Band Over Bypass 2018-01-29T19:32:44-06:00

Band Over Bypass

Band over bypass is a gastric banding procedure done after a gastric bypass. We all know that gastric bypass and gastric banding are two different procedures. If you did not know, now you know. These two procedures are done at separate times. You cannot do both procedures at once. You may have life-threatening risks if you do so. You may have had gastric bypass surgery, and now you are not losing weight as effectively as you expected. If that is the case, band over bypass could be the answer for you. Getting the knowledge and some understanding of the procedure can help you know if that is your next step in your weight loss journey.

Weight Loss Struggle

When you eat, food goes down the esophagus into the stomach. Once your stomach is full, your body lets you know it is time to stop eating. The more you eat even after you are full, the more your stomach will stretch. Along with stretching the communication of your stomach with your brain gets thrown off. You will think you are hungry even though you are not. You slowly but surely begin to gain weight. There is not one magical way for everyone to lose weight. You have to figure out what works for you. Some people have the discipline to eat right, and exercise and others need surgical procedures. Most surgical procedures are very effective and change your life forever. Unfortunately, some people have surgery that does not last. Sometimes the surgery was not done properly, and they end up having problems after.

Gastric Banding

Gastric banding is a weight loss procedure that requires the use of an elastic band. The procedure is minimally invasive and does not require the stomach to be cut. While under general anesthesia, the surgeon places a band around the upper part of the stomach. A small upper pouch allows the stomach to hold less food; therefore, you feel full and eat less.

Gastric Bypass

A gastric bypass is a procedure that is risky, but very effective in weight loss. The procedure requires the dividing of the stomach through incisions. The stomach is divided into a small upper pouch and larger lower pouch. The small intestines connect to both parts of the stomach. The goal is that you will eat less and feel full because food will first enter the small pouch. You should begin to lose weight fairly quickly.

Gastric Bypass Failure

Gastric bypass is effective for many but not for everyone. Sometimes the procedure fails. It is important to know what defines a failed procedure. Here are a few guidelines:

  • Less than 50% of excess weight loss
  • Food intolerance
  • Increase in health issues
  • Quality of life diminishing

There is not one specific reason why gastric bypass procedures fail. Some people do not follow all the directions and others follow every single direction and still experience failure. There are times when your surgeon does not make a small enough pouch. Some people regain the weight back. It is not smart to try to reverse the procedure. If your physician notices these things, they may offer another method that helps.

Band After Bypass Procedure

The procedure requires the use of two devices: a silicone band and an injection port. Unlike gastric bypass surgery, the band is placed on laparoscopically. There is a small incision, and it does not require the whole stomach to be cut open. To start off, the silicone band is placed around the upper stomach. The port is put in the abdominal wall under the skin. The silicone band is filled with saline solution by way of the port. The solution fills up the balloon connected to the silicone band. The amount of saline added is dependent upon how large or small the surgeon wants the stomach opening to be. After the procedure, the band can be tightened with the saline solution to enhance weight loss and loosened to decrease weight loss.

Why Is It Done?

Band after bypass or band over bypass is a lap band procedure after gastric bypass. This procedure is not done right away or a few months after. The procedure is typically done years after the gastric bypass surgery. It is not the best idea to do another gastric bypass surgery because the first one did not work. The other problem is that you will have to split the stomach again. The band adds that restriction back to the stomach that it may have lost. The new restrictive feeling allows you to feel full again and loses the weight you need to lose.

Band over bypass is a fairly new procedure that is not for everyone, but it could be for you. If you have had a gastric bypass and are no longer losing weight and may even have additional health problems, you should talk with your doctor about the band over bypass surgery. This procedure can get you back on course and help you reach your weight loss goals.


There are hundreds of Surgeons to choose from; however, not all doctors are created equal. Advanced Bariatric surgery takes the skill and finesse of an experienced Surgeon. That’s why we’ve selected your city’s best Surgeons – to make the decision process easier for you and your family.

For your peace of mind, Top10MD Surgeons’ credentials are validated yearly to verify medical licenses have no serious patient care sanctions, current Board Certifications in their given medical specialty, current DEA & DPS licenses, and malpractice insurance. A Top10MD has at least 5+ years experience or has performed 300+ procedures in their given specialty and a current Patient Satisfaction Score of 8.5 or higher.

Take Control of Your Health & Schedule a Consultation Today!

Find Your Doctor
Find Your Doctor