While traditional revision operations are effective at reestablishing weight loss, they are associated with increased risks compared with the original operation; therefore, patients and surgeons are often reluctant to pursue this option. Fortunately, the Endoscopic Bariatric Revision procedure, whereby a suturing technique is used, can restore the normal stomach pouch size. This minimally invasive technique is an effective alternative to an open surgical revision and has been used as a treatment of weight regain for more than a decade.
Results from Endoscopic Bariatric Revision procedures show that nearly all patients achieve weight stabilization (their weight gain stops), while most will lose 20-50% of their excess weight. The procedure is well tolerated, and most patients are able to return home within 24 hours and return to work within a couple days. Notably, in almost all cases, insurance will cover the procedure on an outpatient basis.
While the Endoscopic Bariatric Revision procedure can help patients eat less and help eliminate ongoing feelings of hunger, it is best seen as a tool to help reinvigorate weight loss rather than a second operation. Most importantly, we encourage all weight loss patients to reconnect with support groups, visit with a dietician, and refocus on establishing healthy lifestyle choices.