York Bariatric Group we have some of the most experienced surgeons in the world with Band over Bypass and have presented our results at national meetings.

Interested in learning more about the gastric bypass band, or band over bypass surgery? Contact or call the New York Bariatric Group at 800-633-8446 and we’ll provide you with more information on gastric banding surgery, and all of the types of gastric bypass, revisional treatments and solutions, and more.

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Next Steps

If you have previously had a gastric bypass and feel as though you fall into the ‘failed bypass’ category, there is hope. A consultation with a surgeon at New York Bariatric Group can help uncover why you have not lost weight, or why you’ve gained weight back. We can work with you to understand if band over bypass is an option for you. Please contact us so we can provide more details on this obesity treatment option.

Getting Started

Our team is happy to speak with you and help you understand any of the treatments we offer, or answer any questions you have. Please call and speak with us at 800-633-8446, or read more about the surgical and non-surgical options we offer here.

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What our patients are saying

“The staff and doctors at the New York Bariatric Group are amazing! They are always patient, helpful, and very understanding and pro-active with questions, problems, etc. After Lap Band surgery I feel fantastic. For the last 6 years I have not had to worry if my clothes would fit. I have been able to maintain my weight loss, and have so much more energy.”

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"Dr. Holover has a great personality, I love him, I consider him a good friend, and I recommend him to everyone. He and his staff are amazing. I thought my recovery would be worse, but it wasn’t. It was great. After a couple of days I was back on my feet and going, with three boys you don’t have time to be down. Now, my kids have to keep up with me!"

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"My results are incredible; I can go to any store and find clothes that fit, I don’t have to go to the big and tall store anymore. My family and friends say I look great, but more so are so happy about my health. Definitely go for it, it is well worth it."

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"My recovery was very easy, I started moving around pretty quick because the nurses had me up and about. Dr. Angstadt has a great bedside manner, a cheerful disposition and is very knowledgeable. He was genuinely concerned for me, he answered all of my questions and put me at ease. I couldn’t be happier, I think it is the best decision I ever made."

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"I was concerned about my health, my blood pressure, cholesterol, my mobility, my flexibility. A few friends told me about NYBG and I went to a seminar. I wanted to live a healthier life and live a long life. My recovery was great, after a week I was 100%. My doctor, Dr. Sekhar, has the best personality in the world."

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"I had a couple of friends who had bariatric surgery done by Dr. Garber a few years back and I decided to make the appointment. My favorite thing about the surgery is not being able to eat that much, eating whatever I want but in smaller portions. My results are amazing"

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*Individual results may vary.

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