Endoscopic Gastric Suturing

For more information, please call 304.399.4118

The Center for Surgical Weight Control offers a full spectrum of services for weight loss. Now another option is being offered — a minimally invasive procedure that is designed to help patients who are struggling with regaining weight after bariatric surgery.

Why some patients may regain weight

Studies suggest that when patients regain significant weight after their initial gastric bypass, it is often caused by the gradual stretching of the stomach pouch and outlet. When the standard-of-care Roux-en-Y procedure is performed, the stomach and outlet are made very small, which reduces the amount of food that can be consumed and slows the passage of food through the digestive tract. This helps patients feel full after eating just a small amount of food, so they lose weight from a dramatic decrease in calories. If the stomach pouch and/or stoma gradually stretch, it takes longer to feel full, so patients start eating larger meals and may begin to regain weight. Now, these patients have an option for a second chance.

A safe and effective endoscopic procedure

Endoscopic Outlet and Pouch Repairs

The Center for Surgical Weight Control offers qualified patients an endoscopic procedure to reduce the volume of an enlarged pouch and the diameter of the outlet. Through an endoscope passed through the patient’s mouth, the physician can safely place the same type of sutures used during traditional abdominal surgery. Instead of being admitted to the hospital and facing the risks associated with abdominal surgery, this minimally invasive endoscopic procedure can be performed in an outpatient setting and leaves no external scars. The procedure is described by Dr. Nease in the article, A Second Chance - Revision Surgery.

View an animation of the procedure

Benefits & Risks

With the endoscopic approach, patients avoid many of the risks of major abdominal surgery, have less post-operative pain, recover faster and have no abdominal scars. Typically, patients go home the same day, but each patient’s discharge will vary based on the physician’s recommendation. Most patients feel little or no discomfort from the endoscopic procedure. Minor side effects may include nausea, a temporary sore throat, swollen tongue and/or lip pain from the insertion of the endoscope into the mouth. Typically, patients return to their normal routine within 48 hours. Following endoscopic suturing repair, patients should follow the same diet and exercise regimen they did after their initial bypass surgery.

Download the Endoscopic Outlet and Pouch Repair brochure

Are you a candidate? To find out, please complete this survey and mail it to the Center for Surgical Weight Control at the address at the bottom of the survey. Please call 304.399.4118 for more information or to make an appointment .

Endoscopic Outlet and Pouch Repair Animation

  • Last updated: 05/21/2015
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