Weight Regain Post-surgery

What is weight regain post-surgery?

Obesity is the UK’s biggest health crisis – one third of the population is classed as obese. Bariatric surgery is highly effective when compared with lifestyle intervention alone, particularly for those who are morbidly obese.

Gastric bypass is a popular form of bariatric surgery and studies have found that most patients will maintain at least a 20% weight loss and almost half will maintain a 30% weight loss after 12 years. However a substantial number of patients (up to 50%) experience complications later down the line, such as weight regain.

Patients who regain weight after bariatric surgery often feel that they have ‘failed’ their last option, leading to a great deal of frustration and even depression.

A problem with the join between the newly created small stomach pouch and intestines (the gut) is a major factor in weight gain after gastric bypass. This join, called the gastrojejunal anastomosis (GJA), can lose its tightness over time meaning the stomach pouch empties too rapidly. This leaves the patient feeling increased hunger and also allows them to increase the volume of food consumed in one meal. It causes weight gain in 35-50% patients.

It can also lead to another major complication called dumping syndrome in about 25-50% patients.

How can weight regain issues be treated?

Weight regain in this population could be addressed without surgery, for example cognitive behavioural therapy (CBT) or medications approved for weight loss. Surgical correction of this problem is technically challenging, the surgery takes several hours and requires a hospital stay of a few days. It is associated with significant risks and does not always work.

Endoscopic suturing (performed via the throat) to reduce the size of the GJA is an excellent solution. Dr Rehan Haidry offers a cutting edge endoscopic solution called Transoral Outlet Reduction (TORe) which offers patients a second chance to get back on track with their weight loss journey.

Why TORe?

TORe is an endoscopic procedure (performed via a tube down the throat), which means its less risky than surgery and as its less invasive patients can usually go home after 24 hours An endoscopic suturing system shrinks the GJA to 1cm restoring the restrictions of the gastric bypass. Learn more about TORe here.


Get In Touch

For any enquiries about conditions, tests or treatments, please feel free to call Dr Rehan Haidry’s medical secretary Debra Hyams on:

Tel: 0203 423 7609  |  Email: rhaidrymedsec@ccf.org