What’s Bariatric Revision?
Bariatric revision, or trans-oral gastric outlet reduction, is a non surgical outpatient procedure. Sutures are used to tighten the gastrojejunal anastomosis and restore it to its original size in patients experiencing weight regain after gastric bypass.
Who is bariatric revision for?
Bariatric revision is suited for patients who previously underwent gastric bypass surgery, 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 gastric pouch. The scope is equipped with a suturing device that allows us to suture the gastrojejunal anastomosis to restore it to its original size. 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 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 the weight gain after gastric bypass. Most patients will lose around 10% 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 and you are experiencing weight regain, we will need to perform an upper endoscopy to assess if the gastric pouch and the outlet size. If the outlet is enlarged, you may be a candidate for bariatric revision.