I have completley fell out with my bariatric team who to be honest had been fantatstic up untill stopped looosing weight and now feel like a door has been shut in my face.
Deepblue,
Most bariatric teams only follow up for 2 years (unless complications develop like hernias etc). The Whittington told me they follow up for 2 years which I was quite pleased about -- in my mind I am thinking "year 1" to check that you get the weight off, and "year 2" to check that you maintain ..... but that ignores what happens to patients in years 3, 5, 10 and beyond.
However, I know that at the Whittington they do quite a lot of "revision" surgeries for patients who have lost restriction in either their sleeve or their bypass. As far as I am aware they are not too judgmental about it -- if after 2 or 3 years it is clear that a person has put back on a large amount and is nearly back up to their op weight, The Whittington take action.
My advice would be rather than approach your bariatric team direct, go back to the starting point:
(1) Go back to your GP and ask for a completely NEW referral for weight loss surgery. Your stats on your profile make it quite clear you are back above 300 lbs and a BMI above 50 -- you will qualify.
(2) You might be asked to do an extra weight management or psych assessment due to having had one previous surgery -- just go thru all the steps, turn up at all the appointments and you will be in the system and on your way to getting your second (revision) surgery.
I would not advise you "slimming world" or any of those options in your circumstances -- the slimming clubs (WW, SW or Conley etc) can be useful when things are going well and help patients who are *already* losing keep doing so and help with their accountability.
My advice at 3 years post op, would be to start from scratch as a NEW weight loss surgery referral (because diet clubs never helped me when I was over 300 lbs and had a large stomach with no restriction so I cannot imagine they would help you a great deal either).
There are several surgery "revision" options available to someone who has had a previous bypass (which may now be quite large and not the neat little pouch it once was):
(1) band over bypass ("Bob")
(2) re-make the pouch and add a fobi ring at the bottom
(3) just surgically "tighten" the pouch
Please please investigate these options with your GP (a new GP if you have to and possibly even a new bariatric team.)