What can be done to address weight regain after initial gastric bypass procedures?
The one-anastomosis gastric bypass (OAGB) is a commonly performed weight loss surgery worldwide. However, weight recurrence over time often requires further treatment, which carries increased risks. Dr. Alexander Shapsis at EndoSlim Clinic NY of Atlantic Gastroenterology of Brooklyn, New York, is a Board-Certified Gastroenterologist who performs the non-surgical gastric bypass revision procedure (not another bariatric surgery) for those who need it. This is a secondary incisionless procedure designed to correct or improve what was performed initially to ensure the desired results.
Patients who have had gastric bypass surgery in the past may need another procedure in the future, depending on the goals that have been reached with the guidance of our gastroenterology team. In fact, it has been proven by UCLA Health that up to 35% of patients who have gastric bypass performed may regain a significant amount of their weight back or find that they are unable to achieve adequate weight loss following their procedure. This may lead to a recommendation for revision surgery or, now, a non-surgical endoscopic procedure!
Who might require a gastric bypass revision procedure?
The gastric bypass revision can now be done endoscopically to help patients who have regained unwanted weight after their initial appointment and need to lose more weight to reach a healthier level for their height and frame.
What are the benefits of the gastric bypass revision procedure?
The endoscopic revision of the OAGB (ER-OAGB) is an endoscopic incision-less technique that safely helps patients lose over 18% of their body weight within the year following their bariatric revision. This has been proven by a recent study performed in November of 2023 in Therapeutic Advances in Gastrointestinal Endoscopy, Volume 16.
At Atlantic Gastroenterology in Brooklyn, New York, Dr. Alexander Shapsis, our Board-Certified Gastroenterologist, is available to help patients have endoscopic gastric sleeve gastroplasty for effective surgical weight loss results in patients who are afflicted by overweight or obesity.
Do you need a gastric bypass revision procedure?
Dr. Alexander Shapsis and the team at Atlantic Gastroenterology of Brooklyn, New York, are here to assist with various surgical and non-surgical solutions for patients with body weight control concerns.
To schedule an appointment at one of our two office locations on Court Street or Ocean Parkway, we invite you to call our front office team at 718 521-2840.
Frequently Asked Questions
Does Endoscopic Sleeve Revision (ESR) involve surgery?
No. ESR is not surgery. It is a minimally invasive, endoscopic procedure performed through the mouth. There are no external incisions, no scars, and no removal of stomach tissue. The stomach pouch is reduced from the inside using sutures to help restore restriction after an initial bariatric surgery. The procedure is also typically quick, lasting less than 60 minutes.
Do I qualify if I have a strong gag reflex?
Yes. A strong gag reflex usually does not prevent you from having ESR. We perform the procedure under sedation, so you’ll be relaxed and comfortable. Your gastroenterologist will review your medical history and address any concerns during your consultation.
How long is the recovery period after undergoing ESR?
Recovery is usually quick. Most patients go home the same day. You may experience mild nausea, cramping, or soreness for a few days. These symptoms are mild and temporary. Many people return to normal daily activities within 2-3 days. We’ll recommend aftercare tips, typically around diet, to ensure a seamless recovery.
How much weight can I expect to lose?
Weight loss varies based on individual habits and the amount of weight you have regained. On average, patients may lose 10–15% of their total body weight for the first 12 months. However, you’ll achieve optimal results when you combine ESR with healthy eating, exercise, and regular medical support.
Are there any additional health benefits to treatment, besides weight loss?
Yes. Weight loss after ESR may help improve weight-related conditions such as high blood pressure, type 2 diabetes, fatty liver disease, obstructive sleep apnea, and joint pain. In some cases, these issues may resolve completely. Many patients also report improved energy, mobility, and overall quality of life.
What should I do in the long term?
ESR is just part of your weight loss journey. Long-term success depends on lifestyle changes. You will follow a structured nutrition plan and gradually increase physical activity. Ongoing follow-up visits help track progress and provide tailored guidance. ESR works best as part of a comprehensive weight management program.
Are there any risks or side effects associated with Endoscopic Sleeve Revision?
Most side effects are mild and temporary. These may include nausea, bloating, vomiting, or abdominal discomfort. Serious complications are uncommon. We will carefully monitor you before, during, and after treatment to ensure maximum safety. We’ll also discuss potential side effects fully before your treatment to ensure you are well-informed.
How much is Endoscopic Sleeve Revision in Brooklyn, NY?
The cost of ESR depends on your personalized treatment plan and follow-up care. Our team will provide an all-inclusive cost breakdown during your consultation. Transparency is the cornerstone of our practice, and you’ll find it reflected in our pricing.
Does insurance cover Endoscopic Sleeve Revision?
Coverage varies on a case-by-case basis. Most insurance plans do not cover ESR, but others may offer partial coverage. Our team will examine your coverage and advise on applicable benefits. We’ll also discuss how financing options like CareCredit and Cherry can make your treatment more affordable.
Who offers Endoscopic Sleeve Revision (ESR) near me in Brooklyn, NY?
Trust NYC and Florida's #1 choice, Endoslim Clinic of Atlantic Gastroenterology, for Endoscopic Sleeve Revision. Our experienced gastroenterology team in Brooklyn, NY, and Coral Springs, FL, specializes in advanced, non-surgical weight-loss procedures. Call 877-749-3633 and take the next step toward lasting weight control.
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