Endoscopic Gastric Bypass Revision Procedure

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At Transform Bariatrics and Aesthetics, the Endoscopic Gastric Bypass Revision Procedure offers a minimally invasive option for patients who have experienced weight regain after a gastric bypass. This procedure targets stretched or enlarged stomach pouches or connections, restoring the restrictive and malabsorptive effects of the original surgery. It allows patients to regain control over appetite, portion sizes, and long-term weight loss goals without the need for complex surgical revision.
What Is the Endoscopic Gastric Bypass Revision Procedure?
The Endoscopic Gastric Bypass Revision Procedure is a non-surgical method to restore the effectiveness of a previous gastric bypass. Using an endoscope inserted through the mouth, the procedure tightens the stomach pouch, reduces the size of the gastrojejunal anastomosis (the connection between stomach and small intestine), and enhances restriction. By improving satiety and slowing gastric emptying, it helps patients regain weight loss momentum without the risks of open surgery.
How the Endoscopic Gastric Bypass Revision Procedure Works
- Uses an endoscope to access the stomach and bypass connections internally.
- Places sutures or tissue-approximating devices to tighten the stomach pouch and stoma.
- Restores the restrictive and malabsorptive components of the original bypass.
- Enhances fullness signals and portion control to support renewed weight loss.
Who can Benefit from the Endoscopic Gastric Bypass Revision Procedure
This procedure is ideal for patients who have undergone gastric bypass but are experiencing inadequate weight loss or weight regain due to anatomical changes in the stomach or bypass connection.
- Weight regain after Roux-en-Y gastric bypass
- Enlarged stomach pouch or gastrojejunal stoma
- Loss of initial satiety and portion control
- Suboptimal weight loss results after primary surgery

How long does the procedure take?
The procedure generally takes 60–120 minutes under sedation or anesthesia.
When can I start eating normally?
Patients follow a staged diet, starting with liquids and progressing to soft foods over 2–4 weeks.
How much additional weight loss can I expect?
Many patients regain 10–20% of lost weight from their original post-bypass results, depending on adherence to diet and lifestyle changes.
Is this procedure permanent?
The revision provides lasting structural improvements, but weight maintenance depends on continued healthy habits.

