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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 the Lap Band 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 you may have never had. You will eat less and feel full quicker, contributing to more weight loss.

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, weight regain after initial weight loss, 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 regain 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. The stomach pouch may have been too large after the initial surgery. Additionally, the pouch can stretch out over time, allowing patients to eat and drink more. This can occur naturally, or with eating and drinking too much or the wrong types of things. With the various types of gastric bypass and the large number of gastric bypass operations being done, there are many patients that have experience weight regain after their gastric bypass.

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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 bariatric surgery revisions. At New York Bariatric Group, we have helped many patients who had a previous bariatric surgery, lose more weight. A band over bypass may be a good option if you’re eating more after your gastric bypass.

Why We Offer Band Over Bypass

By putting a Lap Band over a bypass, our weight loss surgeons can provide that feeling of restriction that you had when you first underwent the gastric bypass procedure. The band over bypass can help you feel full with 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, a medical devices is implanted into the body. This consists of a silicone band, which is placed around the upper stomach, and attached to an injection port, which is attached to the abdominal wall under the skin. The port is connected to the gastric band with tubing. The silicone band 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 one 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 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 options for revisional treatments and solutions after gastric bypass.

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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.

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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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NYBG offices are now officially OPEN!

New and existing patients can call our offices at 1-800-633-8446 for assistance.

We are still offering VIRTUAL CONSULTATIONS and would be happy to speak with you. We are able to offer our patients all virtual visits via telehealth up until pre-surgical testing if requested.

We look forward to welcoming you back to our office in the future.

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