Half the people who have gastric bypass surgery experience significant weight regain after five years. In the first year post surgery 77% of patients will lose a compelling amount of weight. By year five the number falls to 56% and a substantial amount of weight is often regained.
Reasons for Post- Gastric Bypass Weight Regain
Returning to harmful eating behaviors is the main reason for weight gain after gastric bypass surgery. Read, “Bad Eating Habits that Cause Weight Gain.” Gastric bypass patients also can regain weight if they eat foods with a high calorie to volume ratio, such as protein shakes, milk shakes, or other high calorie foods that do not have much bulk or fiber.
Ignoring post-operative dietary guidelines can result in eating problems. Bariatric patients sometimes induce vomiting, do not chew their food well enough, or overeat. Self-induced vomiting is sometimes an option that bariatric patients use to address discomfort from overeating.
Frequent snacking also leads to weight regain.
Post-surgery liquid intake is not restricted. Drinking high calorie liquids like juice and milkshakes makes it possible to consume a high number of calories even after reduced gastric capacity.
You may want to give some thought to your eating habits if you are gaining weight after gastric bypass surgery. How many times you eat per day. How many times a day you are hungry. How much you eat at a sitting. And how often you feel full.
Lack of exercise also can lead to weight gain.
Pouch or stoma expansion is another reason for weight regain after gastric bypass surgery. If this happens, a follow up with the bariatric surgeon is necessary. The surgeon will most likely order an upper G.I. series endoscopy. If the pouch is significantly stretched, there are several surgical options that may help. But returning to following the pouch rules would be a good non-surgical first approach. Read, “Gastric Bypass Pouch Rules for Dummies.”
Prevent Weight Gain after Gastric Bypass
Weight gain does not have to be a problem after bariatric surgery. Self-regulation and establishing a support network will do much to prevent regaining the weight that has been lost. Read, “OA Overeaters Anonymous after Surgery.”
Joining a weight loss support group will enhance weight loss success. Patients who are active in support groups have about a ten percent lower body mass index than patients who do not participate in support groups.
Follow your bariatric surgeon’s recommendations. This means committing to the long term. Years could pass before patients falter. Dedication to your doctor’s advice is a lifetime obligation.
Obligate to a good nutritional counselor and make her a permanent fixture in your life. Patients who have professional guidance and support have better long-term success.
While bariatric surgery is the best option for addressing morbid obesity, long term success is improbable without lifestyle and behavioral changes. It does not matter which weight loss procedure you choose. Weight regain is always a possibility after bariatric surgery. Prevention is the best approach. Read: “Success Habits of Weight Loss Surgery.”
In good health,