Endoscopic Repair

The most prevalent cause of weight regain following gastric bypass is stretching of the stomach pouch and the opening between the stomach and intestine (stoma). If your doctor determines that this type of stomach stretching is the reason you haven’t been able to lose weight or keep it off, you may be a good candidate for endoscopic repair.*


The endoscopic repair revision surgery does not involve any cutting, stapling, or rerouting of your digestive tract. Instead, the surgery is performed with an endoscope through the mouth, and does not require any external incisions. The procedure is performed under general anesthesia and usually takes about 60 to 90 minutes.

Once you are anesthetized, your surgeon gently guides the endoscope device down through the mouth and into the stomach. Next, the tissue on the inside of the stomach is stitched together so that the stomach volume is considerably decreased. Following the procedure, you will be moved to the recovery suite, where you will remain until fully recovered from the anesthesia. Once you are fully alert, your doctor will take an x-ray to make sure the size of the stomach has been appropriately reduced. Following the x-ray, you are free to go home and rest.


Following an endoscopic repair, you may experience a sore throat and slight discomfort, which should subside within a few days. Although there are no incisions, stapling, or rerouting, you will need to remain on a liquid diet and slowly progress toward regular foods in order to allow your stomach to heal. We recommend that patients stay home for four to seven days after the procedure to rest. The incisionless gastric bypass revision procedure does not carry the usual complications and risks of revision surgery. In fact, the biggest advantages of the revision surgery are:

✔ Reduced risk of infection and associated complications                       ✔ No visible scarring

✔ Shorter facility stay                                                                                    ✔ Faster recovery time    

✔ Less pain                                                                                                    ✔ Follow-up visits

In order to avoid pouch stretching and prevent future weight gain, we recommend that you meet with a dietitian before and after your revision procedure. Your eating habits are central to successful weight loss and weight maintenance following your procedure. Nutritional counseling with our bariatric dietitian will help ensure that you learn the proper food choices and portion control necessary for maintaining your stomach restriction in the future.

*Rx Only. Talk to your doctor to learn if you qualify.