Fellowship-trained bariatric surgeon Dr. Reza Keshavarzi finds out why your bypass stopped working, then weighs surgical, endoscopic and medication options before recommending one.
Gastric bypass revision is a second procedure or treatment plan for patients whose Roux-en-Y bypass no longer controls their weight the way it once did. The aim is to find what changed and correct that specific thing.
Over the years the stomach pouch can stretch, and the connection between the pouch and the small intestine can widen. Food then moves through faster, portions grow and the early fullness fades. Hunger signals and eating patterns shift too, so regain rarely comes down to a single cause.
That is why every revision plan here starts with a diagnosis rather than a preset operation. Dr. Keshavarzi performs gastric bypass, the gastric sleeve and endoscopic sleeve gastroplasty and oversees medical weight loss, so he can match the fix to what your endoscopy and history show.
Patients from Davie make the drive south to our South Miami office for consultation, planning and follow-up, with the same surgeon at every step.
Revision is most often discussed when the original operation helped for a time and then stopped helping. Dr. K conducts every consultation himself and reviews these patterns with you.
You have regained a large share of the weight you lost, even while keeping the habits that worked before.
Your loss stopped well short of your goal in the first year or two after surgery.
You can eat larger meals than you could after surgery and feel hungry again soon after.
Blood sugar, blood pressure or joint pain that improved after your bypass is moving back in the wrong direction.
You have tried tightening your eating on your own and want a plan built around how your anatomy works now.
You are prepared to return to structured meals, protein goals and regular follow-up alongside any procedure.
Revision is not always surgery. Depending on what your evaluation shows, your plan may involve a laparoscopic revision, an endoscopic approach, medication or a combination of them.
Book a ConsultationSurgeons use several approaches to revise a gastric bypass. The right one depends on what changed in your anatomy, how you eat day to day and your health goals.
| Approach | What it changes | Incisions | Often considered when |
|---|---|---|---|
| Endoscopic outlet tightening | Stitches placed from inside narrow a widened pouch outlet | None, performed through the mouth with an endoscope | The outlet has widened while the pouch is close to its original size |
| Surgical pouch or outlet revision | The pouch is reshaped or the connection is remade smaller | Laparoscopic, through small incisions | The pouch itself has stretched considerably |
| Limb lengthening | The bypassed length of intestine is extended to absorb fewer calories | Laparoscopic, through small incisions | Pouch and outlet look sound but regain continues |
| Medication added to the plan | A GLP-1 medication supports appetite control alongside the bypass | None | Regain is moderate, or as support before or after a procedure |
Dr. K reviews each approach with you and explains which he recommends and why. Because he performs gastric bypass and ESG and oversees medical weight loss, he compares surgical, endoscopic and medication routes from direct experience.
MD, FACS, FASMBS. Board-certified bariatric surgeon
Dr. Keshavarzi, known to patients as Dr. K, is our lead surgeon and has spent decades in bariatric and minimally invasive surgery. He completed a fellowship in laparoscopic, bariatric and robotic surgery at Jackson South Medical Center after his surgical residency at Jackson Memorial Hospital.
For a revision, that range matters. He performs gastric bypass, the sleeve, ESG and the ORBERA balloon and oversees medical weight loss, so his recommendation is never limited to a single procedure.
Our team supports you through every part of preparation, and your timeline moves as quickly as your testing does.
Dr. K reviews your original operation, your weight since, your eating patterns and your current health. You leave knowing which approach he recommends, what preparation involves and what it costs.
An upper endoscopy, known as an EGD, shows the size of your pouch and outlet today, and medical clearances are also required. Dr. Keshavarzi can perform the EGD himself, or one done elsewhere within the last 5 months is accepted.
A pre-surgery diet is required before a surgical revision. If you take a weight loss injection, it is stopped at least 2 weeks before your surgery date.
The procedure follows the plan agreed at your consultation. Surgical revisions are performed laparoscopically, through a few small incisions.
Many of our laparoscopic patients return to work within 4 to 7 days and avoid lifting more than 20 lbs early on. Dr. K sets the timeline for your specific procedure.
You move back through staged diet plans and protein goals, and Dr. K keeps seeing you as the weight comes off. Patients mention in reviews that he stays reachable on his own cell phone.
Revision pricing depends on which approach you need and how much testing is already done, so Dr. K gives you an exact figure after your evaluation.
Cherry is accepted for surgery. Our team walks you through financing options during your consultation.
A revision is a long-term commitment on both sides. These patients describe what follow-up with Dr. K looks like years after their first operation.
"Since then he has continue with his care and professionalism, guiding me so that the surgery continues to be a success."
Glorivee Gonzalez, Google review
"The doctor was very straightforward and honest and extremely professional."
Pat Cutting, Google review
"Extremely knowledgeable, responsive, and genuinely committed to patient care."
Jeff De La Cruz, Google review
The usual signs are steady weight regain, weight loss that stalled early, meals that no longer fill you up and health conditions that are coming back. An evaluation that includes an upper endoscopy shows whether your pouch or outlet has changed. Dr. K then explains whether a revision, medication or a habit reset is the right next step.
No. Depending on what your evaluation finds, the plan may be a laparoscopic revision, an endoscopic approach through the mouth, a GLP-1 medication added to your routine or a combination. Dr. K performs gastric bypass and ESG and oversees medical weight loss, so each route is weighed on its merits.
The cost depends on the approach you need and the testing already done, so you receive an exact quote after your evaluation. When Dr. Keshavarzi performs your EGD, it is included in the procedure cost and a $750 hospital fee applies. Financing through Cherry offers 24 months at 0% interest, with monthly payments from $320.
Yes. Required tests can be done at our clinic or at an outside facility, and an endoscopy performed within the last 5 months is accepted. Results from our recommended doctor come back within 48 hours, and your surgery date depends on how quickly testing is finished.
For some patients it can, either on its own or alongside a revision. Dr. K combines GLP-1 medication with bariatric surgery when the combination suits a patient's long-term goals. If surgery is part of your plan, the injections must be stopped at least 2 weeks beforehand.
Yes. Revision starts with a fresh look at your anatomy as it is today, so your endoscopy and history matter more than where the first operation was done. Dr. K reviews both before recommending anything.
Sit down with Dr. K, find out what changed since your bypass and leave with a plan, a quote and a clear timeline.
