Transoral Gastric Outlet Reduction

Weight Loss Solutions at RWJ University Hospital New Brunswick

Although an effective tool for weight loss, patients sometimes experience weight gain after bariatric surgery. Endoscopic therapies, such as endoscopic overstitch, have shown to be beneficial by non-surgically decreasing the size of the residual stomach or surgical connection site to promote weight loss. These incisionless procedures place a scope through the mouth and into the stomach once a patient is under anesthesia. Sutures are put in place internally to tightening the stomach or the surgical connection site where it has stretched. This can restore that feeling of fullness and encourage patients to eat smaller meals again.

Patients who undergo endoscopic revision of bariatric surgery procedures lose 30 to 40 pounds on average. For maximum results, patients should consider therapy before a significant amount of weight is re-gained. When patients feel loss of restriction, notice an increased tolerance of larger meals, or start regaining weight, that is the time to contemplate scheduling a consultation.

Am I a candidate for endoscopic gastric bypass revision?

Successful candidates:

• Have regained 20% or more of the weight originally lost with bariatric surgery
• Are willing to participate in a medically supervised weight loss program