Revision of Gastric Sleeve
Your path to lasting weight loss.
A non-surgical, minimally invasive procedure called sleeve-in-sleeve (SIS) for prior sleeve gastrectomy 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 Sleeve
Go deeper
“I feel empowered, supported, and excited for what lies ahead. I’m embracing a healthier lifestyle and, thanks to Bariendo, I know this time it’s going to stick.”
Clint
“The recovery time was minimal, and I felt like nothing had happened, but my appetite changed drastically. I'm so happy I decided to put my life in Bariendo's hands because they truly care about me. ”
Karim
“I've lost an incredible 45 lbs and 25 inches, and I feel amazing. The entire team at the clinic, from the doctors to the staff, has been fantastic—supportive, knowledgeable, and truly dedicated to helping me succeed.”
Erin
“I no longer feel like a fraud in my job; I have more stamina for softball and volleyball; and I am excited to go dress shopping!”
Mindi
Revision of Gastric Sleeve vs. other weight loss solutions
| ESG Stomach Tightening® | Gastric Balloon | Bariatric Surgery Gastric Bypass or Sleeve Gastrectomy | Semaglutide Ozempic and Wegovy | |
|---|---|---|---|---|
| Types of intervention | Non-surgical. No hospitalization required | Non-surgical. No hospitalization required | Surgery. At least 1 night at hospital | At-home weekly injections |
| Average weight loss at 12 months | 20% | 10% | 25-30% | 15% |
| Long-term efficacy | Durable outcomes. Average of 16% weight loss sustained 5 years after ESG 13 | Significant weight regain after 12 months 14 | Durable outcomes 15 | Significant weight regain after discontinuing use. Most gain ⅔ of their lost weight within 1 year 16 |
| Commitment | 60-min procedure. 1-3 days off work | 15-min procedure. 1-3 days off work | 1-3 days of hospital stay. 2-4 weeks off work | Weekly adherence required |
| Major complications | Rare (<2%) | Rare (<2%) | 10-20% | Rare |
Is Revision of Gastric Sleeve right for me?
Flexible financing options that work for you
$11,995
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What's included:
- Revision of Gastric Sleeve 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 sleeve revision procedure take?
The procedure itself takes approximately 30 to 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 sleeve 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 common are gastric sleeve revisions?
About 5-12% of people who had a sleeve gastrectomy underwent a revision, and 87% of those revisions were due to ongoing obesity.4 Those with a previous gastric band were more likely to need a revision. Most people opted for gastric bypass or resleeve, but since the introduction of the sleeve-in-sleeve procedure in 2018, an increasing number are choosing endoscopic revisions for safety.
How does an endoscopic gastric sleeve 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 recreating a smaller sleeve or converting sleeve gastrectomy to a gastric bypass or duodenal switch, are riskier with an average complication rate of 29%.3
What are the risks of the gastric sleeve revision procedure?
Discomfort, nausea, chest pressure, or spasms may occur. The major complication rate, including infection or bleeding, is less than 1%.
Is gastric sleeve 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.