Signs your gastric bypass or sleeve surgery pouch has stretched include being able to eat larger meals or greater quantities before feeling full, losing the sensation of restriction during meals that you had earlier after surgery, increased hunger and appetite between meals, weight plateau, or regaining after the initial loss, and heartburn. If you can consume food rapidly without needing to chew thoroughly or feel stretched after meals, your pouch has likely enlarged. Consulting your bariatric team can help diagnose pouch stretch. A pouch reset may be recommended.