
Revision of Prior Bariatric Surgery
Following weight loss surgery, such as gastric bypass and sleeve gastrectomy, or even endoscopic weight loss procedures, patients may gain weight over time. Endoscopic revisions are nonsurgical, minimally invasive, same-day weight loss procedures. Your doctor places an endoscope through your mouth into your stomach to tighten and restore the original anatomy and put you back on the path to weight loss.

Gastric Bypass Revision
Weight regain after gastric bypass may occur for several reasons. One of the most common causes is dilation of the gastric pouch and/or outlet that connects the pouch to the small intestine, also referred to as the anastomosis. During the revision procedure, your doctor reduces the size of the pouch and/or outlet to restore your original gastric bypass anatomy. This helps you feel full sooner and eat less.

Sleeve Gastrectomy Revision
Weight regain after sleeve gastrectomy may occur for several reasons. One of the most common causes is dilation of the sleeve body. During the revision procedure, your doctor reduces the volume of your sleeve to restore the original surgical anatomy. With a smaller volume, you feel full sooner and eat less.

Endoscopic Sleeve Revision
Weight regain after endoscopic sleeve may occur for several reasons, including stretching of the stomach and sutures falling out. During the revision procedure, your doctor places additional sutures to re-tighten your sleeve to restore the original anatomy. This helps you achieve an earlier sensation of fullness and to eat less
How much weight can I lose with a revision procedure?
Patients usually lose about 12% – 15% of their baseline weight after the revision procedure
Am I a candidate for a revision procedure?
You may be a candidate for a revision procedure, if you have previously undergonegastric bypass or sleeve gastrectomy or endoscopic sleeve gastroplasty (ESG) and have regained weight with a BMI of at least 30 kg/m2



The procedure itself takes approximately 45 minutes. However, you should plan on spending about half a day with us including preparation and recovery.
Patients go home on the same day. Most take a few days off to recover at home before returning to work. After the procedure, patients follow a full liquid meal plan, which includes protein shakes and similar products, then transition to a soft diet, which includes easy-to-eat foods such as oatmeal and bananas, and then return to regular eating.
A revision procedure costs $9,995, which includes 12 visits with your Bariendo healthcare team. Financing options are available.