Endoscopic Revision

A weight loss procedure that uses an endoscopic suturing device to reduce the size of your stomach. The procedure recreates what would occur at a surgical sleeve gastrectomy though without the need for surgery.

How long will need to stay in the hospital? 

It’s a 30-minute procedure under general anaesthesia. 

Patients are discharged the same day of the procedure. 

What do you expect? 

The revision procedure is only a tool and not a cure for obesity, weight loss after revision is always slower than after the original surgery and that it is necessary to eat right and exercise to obtain the best results. 

Doctor Tarek Saleh Message: Patient should understand that weight loss results vary from person to person and be aware of the importance of participating in the 12 months program, to maintain their weight loss and avoid regain weight and understand that after the procedure weight regains if it is not combined with appropriate healthy behaviour’s lifestyle including diet and exercise modifications are not continued. 

Revision of sleeve of Gastric bypass without surgery may be necessary or helpful for patients who experience significant weights regain and dumping syndrome symptoms after their initial surgery. 

Overtime, for most patients the stomach pouch or the outlet that connects it to the small intestine can stretch. 

Dumping syndrome after gastric bypass surgery is when food gets “dumped” directly from your stomach pouch into your small intestine without being digested. There are 2 types of dumping syndrome: early and late. Early dumping happens 10 to 30 minutes after a meal. Late dumping happens 1 to 3 hours after eating. Each has slightly different symptoms, such as abdominal cramping, fast heartbeat, light-headedness, and diarrhea. 

A reduced pouch size will cause your stomach to hold less and cause your stomach to drain more slowly, prolonging your feelings of fullness. 

For patients who experience significant weights regain and dumping syndrome symptom 

We offer an endoscopic non-surgical procedure to reduce the enlarged pouch and outlet to their original post-operative proportions. 

Upper GI and endoscopy: In addition to determining whether your pouch and stoma size are an issue, the upper GI and endoscopy can detect  

If stomach stretching or stoma enlargement is identified, a revision procedure may be your only option to halt or reverse the weight regain and dumping syndrome symptoms 

Endoscopic Outlet and Pouch Repair 

This endoscopic procedure is performed using a small flexible endoscope and specialized devices to repair the enlarged pouch and outlet to return them to their original post-gastric bypass proportions.