When weight returns after a Roux-en-Y bypass, Dr. Reza Keshavarzi finds the cause with an endoscopy first, then builds a plan that may pair revision surgery with GLP-1 medication and nutrition support.
Our office is in South Miami and welcomes revision patients from West Palm Beach and across Palm Beach County.
Gastric bypass revision is a follow-up operation on a Roux-en-Y gastric bypass that no longer controls hunger or weight the way it did in the first years. It is planned around what has actually changed in your body, so we start with an evaluation rather than a procedure name.
Dr. K performs primary gastric bypass as well as the sleeve, endoscopic and medical options a revision plan can draw on. Your evaluation answers three questions.
An upper endoscopy shows the size of your pouch and the connection to the small intestine. When either has stretched, larger meals pass through before you feel full.
Appetite signals can grow stronger years after surgery even when the anatomy looks the same. That pattern points toward GLP-1 medication more than a second operation.
Grazing, liquid calories and emotional eating can wear down a working bypass. Nutrition coaching and psychological support address these with or without surgery.
Regain after a bypass is common, and it has a cause that can be found. These are the patterns that most often bring patients to us.
Regain is not a personal failure. The evaluation shows whether the driver is anatomical, biological or behavioral, and the plan follows from that answer.
Surgery and medication are not rivals in our office. Dr. K matches each tool to the cause of your regain, and many revision plans use more than one.
| Option | What It Changes | Usually Matched To |
|---|---|---|
| Surgical revision | Resizes a stretched pouch or outlet, or restores the effect of the bypass | An endoscopy that shows an anatomical change |
| GLP-1 medication | Quiets appetite and hunger signals | Sound anatomy, or support before and after a revision |
| Nutrition coaching and psychological support | Eating patterns, food choices and emotional eating | Every plan, surgical or not |
When surgery is part of your plan, weight loss injections are stopped at least 2 weeks before the procedure.
Each step has one job: confirm the cause, prepare your body, change only what needs changing, then stay close while you settle in.
Dr. K reviews your original operation, your weight history, your current medications and what has changed. You leave knowing which options fit you and which tests come next.
An upper endoscopy, or EGD, is required before any revision, and one performed within the last five months is valid. Medical clearances are completed before a surgery date is set.
A pre-surgery diet is part of every surgical plan, and GLP-1 injections stop at least 2 weeks ahead. Our team supports you through the whole preparation period.
Dr. K performs the revision chosen for your anatomy. After our bariatric procedures, patients typically return to work in 4 to 7 days and avoid lifting more than 20 lbs while they heal.
Dr. K stays reachable after surgery and contacts patients from his own cell phone. Our diet plans guide each stage of eating as you heal.
Dr. Reza Keshavarzi, MD, FACS, known to patients as Dr. K, is a Diplomate of the American Board of Surgery. He completed his surgical residency at Jackson Memorial Hospital and a fellowship in laparoscopic, bariatric and robotic surgery at Jackson South Medical Center.
A revision asks the surgeon to work with an operation that is already in place. Because Dr. K performs gastric bypass, gastric sleeve, endoscopic sleeve gastroplasty and ORBERA balloon procedures and oversees medical weight loss, he can weigh every route for your regain rather than steer you toward one.
A revision is a long-term commitment, so access to your surgeon matters. These Google reviews come from our bariatric patients.
He has been there for me from the beginning of my journey until now.
Sherly G., 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
The doctor was very straightforward and honest and extremely professional.
Pat C., Google review
The cost of a revision depends on what needs to change, so your price is set after the evaluation rather than quoted in advance. You receive the full quote and your financing options at your consultation.
Financing through Cherry spreads the cost into monthly payments, and debit and credit cards are accepted for the remaining balance.
Cherry is accepted as a payment method for surgery.Our office is in South Miami, about 75 miles south of West Palm Beach by I-95 or Florida's Turnpike. Your revision and in-office follow-up visits take place here with Dr. K.
We plan the trip with you so the drive happens when it counts. Testing and your endoscopy can be arranged closer to home, and Dr. K stays reachable by phone between visits.
It depends on why the weight came back. When the endoscopy shows a stretched pouch or a widened outlet, a revision can restore the fullness the bypass once gave you. When the anatomy looks sound, GLP-1 medication and nutrition support are often the better first step, and Dr. K will tell you so.
The price depends on what needs to change, so it is set after your evaluation rather than quoted in advance. Financing through Cherry offers 24 months at 0% interest, with monthly payments as low as $320, and debit and credit cards are accepted for the remaining balance.
Yes, an upper endoscopy, or EGD, is required because it shows the size of your pouch and outlet. An EGD performed within the last five months can be used, and it can be done by Dr. K or at another facility.
For many patients it can, either on its own or alongside a revision. Dr. K builds plans that combine GLP-1 medication, surgery, nutrition coaching and psychological support. If surgery is part of your plan, weight loss injections are stopped at least 2 weeks beforehand.
After our bariatric procedures, patients typically return to work in 4 to 7 days and avoid lifting more than 20 lbs while they heal. Your own timeline depends on the revision chosen, and Dr. K reviews it with you before surgery.
Timing depends mostly on how quickly your required tests and medical clearances are completed. Results from our recommended doctor are usually back within 48 hours, which keeps the preparation moving.
Results vary with the cause of your regain, the revision performed and the habits you build afterward. Dr. K gives you a realistic expectation once your endoscopy and history have been reviewed, rather than a number promised in advance.
Start with an evaluation from a fellowship-trained bariatric surgeon and leave with a plan built around the cause.
