We know Weight Regain after bariatric surgery or medical therapy is scary! You are not alone!
Weight gain after gastric bypass surgery occurs in about half of all patients within 2 years. Despite the weight regain, the average patient still keeps off over 60% of their excess weight after 5 years.
About 50% of patients eventually gain a little weight back after hitting their low point (also called their “nadir”). In addition, the more time that passes following surgery, the more likely patients are to gain some weight back.
On average, patients who gain weight back see about 8% of their old weight return within 5 years of surgery. So if a patient is one of the 50% who gains weight back, was 100 pounds overweight and lost 70 pounds from surgery, on average she can expect to gain back about 8 pounds.
The good news is that most patients (about 80% of morbidly obese and 65% of super obese) keep at least 50% of their excess weight off after 10 years
Even if you stay on top of the points discussed in the Weight Regain page (link), there’s still a chance that you could experience weight gain after gastric sleeve/bypass surgery. We offer several safe incisionless solutions that will get you back on the right track to weight loss again.
Gastric Sleeve Revision (GSRe)
What is gastric sleeve revision (GSRe)?
Gastric sleeve revision is a procedure which shrinks the stomach to the size it was after a gastric sleeve gastrectomy. The procedure follows the same protocol as an endoscopic sleeve gastroplasty (ESG). Refer to the ESG page on this site to learn more about its specifics. It does not require incisions, it is done in the outpatient surgery center, you go home the same day and can go back to work/life in a couple of days.
Watch this short video to find out more about how Gastric Sleeve Revision works
How much does the procedure cost?
Self Pay price: $7000-9,000. The cost not only includes the price of the product, but more importantly, the skill and expertise of the specialist or healthcare professional that is doing the procedure. Look for someone who is licensed and trained and has experience treating patients using this procedure. Given that endoscopic sleeve gastroplasty is a new procedure, it might not be covered by your health insurance.
What is Gastric Bypass Revision (Transoral Outlet Revision-TORe)?
Also known as transoral gastric outlet reduction, this procedure can repair the gastric outlet (connection between the stomach and small bowel) by reducing its size. In order to accomplish this feat, we inserts stitches into the gastric outlet through an endoscope. This procedure will allow you to feel full earlier in their meals, lose weight, and hopefully maintain the weight loss throughout the years. It does not require incisions, it is done in the outpatient surgery center, you go home the same day and can go back to work/life in a couple of days.
Watch this short video to find out more about how Transoral Outlet Revision works!
How much does the procedure cost?
Self Pay price: $6000-7,000. The cost not only includes the price of the product, but more importantly, the skill and expertise of the specialist or healthcare professional that is doing the procedure. Look for someone who is licensed and trained and has experience treating patients using this procedure. Enroll in the SurgiCare Rewards Program to save money on treatments.
What are the risks associated with Transoral Outlet Revision?
This is a minimally invasive procedure and therefore there is very low risk of complications.
What are the alternatives to GSRe and TORe?
There are several ways of reducing the stomach, stoma or pouch size. Reduce “stoma” size – The connection between your pouch and small intestines (also called the “gastrojejunal anastomoses” or “stoma”) gets bigger following surgery for some people.
If this has happened to you, having the connection tightened can get you back on the right track.
Resize or tighten stomach pouch – if your pouch has stretched over time, having it reduced can also improve weight loss. For example:
Endoscopic injection of a “sclerosant” (sodium morrhuate) to shrink the stomach. We may need to administer the injections 2 to 3 times before determining whether the process was a success.
One study showed that 64% of patients lost at least 75% of their weight regain after their injections. The only complication that occurred was symptoms of stomal stenosis that required the stomach to be stretched back out with the use of a special balloon.
Another study revealed that out of 231 patients who underwent 575 sclerotherapy sessions:
12 months from the last sclerotherapy session, weight regain stabilized in 78% of the patients
Patients who underwent two or three sclerotherapy sessions had much higher rates of weight regain stabilization than those who underwent a single session
The average sclerotherapy patient lost 10 pounds in six months
There were ‘high responders’ who lost an average of 26 pounds, which was 61% of the weight regain
Those who had higher regain after bariatric surgery responded better to sclerotherapy
The procedure does carry a low risk of minor complications including bleeding (2.5% of patients), abdominal pain (0.5%) and small ulcers (1%) along with a relatively high risk of blood pressure elevation (11%). Due to the risk of blood pressure elevation, patients with cardiac risk factors should most likely stay away from this procedure.
Convert to another operation such as sleeve-to-bypass, bypass-to-duodenal switch