What is Bariatric Revision?
Bariatric revision is a non-surgical outpatient procedure performed to address weight gain in patients who previously underwent bariatric surgery. There are two types of bariatric revisions performed at the Silhouette Clinic. Sutures are used to tighten the gastrojejunal anastomosis and restore it to its original size in patients with a gastric bypass (Transoral Outlet Reduction or TORe). Sutures are used to tighten the gastric sleeve in patients with a sleeve gastrectomy.
A gastric bypass revision, also known as bariatric revision, or Transoral Outlet Reduction (TORe), is a non-surgical outpatient procedure to suture a previous gastric bypass. Gastric Bypass is an extremely effective bariatric surgery that results in significant weight loss as evidenced by the overwhelming number of gastric sleeve success stories. However, many patients experience weight regain years after their initial weight loss. The purpose of performing a gastric bypass revision is to address weight regain due to stretching of the gastric pouch and the gastric outlet following the initial surgery.
A gastric sleeve revision, also known as a sleeve gastrectomy revision, is a non-surgical outpatient procedure to suture a previous sleeve gastrectomy. Vertical sleeve gastrectomy (VSG) is a very effective bariatric surgery that results in significant weight loss. The complications are relatively infrequent, given the overwhelming number of gastric sleeve success stories. However, some patients may experience weight regain after their initial weight loss, and this can be very frustrating. The purpose of performing a gastric sleeve revision is to address weight regain due to stretching of the stomach following the initial procedure.
Who is bariatric revision for?
Bariatric revision is suited for patients who previously underwent gastric bypass or sleeve gastrectomy, but who are now experiencing weight regain.
How does bariatric revision work?
This is an outpatient endoscopic procedure. It is not a surgery. There are no incisions or scars. The endoscopist advances an endoscope (a tube with a camera and a light on its tip) through the mouth to the stomach. The scope is equipped with a suturing device that allows us to suture the gastrojejunal anastomosis to restore it to its original size (in gastric bypass patients) or suture the sleeve to tighten it (in sleeve gastrectomy patients). This is performed under sedation. It does not require admission to the hospital. After the procedure, the patient will start feeling full after smaller meals again, which helps with weight loss.
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Bariatric Revision FAQs
Am I a candidate for bariatric revision?
Bariatric revision is a procedure designed for patients who had undergone gastric bypass surgery or sleeve gastrectomy, and who are experiencing post-surgical weight regain.
How long does the procedure take?
The procedure itself takes around 30 minutes. You will be asked to be in the endoscopy suite an hour before the procedure. You will also be monitored in the recovery area for about an hour.
What are the risks of the procedure?
This is a minimally invasive, well-tolerated, endoscopic procedures. The risks are very low. Patients may experience some soreness, fullness or nausea immediately after the procedure.
How much weight will I lose after bariatric revision?
This procedure was designed to eliminate weight gain after gastric bypass or sleeve gastrectomy. Most patients will lose around 10% – 15% of their total body weight. Weight loss is maintained long-term. The degree of weight loss depends on the adherence to dietary recommendations and lifestyle changes.
Am I candidate for bariatric revision?
If you previously had a gastric bypass or a gastric sleeve and you are experiencing weight regain, we will need to perform an upper endoscopy to assess the gastric pouch, the outlet size, or The size of the sleeve in case of previous sleeve gastrectomy. If the outlet, pouch, or sleeve are enlarged, you may be a candidate for bariatric revision.