Endoscopic Gastric Bypass Revision

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El bypass gástrico es una cirugía común para perder peso que implica la creación de una pequeña bolsa de estómago, que se conecta directamente al intestino delgado. Con el tiempo, la bolsa y su punto de conexión con el intestino (llamado "salida") pueden agrandarse. El resultado es la capacidad de comer porciones más grandes, lo que lleva a recuperar peso. La mayoría de los pacientes sometidos a un bypass gástrico eventualmente recuperarán el 30% del peso que perdieron. Sin embargo, más de 1 de cada 5 pacientes recuperarán todo el peso.

La revisión endoscópica del bypass gástrico, también conocida como Reducción de la Salida Transoral, es un procedimiento sin incisiones que se realiza en el mismo día y que ajusta la bolsa y la salida a su tamaño original. El resultado es una sensación restaurada de saciedad y la capacidad de perder peso que se ha recuperado. Debido a que el procedimiento no es quirúrgico, la recuperación es breve, y la mayoría de los pacientes pueden volver al trabajo en 2-3 días.

Para Quién es

La revisión endoscópica de la manga es más adecuada para pacientes que se sometieron a una cirugía de manga gástrica hace más de dos años, perdieron peso inicialmente, pero han vuelto a ganar peso. Este procedimiento es ideal para aquellos que sienten que pueden comer porciones más grandes y ahora tienen más dificultades para mantener su dieta en el camino correcto. La revisión endoscópica de la manga está destinada a pacientes mayores de 21 años, según lo autorizado por la FDA.

Cómo funciona el procedimiento

Este es un procedimiento de 15 minutos, no quirúrgico e incisionless realizado bajo anestesia. Su médico utilizará un sistema de sutura endoscópica, un dispositivo montado en un endoscopio flexible, que luego se introduce en el estómago a través de la boca. Utilizando esta herramienta de última generación, su bolsa gástrica y salida se ajustarán y restaurarán a su tamaño original o más pequeño. El resultado es una restauración permanente de la bolsa original.

Cuánto peso perderás

La pérdida de peso promedio con una revisión bariátrica endoscópica es del 10 al 15% del peso corporal. Aunque más modesta que el bypass gástrico original, una revisión endoscópica permite a los pacientes perder un peso sustancial y también mantenerlo a largo plazo. Los estudios muestran que la pérdida de peso después de este procedimiento se mantiene durante cinco años o más, lo que significa que la recuperación de peso anterior se detiene por completo.

Revisión de bypass gástrico: Cómo funciona

Endoscopic gastric bypass revision restores a stretched gastric pouch to its original size, or smaller.

Videoteca de revisión de bypass gástrico

¿Por qué elegir a True You para Revisión de bypass gástrico?

Pericia Endoscópica

Endoscopic gastric bypass revision is a technically challenging procedure that requires a high level of endoscopic skill and experience. Dr. Daniel Maselli and Dr. Christopher McGowan are among the few physicians in the nation who are triple board-certified in internal medicine, gastroenterology, and obesity medicine, and leaders in the area of endobariatrics. Combined, they have performed more endoscopic sleeve revisions than any physician in the country, ensuring that you will receive the absolute best care and results. And as a patient at True You, you will receive a comprehensive after care program, and your True You Weight Loss team will support you on your journey.

La atención posterior más completa del país

We understand the importance of aftercare and support, especially when embarking on a second chance at a healthier you. That’s why we take pride in offering the nation’s most comprehensive aftercare program tailored to meet your needs. With our expert medical team and registered dietitians, you’ll receive unparalleled support and guidance throughout your weight loss journey. We are here for you every step of the way.

Acceso las 24 horas, los 7 días de la semana al Médico

Ya sea que viva en Carolina del Norte o Georgia, o esté viajando desde otro estado, recibirá el más alto nivel de atención de conserje, con acceso directo las 24 horas, los 7 días de la semana a su médico a través de su teléfono celular personal, mensajes de texto, correo electrónico y videoconferencia. Permanecemos comprometidos con su éxito durante todo su viaje de pérdida de peso.

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Precios

Gastric Bypass Revision

$11,995*

Financiamiento Disponible*

As low as $217/Mo.

*Ofertas de financiamiento sujetas a aprobación de crédito y pueden variar según el historial crediticio individual.

Consulta Inicial
Laboratorios Preoperatorios
Consulta Integral de Nutrición Bariátrica
Procedimiento de Revisión (incluidos todos los costos de instalaciones, anestesia y honorarios del médico)
Seguimiento Médico Ilimitado
Acceso Directo las 24 horas al Médico
Visita Postoperatoria de Enfermería con Hidratación IV
1 year of one-on-one nutrition counseling

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Precios para Pago Directo

Many of our patients simply don’t want surgery. At the same time, they feel hopeless because the lifestyle modifications of diet and exercise simply aren’t effective. True You provides solutions when you feel as though you’re out of options. While the gastric bypass revision procedure is not covered by insurance, we offer several opciones de financiamiento.

