Endoscopic Sleeve Retightening Procedure

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At Transform Bariatrics and Aesthetics, the Endoscopic Sleeve Retightening Procedure provides a minimally invasive solution for patients who have experienced weight regain after an initial sleeve procedure. This innovative technique tightens and reduces the stomach pouch without surgery, helping patients regain control over appetite, portion sizes, and weight loss progress. With faster recovery and fewer risks than traditional revision surgery, it’s an ideal option for continuing your weight loss journey.
What Is the Endoscopic Sleeve Retightening Procedure?
The Endoscopic Sleeve Retightening Procedure is a non-surgical method to reinforce a previously performed gastric sleeve. Using an endoscope inserted through the mouth, the stomach pouch is reduced in size through internal suturing, restoring its restrictive function. By enhancing fullness signals and controlling appetite, this procedure supports renewed weight loss and improves long-term outcomes for patients who have regained weight.
How the Endoscopic Sleeve Retightening Procedure Works
- Uses an endoscope to access the stomach without external incisions.
- Places precise internal sutures to tighten and reduce the stomach pouch.
- Restores stomach restriction, slowing digestion and increasing satiety.
- Helps patients regain weight loss momentum when combined with lifestyle guidance.
Who Can Benefit from the Endoscopic Sleeve Retightening Procedure
This procedure is specifically designed for patients who previously had a gastric sleeve or similar restrictive procedure but are experiencing weight regain due to stomach pouch stretching.
- Weight regain after sleeve gastrectomy
- Enlarged stomach pouch affecting satiety
- Difficulty maintaining portion control
- Reversal of initial weight loss results

How long does the procedure take?
The retightening procedure usually takes 60–90 minutes under sedation.
When can I eat normally again?
Patients typically follow a liquid-to-soft diet plan over 2–4 weeks before resuming regular meals.
Will I need follow-up care?
Yes, structured follow-up is essential, including nutrition counseling and routine check-ins to ensure long-term results.
Is this procedure reversible?
Yes, the procedure is minimally invasive and can be adjusted if needed, offering flexibility compared to surgical revisions.

