Before recommending a second operation, Dr. Reza Keshavarzi uses an upper endoscopy to see exactly what changed in your bypass, then chooses between surgical, endoscopic and medication routes.
A gastric bypass revision changes or adds to a Roux-en-Y bypass that has stopped controlling weight. It is planned around one question: which part of the original result has faded.
A bypass works through a small stomach pouch and a narrow connection to the intestine. With time, the pouch can hold more, the connection can loosen, and appetite can return. Each of those calls for a different answer, which is why a revision is never chosen from a menu before the evaluation.
Our surgeon performs primary gastric bypass, gastric sleeve and endoscopic sleeve gastroplasty and oversees medical weight loss. A revision recommendation therefore weighs every route rather than defaulting to the one a single procedure allows.
Fort Lauderdale patients are seen at our South Miami office, where the same surgeon handles the evaluation, the procedure and the follow-up.
Most patients who ask about revision lost weight well at first. These are the patterns Dr. K looks for when he meets you.
A meaningful share of the weight you lost has come back over the years.
Your loss stopped early and never reached the target set before surgery.
Meals that once filled you now leave room, and hunger comes back quickly.
Blood sugar, blood pressure or joint pain that improved is trending back.
The answer may not be another operation. When your anatomy looks sound, a GLP-1 medication with a structured diet can be the better plan, and you will hear that directly.
Book a ConsultationBariatric surgeons revise a bypass in several ways. What your endoscopy shows, how you eat and your health goals decide between them.
| Path | How it works | Access | Usually fits |
|---|---|---|---|
| Endoscopic outlet reduction | Sutures placed from inside the pouch tighten a loosened outlet | Through the mouth, with no incisions | A widened outlet with a pouch near its original size |
| Laparoscopic pouch or outlet revision | The pouch is trimmed or the connection rebuilt smaller | A few small abdominal incisions | A pouch that has clearly enlarged |
| Limb lengthening | More intestine is bypassed so fewer calories are absorbed | A few small abdominal incisions | Continued regain with a pouch and outlet that look sound |
| GLP-1 medication | A weekly medication helps control appetite alongside the bypass | No procedure | Moderate regain, or support before and after a procedure |
Dr. K walks through the paths that fit your findings, explains the one he recommends and tells you why the others rank lower for you.
MD, FACS, FASMBS. Board-certified bariatric surgeon
Patients call him Dr. K. He is our lead surgeon, with decades of experience in bariatric and minimally invasive surgery, and he conducts every consultation himself.
His training runs from a surgical residency at Jackson Memorial Hospital to a fellowship in laparoscopic, bariatric and robotic surgery at Jackson South Medical Center. Because he also performs the sleeve, ESG and the ORBERA balloon and oversees medical weight loss, a revision plan from him can draw on any of them.
Our team supports you through preparation, and your date moves as fast as your testing does.
Dr. K goes over your original bypass, your weight since, how you eat now and any returning health conditions. You leave with a recommended path, the preparation it needs and a price.
An EGD maps your pouch and outlet, and medical clearances confirm you are ready. Dr. Keshavarzi can perform the endoscopy, or a recent one from elsewhere can be used.
A surgical revision is preceded by a required pre-surgery diet. Weight loss injections are stopped at least 2 weeks before your surgery date.
The procedure follows the path agreed at your consultation, whether endoscopic or laparoscopic.
Our surgical patients typically return to work 4 to 7 days after their procedure and avoid lifting more than 20 lbs at first. Dr. K confirms the timeline for your specific revision.
You rebuild meals with our staged diet plans and protein goals, and Dr. K keeps seeing you as you progress.
Each revision is priced to the path you need and the testing you have finished, so your figure comes after your evaluation rather than from a general list.
Cherry is accepted for surgery, and our team reviews financing options with you at your consultation.
Revision patients often ask how involved their surgeon stays. These patients describe what that looks like long after surgery day.
"Dr. K was available via phone call or text at any moment."
Hannah Standiford, Google review
"3 years ago I had my gastric sleeve and 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
"He has been there the whole process, provided his cell phone to make sure he could be reached at all hours."
Yesi, Google review
Regain can come from a stretched pouch, a widened outlet, returning appetite or eating patterns that drifted, and often a mix of these. An upper endoscopy shows whether your anatomy has changed. If it has not, a structured diet and medication may do more for you than another operation, and Dr. K will tell you so.
Yes. An EGD is required because it shows the size of your pouch and outlet today. Dr. Keshavarzi can perform it, in which case it is included in your procedure cost and a $750 hospital fee applies. An endoscopy done elsewhere within the last 5 months is also accepted.
Consultation, surgery planning and follow-up take place at our office at 7330 SW 62nd Pl, Suite 210, in South Miami. Required tests can be completed at our clinic or at an outside facility, which lets many patients handle that step closer to home.
Weight loss injections must be stopped at least 2 weeks before a surgical revision. For some patients, a GLP-1 medication is part of the plan itself, either instead of surgery or after it. Dr. K explains which applies to you at your consultation.
Your price depends on the approach Dr. K recommends and the testing you have already completed, so you receive an exact figure after your evaluation. Financing through Cherry offers 24 months at 0% interest, with monthly payments as low as $320, and cards are accepted for the remaining balance.
Openings on our surgery calendar often fall within the current month. How quickly you reach that date depends on finishing your required tests and clearances, and results from our recommended doctor come back within 48 hours.
Find out what changed since your bypass and leave your consultation with a recommended path, a price and a timeline.
