Mar
22

Q&A: Would I be a candidate for a gastric bypass revision with weight gain and ulcers?

Ask A Doctor Question: 

I had a laproscopic RNY approx 12 years ago. Last week I had an endoscope and was told I have several marginal ulcers. GI put me on 40mg of prilosec, however I shouldn't take this because I have RA and take methotrexate as well as prednisone. I have regained approx 40 lbs as well since my surgery, which I can't seem to lose even though I try. With all of that.... would I be a candidate for a revision?

- B.cCristine

Answer: 

John G. Zografakis, M.D., F.A.C.S. - LocateADoc.com

Marginal ulcers are not generally a basis for a revision, and neither is weight regain. Most insurance companies will pay for a revision if an aspect of the original surgery is broken – for example along the staple line. Prevention of ulcers is the first step, which would include avoiding smoking, alcohol, and NSAIDs. If you are already avoiding those three things, then it may be worth a diet analysis with a physician or dietitian that specializes in post- weight loss surgery follow up. We have very successfully treated weight regain through our non-surgical weight loss management program under the guidance of our obesity medicine specialist with the collaboration of our clinical psychologists and dietitians.

--John G. Zografakis, M.D., F.A.C.S.
Akron, OH

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