OverStitch Gastric Bypass Revision

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Patients who undergo gastric bypass surgery have the potential to lose a significant amount of weight. Losing this weight is an ongoing process and requires a life-long commitment to making healthy choices. Sometimes patients hit weight-loss plateaus or they begin to regain weight for one of many reasons. One of the things they can do to help get them back on track is to have an Overstitch procedure.

What Is An Apollo Overstitch Procedure?

The Apollo Revise System™ (previously OverStitch Endoscopic Suturing System) was developed by Apollo Endosurgery, Inc and was FDA-approved in July 2022 for use in transoral outlet reduction (TORe). This is the first and only device authorized by the FDA for endoscopic bariatric revision.

The Overstitch procedure is the term used to describe the placement of sutures during a variety of medical procedures including treating gastrointestinal defects and complications and treating obesity. A flexible endoscope is lowered down the patient’s throat and sutures are strategically placed without the use of incisions.

Is Apollo OverStitch Used During Endoscopic Sleeve Gastroplasty (ESG)?

Yes, ESG, the non-surgical weight loss procedure is also performed using the Apollo ESG System™ (previously OverStitch Endoscopic Suturing System) as it offers easier and more precisely targeted placement of the sutures. During ESG, the patient’s stomach is refolded and shaped into a small pouch-like sleeve and then held in that position through the use of sutures. The smaller stomach size helps to control meal portions and facilitates weight loss.

How Can OverStitch Help Revise A Gastric Bypass?

A gastric bypass, also known as Roux-en-Y is a surgical procedure that helps obese patients lose weight using two types of techniques:

  • Restrictive technique works by reducing the size of a patient’s stomach so they can only eat a small amount during one sitting, they feel “full” longer because the food they eat takes longer to digest;
  • Malabsorptive technique works through alterations that are done to the digestive system so not all the calories ingested are absorbed and stored by the body.
Patient Testimonial - TOR-E Bariatric Revision - IBI Healthcare Institute

A patient had an Overstitch TOR-E revision, a type of Gastric Bypass Revision. Transoral outlet reduction reduces weight regain after bariatric surgery. This is done endoscopically through the mouth and is incision-less reducing recovery times. It is done as an outpatient procedure with no long hospital stays. Originally had bariatric surgery 18 years ago. Called a bunch of places in Miami and couldn't get information or pricing. Chose us because we were upfront and accomodating.

Gastric bypass surgery is major surgery and has a fairly extensive recovery period. However, gastric bypass revision completed with the OverStitch procedure is done outpatient and can help you get back on track quickly!

Why Would A Patient Have Overstitch?

There are many reasons why a patient may gain weight after gastric bypass surgery, but one of the most frequently found issues is the gradual stretching out of the upper portion or opening to the stomach. The stomach pouch can also stretch out and increase the amount of available space.

This often allows the patient to eat larger portions of food, as well as to eat more frequently because they do not feel “full” for as long as they did right after they underwent gastric bypass surgery.

The OverStitch procedure can correct this dilation and decrease the size of the opening to the stomach or reduce the size of the stomach pouch, restoring both to their smaller sizes comparable to after their initial weight loss surgery.

How Does The OverStitch Procedure Work?

TORe Procedure with Apollo Revise™ System - IBI Healthcare

This animation shows how Apollo Revise™ System is used to perform a non-surgical revisional bariatric procedure - transoral outlet reduction (TORe).

The biggest benefit of using the OverStitch endoscopic suturing system to revise gastric bypass surgery is that it does not require a second surgery but is done through a non-surgical endoscopic procedure. The OverStitch procedure only takes between 30-45 minutes to perform which means less time under general anesthesia and fewer associated risks.

During OverStitch, an endoscope (a long flexible tube) is lowered down a patient’s throat carrying a specialized suturing device and other tiny instruments used to complete the procedure. The surgeon uses these special instruments to suture and tighten the opening to the stomach and to reduce the size of the stomach pouch if needed.

After the OverStitch procedure, the patient’s stomach capacity is restored to the smaller size it was when they had their initial bariatric surgery.

Benefits of Gastric Bypass Revision with OverStitch

Requires no incisions and is significantly less invasive
Procedure time is much faster than surgical intervention
Outpatient procedure with no hospital stay needed
Fewer complication risks
Restores weight loss potential to that of your original bariatric procedure

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.

What Is The Recovery Like After The OverStitch Procedure?

You will need someone to drive you home after your OverStitch procedure and most bariatric surgeons recommend you do not drive for about 5 days post-procedure. Most patients recover from the procedure in about a week.

If your job requires significant physical activity or heavy lifting your surgeon will provide instructions as to when you are safe to return. Much like just after your gastric bypass surgery, dietary instructions will be provided for you to follow in the first few weeks.

Who Is A Candidate For Overstitch Revision?

Not every patient will be a candidate for the OverStitch procedure but a consultation with your bariatric surgeon will be able to determine your eligibility. Some reasons a patient may not be a good candidate for OverStitch include:

  • Weight regain is not due to enlargement of the stomach pouch or opening of the stomach;
  • The patient has a medical condition that would prevent them from having the OverStitch procedure such as GERD;
  • The patient has abnormal narrowing of the esophagus.

Is OverStitch Revision Covered By Insurance?

Unfortunately, insurance coverage does not keep up with medical advancements and is always running years behind the curve. At this time, OverStitch revision is not covered by insurance but at IBI HealthCare Institute we offer all-inclusive, transparent pricing as well as financing options for qualified patients.

How Much Does OverStitch Cost?

IBI Healthcare Institute offers a special price for the OverStitch procedure – $5,999. It’s a limited-time offer and can be changed without prior notice. At IBI Healthcare Institute, we provide all-inclusive, transparent pricing that includes the ability, expertise, and understanding of the surgeon doing the treatment, with no hidden fees.

IBI Healthcare Insitute Offices Near Me

We offer The OverStitch Procedure in different locations throughout the Southeast region. We are growing and new offices are coming soon! To request a personal consultation with a bariatric revision expert, find the nearest IBI office and click the button below.


  • 371 East Paces Ferry Rd Suite 400 Atlanta, GA 30305;
  • 367 Athens Hwy, Suite 100C Loganville, GA 30052;
  • 3970 Rogers Bridge Rd, Duluth, GA 30097.


  • 14012 US-19, Hudson, FL 34667;
  • 5931 Webb Rd, Tampa, FL 33615.
At IBI Healthcare Institute we understand that weight loss is a life-long challenge and at times adjustments may be necessary for our patients to achieve their weight loss goals. If you have had successful gastric bypass surgery in the past but have plateaued on weight loss or are experiencing weight regain, you may be a candidate for the OverStitch procedure. Contact us today to learn more about gastric bypass revision or bariatric surgery revision through OverStitch. We are committed to helping you find the solutions that work best for you to achieve effective weight loss and become healthier.

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.