Endoscopic Revision
Frequently Asked Questions

What Is Endoscopic Bariatric Revision?

An endoscopic bariatric revision is a non-surgical procedure that is performed endoscopically to restore the weight loss potential of previous bariatric surgery.

Why Would A Person Need An Endoscopic Revision?

When an individual undergoes gastric sleeve or gastric bypass surgery, the size of their stomach is altered into a small pouch which limits the amount of food that can be ingested in one meal. This restriction of food is one of the components that leads to weight loss.

Over time, the size of the pouch can stretch out and become larger which would allow more food to be consumed. Also, the point where the stomach and small intestine connect can widen and create less restriction which decreases the amount of time the patient feels full. A patient can experience one or both of these issues which can cause them to gain weight.

An endoscopic bariatric revision procedure can repair both of these issues and restore the “restrictive” environment to stop the weight gain and facilitate additional weight loss.

Is There A Way To Tell If An Endoscopic Revision Will Stop My Weight Regain?

A test called an upper endoscopy or a barium test can be used to evaluate the connection point between the intestines and the stomach and also the size of the pouch to determine if either has become enlarged. This can determine whether the issue can be corrected endoscopically or if weight regain is a result of other factors.

Who Is A Candidate For Endoscopic Bariatric Revision?

Patients who have previously had gastric sleeve surgery or gastric bypass surgery and are experiencing weight regain despite proper adherence to their diet and exercise program are the most frequent candidates for bariatric revision procedures.

Who Is Not A Candidate For An Endoscopic Revision Procedure?

Individuals who have regained weight for reasons other than the widening or stretching out of the stomach or outlet connection. Patients with ulcers, active smokers, or individuals who had complications with their bariatric weight loss surgery may not be candidates for a bariatric revision procedure.

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How Is An Endoscopic Revision Procedure Performed?

A bariatric revision is performed using an endoscope which is a small flexible hollow tube with an attached camera that is placed down a patient’s throat while they are sedated. The entire procedure takes place through the endoscope, is non-surgical, and used no incisions.

A special suturing tool (the Apollo system™) is lowered through the endoscope and used to strategically place sutures to tighten and repair the areas that have stretched out.

How Long Does An Endoscopic Revision Take?

The procedure typically takes 30 to 45 minutes depending on the extent of repairs needed. After the procedure, patients spend a short amount of time in recovery, and then they are discharged to go home.

How Does An Endoscopic Revision Compare To A Surgical Revision?

Because of the complex nature of a surgical revision, there is a 30% risk for major complications. In comparison, a bariatric revision performed endoscopically through the patient’s throat poses less than a 1% probability of a major complication.

Because the procedure does not require surgery, there is no hospital stay necessary. The recovery period is minimal and most patients can return to work in two to three days.

What Are the Side Effects And Long-Term Risks Of Endoscopic Revision?

The short-term side effects include mild nausea, upper abdominal pain or pressure, and a general feeling of indigestion. The risk for major complications is less than 1% and includes bleeding, stomach injury, and infection.

What Is The Weight Loss Potential Of An Endoscopic Revision?

Weight loss is usually not as rapid or extensive after a revision versus after the initial bariatric surgery. Patients typically lose around 20% of their total body weight after a bariatric revision.

The results will vary by patient and be largely dependent on how well they are adhering to the necessary lifestyle changes that facilitate weight loss.

The good news is that the weight that is lost after an endoscopic bariatric revision is usually sustained long-term and the weight gain has been stopped.

How Do I Maintain The Weight Loss After An Endoscopic Bariatric Revision?

If you have gone through bariatric surgery, you were provided with a plan outlining lifestyle changes that are necessary to lose and maintain a healthy weight. These changes include healthy eating habits, physical exercise, proper hydration color adequate sleep, stress management, etc.

Going back to basics and reimplementing any of these changes that have been discontinued will be necessary for long-term weight loss success.

Take the first step on your journey to a healthy life

IBI Healthcare Institute provides an unmatched patient experience and outstanding results. You matter to us.

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