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Minimally Invasive Revision Surgery

Patients who regain weight after their initial weight loss surgery now have options.

Have you started to regain weight after initial success from weight loss surgery? Over time, the stomach or the outlet that connects it to the small intestine can stretch. As a result, patients can eat more food before feeling full. We now offer a safe and effective endoscopic procedure to reduce your enlarged stomach and outlet to their original post-operative proportions.

Why would I regain weight after weight loss surgery?

Outlet 0 Months

Outlet 0 Months Following
Weight-Loss Surgery

Outlet 36 Months

Outlet 36 Months or More Following
Weight-Loss Surgery

A common cause includes gradual stretching of the stomach or outlet. When some weight loss surgeries are performed, the stomach and outlet are made very small to reduce the amount of food consumed and slow the passage of food through the digestive tract. Together, this helps patients feel fuller, longer after eating just a small amount. As a result, weight loss occurs from a dramatic decrease in calories. Many clinicians have shown when the stomach and/or outlet gradually stretch, it takes longer for the patient to feel full. As a result, patients may begin to regain weight.

Endoscopic outlet and stomach repair.

Outlet Overstitch

Additional Sutures in the Stomach

We now offer qualified patients an endoscopic procedure to reduce the volume of an enlarged stomach and the diameter of the outlet. This procedure is performed using a small flexible endoscope and specialized device that allows sutures to be placed through the endoscope. The scope and suturing device are inserted through the patient’s mouth into the stomach the same way as a standard endoscope. Sutures are then placed around the outlet to reduce the diameter, typically from the size of a silver dollar to the size of a dime. The same technique may then be used to place additional sutures in the stomach to reduce its volume capacity.

What are the benefits of the endoscopic procedure?

Scarring and adhesions from the initial weight loss surgery procedure often make open or laparoscopic revision surgery very challenging, and at times impossible. Abdominal revision surgery takes longer than the original weight loss surgery and patients are three times more likely to develop complications. Having a revision through endoscopic procedure decreases the patient’s risks. Patients experience less pain, recover faster, and have no abdominal scarring. Typically, patients go home the same day, but each patient’s discharge will vary based on the physician’s recommendation.

What are the side effects?

It is anticipated that patients will feel little or no discomfort from the endoscopic procedure. Minor side effects may include gas pain, nausea, sore throat, swollen tongue, and lip pain from the insertion of the endoscope into the mouth.

What is the recovery process?

Patients typically return to their normal routine within 48 hours. Following endoscopic outlet and stomach repair, patients should follow the same diet and exercise regimen they did after their initial weight loss surgery.

Am I a candidate for minimally invasive revision surgery?

Not all patients who have had gastric bypass surgery are candidates for this procedure. A surgeon will need to evaluate the patient to determine if the patient is a candidate.

Will it be covered by insurance?

Insurance coverage varies depending upon the patient’s insurance plan. In addition, cash pay options may be available. For further information, call the Institute for Metabolic and Bariatric Surgery at 215-441-6800 to make an appointment.