Revision of Gastric Bypass
Your path to lasting weight loss.
A non-surgical, minimally invasive procedure called transoral outlet reduction (TORe) for prior gastric bypass (Roux-en-Y) patients
Am I a candidate?
- Tackling weight regain.
- Post-bariatric surgery weight regain can be effectively addressed through non-surgical revisions by targeting the specific mechanisms contributing to weight gain.
- Non-surgical. No scars.
- Our revision procedures are performed endoscopically and avoid major incisions. This approach typically results in shorter recovery times, reduced risk of complications, and less post-operative discomfort compared to traditional surgery.
- Quick recovery.
- You can go home on the same day. Most patients take 1-3 days off work.
A 30-45 minute procedure. Life-lasting transformation.
No injections needed.
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Clinically-proven efficacy
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Authorized by FDA
Setting the standard in permanent weight loss
| Description | Everself ESG | Generic ESG |
|---|---|---|
| Providers certified by the pioneers who created ESG | True | False |
| Precision suturing for optimal results and durability | True | False |
| Average sutures per procedure | 7-9 | 2-4 |
| 12-month concierge care by the number of touchpoints | 18-24 | 1-6 |
| Integrated weight care Rx management (excluding medication cost) | True | False |
Lessons from the physicians & care team behind Revision of Gastric Bypass
Go deeper
“After receiving that first phone call with Bariendo, I knew I had made the correct decision.”
Diane
“The communication from the initial contact through procedure and follow-up was fantastic. I want to acknowledge my patient navigator, Physician Assistant, and Registered Dietitian, who have all been fantastic to work with and were there when I needed them.”
Christina
“I am almost to my goal weight and couldn’t have done this without their expertise and support on this weight loss journey.”
Jackie
“From 165 to 118 pounds - revision procedure was life-changing. It's not an end-all, but with work and dedication, the results are worth it. Do it!”
Courtney
Which TORe method is best for you?
| Purse-string TORe+ with APC, purse-string pattern, ESD | Purse-string TORe with APC, purse-string pattern | Conventional TORe with APC, interrupted pattern | Revisional surgery | |
|---|---|---|---|---|
| Average weight loss | 12-15% 1 | 10% 1 | 3% | 12-15% 4 |
| Procedure duration | 45 minutes | 30 minutes | 30 minutes | 2-5 hours 5 |
| Availability | Rare, fewer than 10 doctors in the US. Exclusive to Bariendo Greater Miami. | Limited. Available at all Bariendo locations. | Common. Not offered at Bariendo. | Common. Not offered at Bariendo. |
| Best for | Those willing to travel and schedule in advance | Cost and convenience seekers | Not recommended due to low weight loss rates | When weight regain isn't mainly due to the enlarged pouch/outlet |
Is Revision of Gastric Bypass right for me?
Flexible financing options that work for you
$11,995
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What's included:
- Revision of Gastric Bypass Procedure
- Comprehensive metabolic lab test
- 12-month Personal Care Team: clinician, dietitian, health coach
- Smart scale and patient app access
- Post-operative 24/7 clinical on-call support
- Support groups
- Integrated weight loss prescription management
(medications not included)
Frequently asked questions
How long does a gastric bypass revision procedure take?
The procedure itself takes approximately 45 minutes. However, you should plan on spending about half a day with us including preparation and recovery.
What is recovery like after a gastric bypass revision procedure?
Patients go home on the same day. Most take a few days off to recover at home before returning to work. After the procedure, patients follow a full liquid meal plan, which includes protein shakes and similar products, then transition to a soft diet, which includes easy-to-eat foods such as oatmeal and bananas, and then return to regular eating.
How does an endoscopic gastric bypass revision compare to a revisional surgery?
Endoscopic revision is safer, done through the mouth with a 1% complication rate, and offers quick recovery. Surgical revisions, such as making the pouch smaller or altering the bypass, are riskier with an average complication rate of 29%.4
What are the risks of the gastric bypass revision procedure?
Mild indigestion, nausea, upper abdominal pressure or pain may occur. The major complication rate, including infection or bleeding, is less than 1%.
Is an evaluation required before a gastric bypass revision procedure?
An upper endoscopy or barium test may be recommended to check your pouch and outlet if not recently evaluated. Usually, this is done at the beginning of the procedure.
Is gastric bypass revision covered by insurance?
Unfortunately, insurance does not cover endoscopic sleeve revision procedures yet. However, we offer several financing options. Learn more about our pricing and financing options.