Las Vegas Bariatrics Blog
Dr. Hanna & Las Vegas Bariatrics has redefined surgical weight loss by emphasizing nutrition, fitness & group support before as well as after surgery.
Losing weight after bariatric surgery can sometimes happen fast which can also lead to weight regain. Weight gain and stomach stretching are issues that many bariatric patients worry about after their weight loss surgery. In order to combat weight gain and weight fluctuations, There are 1 of 2 ways to combat the weight regain with the help of a bariatric professional. You can either have a revision surgery or do a pouch reset. Many bariatric patients resort to doing a pouch reset first before deciding on revision surgery.
Your stomach is a muscular organ. When empty, your stomach is the size of your fist. However, it can stretch to hold as much as four liters of food or more than seventy-five times its empty volume, before returning to its resting size when empty. It stretches to accommodate large amounts of food and then shrinks back to it’s normal size as the food is pushed into the digestive track.
Even after bariatric surgery, the stomach continues to stretch and then contract. Folds of tissue within your stomach, called rugae, expand and contract in response to food. When you overeat, the rugae in your stomach stretches, and with a constant flow of food it never returns to its normal size. This causes your stomach to accommodate larger and larger amounts of food before you feel that sense of ‘fullness.’
A pouch reset is a tool to get your stomach back to its normal size. This is done by severely reducing your food intake.
Note: While you can do your own pouch reset, it is strongly recommended you do it with the support of a bariatric surgeon and dietitian.
How does a pouch reset work?
The bariatric pouch reset mimics your immediate post-surgery diet. A normal post gastric bypass diet typically has four to five stages and lasts 8 to 10 weeks. The pouch reset uses similar guidelines but lasts only 8 to 10 days. You are severely restricting your food intake so it’s highly suggested that you do this with the help of your bariatric surgeon and/or dietitian.
Day 2 and 3
Day 4 to 6
Day 7 to 9
Day 10 and Beyond
The pouch reset is not easy. You’ll need support and some serious willpower. But it can be done and you can get back on track.
The pouch reset plays into bariatric patients’ fear that they are putting on weight because they’ve ‘stretched’ their stomach. It does not take into consideration that the stomach has the natural capacity to stretch because it’s a muscle. After weight loss surgery, the stomach is restricted due to swelling and scarring. However, when your stomach heals from surgery, it continues to work like a normal un-sleeved stomach, and your capacity to eat more increases.
The size of your pouch has nothing to do with whether or not you regain weight after your gastric sleeve surgery or gastric bypass. The majority of weight gain is caused by what you eat after surgery, the timing of your meals and snacks, and how you are eating.
For instance, if you feel comfortably full for two-three hours after eating the amount of food that fits on a small plate –this includes a nutritious combination of protein, vegetables, and a small amount of grains—your pouch is fine.
The bariatric pouch reset is not a fix all it is simply meant to restrict your caloric intake, which then causes you to lose weight. As soon as you start to eat larger meals, your stomach will respond to the increased volume.
If you would like to schedule an appointment with a bariatric surgeon or dietitian about doing a pouch reset, revision surgery or if you are considering bariatric surgery please visit our contact page.