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Gastric Sleeve Revision

What is Gastric Sleeve Revision?

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. 

Gastric Sleeve Revision diagram

Who is Gastric Sleeve Revision for?

Revision is an option for most patients who have previously undergone gastric sleeve surgery but are now experiencing weight gain. The procedure is non-surgical and minimally invasive, so as long as patients are in good overall health, there are few risks to a gastric sleeve revision. Success after the revision is largely dependent on keeping up with healthy changes. The best candidates are usually those who are willing to commit to lifestyle changes that support their weight loss goals, such as healthier eating habits and regular exercise.

How Does Gastric Sleeve Revision Work?

Most patients are relieved to hear that hospitalization is not on the list of gastric sleeve revision requirements. Rather, it’s an outpatient endoscopic procedure that is performed under sedation. Because it’s not a surgery, there are no incisions or scars. Instead, the endoscopist introduces an endoscope, a narrow tube with a camera and light on its tip, through the mouth, and advances it to the stomach. The endoscope is equipped with a suturing device, allowing the doctor to place sutures in the dilated sleeve to tighten it and restore it to its original size.

Gastric Sleeve Revision Success Stories

The gastric sleeve revision success rate is high among suitable candidates because patients start feeling full after smaller meals again, which helps to kickstart weight loss immediately. Even for patients who had their original surgery many years ago, optimum results are possible. But you needn’t simply take our word for it, because our patients are happy to do the talking for us.

Meet Tanya

Meet Tanya, the star of one of our favorite gastric sleeve revisions success stories. Tanya had laparoscopic gastric sleeve surgery in 2009 and lost 100 pounds. But, after twelve years and two pregnancies—she had regained most of the weight back. Three months after her gastric sleeve revision, Tanya had already lost 20 pounds.

“I did not feel any restriction anymore. I was gaining weight and getting depressed about it. One day I heard about this endoscopic procedure Dr. Charbel performs where he is able to suture my stomach without surgery. My experience at the surgery center was great. The nurses were very nice. Dr. Charbel’s team was amazing! They were there for me. They answered all my questions and were so supportive and the dietitian is so helpful!”
— Tanya M.

Read more patient success stories.

Endoscopic Sleeve Gastroplasty Team


The Silhouette Clinic offers non-surgical, endoscopic gastric sleeve revisions for individuals who are looking for a safe and effective way to lose weight. We also offer a range of other non-surgical weight loss procedures, including endoscopic sleeve gastroplasty (ESG), the Orbera weight-loss balloon, and the Spatz3 weight-loss balloon.

Our team is dedicated to helping you achieve your weight loss goals and will provide you with all the tools and support you need to succeed. Our experts work with you to create a customized weight loss plan tailored to your specific needs. We also offer comprehensive follow-up care to ensure you stay on track and achieve your weight loss goals. 

Contact us today to schedule a consultation! 


Gastric Sleeve Revision: FAQs

At The Silhouette Clinic, we understand that taking control of your weight and overall health can be a daunting experience. We also understand that you’ll probably have several questions, and we’re committed to supporting you every step of the way to ensure you have all the information you need to make the best decision. 

Here is a comprehensive list of our most frequently asked questions to help with your research. 

How common is a gastric sleeve revision?

The need for gastric sleeve revision depends on several factors, including the original surgeon’s experience and the individual patient’s needs and goals. However, it’s estimated that the overall rate of revision surgeries after a sleeve gastrectomy at 5, 7, and 10 years post-procedure is 4.7%, 7.5%, and 12.2%, respectively (National Library of Medicine)

Is gastric sleeve revision safe?

Like any medical procedure, gastric sleeve revision carries some risks. However, because it’s not a surgical procedure, most can be minimized by ensuring you’re in the best possible physical health in the lead-up to your procedure.

Choosing the best endoscopist is also essential. Dr. Charbel is a career specialist in gastroenterology, hepatology, and nutrition. He is a highly skilled advanced endoscopist and he is board certified in gastroenterology and obesity medicine.  Dr. Charbel is an active member of the American College of Gastroenterology, the American Gastroenterological Association, the American Society of Gastrointestinal Endoscopy, and the Obesity Medicine Association

What are the benefits of gastric sleeve revision?

In addition to weight loss patients, patients who are motivated to adopt and maintain healthier lifestyles are rewarded with additional health benefits like improvement in blood sugar levels, blood pressure, and mood.

Do I have to be under a specific BMI to have the procedure?

There are no strict BMI gastric sleeve revision requirements. Ideal candidates are patients who are experiencing weight gain years after having undergone a sleeve gastrectomy, who are found to have a dilated gastric sleeve on endoscopy, and who are committed to making significant lifestyle changes. The procedure is suited to patients who do not wish to undergo revisional surgery, such as a sleeve to bypass revision or a duodenal switch.

How do I prepare for gastric sleeve revision?

Your weight loss package with The Silhouette Clinic includes pre-procedure support to help you prepare. You may need to stop taking certain medications, adjust your diet, or undergo preoperative testing to ensure that you are ready. To achieve optimum results and the best possible outcome, we ask patients to follow our instructions closely in the lead-up to the procedure. 

How long do gastric sleeve revisions take?

The process from beginning to end takes just a few hours. You’ll need to arrive an hour before your scheduled procedure time, and the actual endoscopy process takes around 30 minutes. You’ll be monitored for a couple of hours afterward to ensure we can provide you with the necessary IV fluids and pain or nausea medications before you are discharged.

What is the recovery time?

You’ll need 2–3 days after your gastric sleeve revision to rest, after which you can resume your regular routine and return to work.

Are there any side effects to be aware of?

Most patients experience some mild nausea and abdominal pain or discomfort immediately after the procedure and in the following few days. These symptoms can usually be controlled by medication and typically last less than a week.

Do I need a follow-up procedure to remove the sutures?

No. The sutures are very small and remain within the wall of the stomach without you being able to feel them. Initially, it’s the sutures that hold the stomach in its new shape and size. However, once healed, the stomach holds its new shape without the support of the sutures, and there’s no need to undergo an additional procedure to remove them.

How much weight will I lose?

As with any weight loss program, results can take time—and will vary depending on each individual patient’s commitment to maintaining a healthy lifestyle and following dietary recommendations. It is essential to note that all of the weight loss services we offer at The Silhouette Clinic are part of a more comprehensive weight loss program that includes ongoing support and lifestyle changes. However, most people lose between 15–20% of their total body weight within around 12 months of the procedure.

Do you offer gastric sleeve revision near me?

The Silhouette Clinic serves patients in Maryland, DC, and Virginia through our practices in Germantown and Frederick. However, many patients come to us from all over th US. We offer online consultations and patients can travel to Washington, DC area for the procedure. Usually, patients stay in the area for one night and they can travel back home after they are seen in the office the day after the procedure. You can call us on 301-288-1319 to schedule a consultation.

How much does gastric sleeve revision cost?

Our gastric sleeve revision package costs $9,995, including all the pre and post-procedure care and support you need, plus 12 months of dietitian visits. Check out our entire range of weight loss packages and commit to your new silhouette today by investing in one of our proven strategies.

Does insurance cover gastric sleeve revision?

While there are several significant health benefits to our weight loss procedures beyond weight loss, endoscopic gastric sleeve revision is not covered by insurance. However, we do offer a range of financing options through Care Credit.


While the weight loss procedures we offer provide major health benefits beyond weight loss, they are not covered by insurance. However, we do offer financing:

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