Bariatric Revision

Weight Regain After Bariatric Surgery

Obesity is a chronic disease requiring daily effort to manage. While surgery is an effective option for long-term weight loss, a majority of patients experience some weight regain after bariatric surgery. In fact, studies have shown about 25% of patients regain all of their lost weight within 10 years of surgery.

Several years after having bariatric surgery, a person may regain the lost weight due to various factors. Options for revisions can involve surgical or non-surgical approaches. Endoscopy is an excellent non-surgical option for a bariatric revision procedure to modify the previous weight loss surgery and allow patients to lose additional weight. Reveal Weight Loss offers a modern, effective, and minimally invasive option – a non-surgical type of bariatric revision in Livingston, NJ.

What Is Bariatric Revision Surgery?

Bariatric revision surgery is an operation that aims to enhance or change the outcomes of bariatric surgeries that patients had in the past. A few years after initial weight loss surgery, patients may regain weight and oftentimes will look for other options for weight loss.

Thus, many people decide to undergo bariatric revision procedures. For instance, the rate of revision surgery after sleeve gastrectomy increased from 4.7% at 5 years post-procedure to 12.2% at 10 years post-procedure. Indeed, it is a great second chance for people who were not satisfied with the results of the surgery, who did not do well initially due to complications, or who failed to keep the results and regained excess weight. However, it is essential to choose the right revision treatment for the patient to achieve his or her goal successfully with minimal risks.

The specific kind of revision surgery a patient can do depends on the initial surgery, the complications a patient developed after it, the current health condition and preferences of the patient, as well as numerous other factors. A consultation with a doctor is required for determining what kind of revision approach is suitable for the individual.

It is important to note that bariatric revision surgery may pose a higher risk, take a substantial period of time for recovery and potentially involve more pain, scarring, and incisions. It also can be a financial burden for the patient since it can be quite expensive.

Endoscopic Bariatric Revision Options

Luckily, apart from bariatric revision surgeries, patients have the option to choose an endoscopic revision, which is a non-surgical bariatric revision procedure. Endoscopic bariatric revision is a state-of-the-art, minimally-invasive approach that involves no scars and no incisions. Reveal Weight Loss specializes in endoscopic revision therapies such as Transoral Outlet Reduction (TORe) and Sleeve-in-Sleeve (SIS) which gives patients a safer, minimally invasive, proven alternative to surgery.

Both of these options reduce volume in the stomach to help increase satiety so that you feel full faster, and consume fewer calories. Following either of the procedures, you can expect to resume your normal daily activities within a few days and return to work within one to two days. The recovery time for endoscopic bariatric revision procedures is much shorter compared to weight loss revision surgery.

1. Transoral Outlet Reduction for Gastric Bypass Revision

Transoral Outlet Reduction (TORe) is a minimally invasive and highly effective endoscopic bariatric revision procedure for patients who had weight regain after gastric bypass. Oftentimes, several years following the gastric bypass surgery, the gastric outlet (the opening between the gastric pouch and small intestine) might stretch and become larger which results in weight regain. During TORe, the doctor puts the endoscope through the mouth into the stomach and tightens the gastric outlet with one or more sutures. The procedure takes less than an hour and is performed under anesthesia.

Gastric bypass revision - TORe procedure

2. Sleeve-in-Sleeve for Gastric Sleeve Revision

Sleeve-in-Sleeve (SIS) is an endoscopic bariatric revision procedure for patients who had previously undergone sleeve gastrectomy surgery but gained the weight back or did not lose enough weight. One of the reasons for weight regain is due to stretching of the gastric sleeve. SIS is a plication treatment that reduces the size of the sleeve back to its immediate post-procedure state by using the endoscope to place several sutures in the sleeve. The SIS procedure is performed under anesthesia and lasts for less than an hour.

Gastric sleeve revision SIS procedure

Why Choose Reveal Weight Loss?

What sets apart Reveal Weight Loss from the rest weight loss clinics is that we always do what is best for our patients, their goals, and their health. We provide not only high-quality weight loss solutions that bring real results but also make sure that each patient is happy and healthy after our procedures. A team of experienced weight loss specialists and doctors offer patients comprehensive support at any time. We are always there for our patients.