¿Viajando desde otro Estado?

Pacientes han viajado a True You desde más de 45 estados y 10 países. Nuestras ubicaciones están cerca de aeropuertos internacionales para facilitar los viajes, y hemos hecho arreglos con varios hoteles locales para su conveniencia. Ten en cuenta que todos los pacientes deben estar acompañados por un adulto responsable al viajar desde otro estado.

Historias de Éxito

From Mother to Daughter: Love, Support, and Lessons Learned

Kat’s Gastric Bypass Revision Journey Throughout her childhood and high school years, Kat shared a close relationship with her mother, but they also shared an unhealthy lifestyle of overeating and yo-yo dieting. Today, at age 67, Kat remembers steadily gaining weight during her youth and commonly being called the “fat kid.” Since it was the […]

Frequently Asked Questions

WHAT IS ENDOSCOPIC BARIATRIC REVISION?

Endoscopic bariatric revision is a non-invasive technique used to restore a gastric bypass to its original, or smaller size. Beginning several years after gastric bypass surgery, the size of the pouch may begin to enlarge. Likewise, the connection between the pouch and small intestine (known as the anastomosis, or “outlet”) may also begin to dilate and enlarge. The result is less restriction or feeling of fullness, and subsequent weight gain. With endoscopic bariatric revision, we can tighten the Outlet or Pouch to restore this restriction, and help you lose the weight that you regained.

WHO IS ELIGIBLE FOR BARIATRIC REVISION?

This procedure is designed for patients who have had a gastric bypass procedure and are now experiencing weight regain and a reduced feeling of fullness after eating.

WHO IS NOT ELIGIBLE FOR BARIATRIC REVISION?

Bariatric revision is only for those who have had prior gastric bypass surgery.
If you have regained weight after prior gastric bypass for reasons other than dilation of your pouch or outlet, you may also not be a candidate.
If you have ulcers or complications from your gastric bypass, you may not be a candidate. If you are an active smoker, you are not eligible for bariatric revision.

HOW DOES THIS DIFFER FROM A SURGICAL REVISION?

Surgical revision is a complex operation, where the gastric pouch is either made smaller, or the bypass is surgically altered. Because of its complexity, surgical revision carries a risk of major complication of up to 30%.
In contrast, endoscopic bariatric revision is performed entirely through the mouth, with a suturing system (Overstitch) mounted to the end of an endoscope. The procedure is brief, and safe, with a risk of complication of 1% or less.
Because endoscopic bariatric revision is performed through the mouth, and without incisions, the recovery is very fast. The procedure is performed same-day, and most patients return to work within 2-3 days.

¿CUÁNTO DURA EL PROCEDIMIENTO?

The procedure is performed in an outpatient setting in less than 30 minutes. You are sedated during the procedure. After the procedure, you will wake up, recover, then you will be discharged home.

WHAT ARE THE RISKS OF THE PROCEDURE?

Most patients will experience a feeling of indigestion, mild nausea, and possibly upper abdominal pressure or pain. The risk of major complication, such as infection, bleeding, or stomach injury, is less than 1%.

HOW MUCH WEIGHT WILL I LOSE?

Most patients will lose an average of 10% of their total body weight, and up to 20% of their total body weight. This is not the same amount of weight that was lost after the original gastric bypass. However, the weight that you lose after Endoscopic Bariatric Revision is typically sustained for many years. This means that further weight gain has been halted. While individual results may vary, adhering to a structured diet and exercise regimen will increase the likelihood of long-term success.

HOW DO I KEEP THE WEIGHT OFF AFTER ENDOSCOPIC BARIATRIC REVISION?

Similar to gastric bypass surgery, patients are urged to adopt healthier eating habits after undergoing endoscopic bariatric revision. Eating slowly and avoiding over-eating are keys to long-term success.

WHAT EVALUATION IS REQUIRED BEFORE THIS PROCEDURE?

We may recommend an upper endoscopy or barium test to evaluate your pouch and outlet, if you have not had a recent evaluation. This is to confirm that it is enlarged, and able to be revised endoscopically. In some cases, the pouch or outlet may not be enlarged, and weight gain may have been the result of other factors.

I GAINED WEIGHT AFTER A SLEEVE GASTRECTOMY. AM I A CANDIDATE FOR ENDOSCOPIC BARIATRIC REVISION?

Yes. While endoscopic revision is most commonly used to fix a Roux-en-Y gastric bypass, we can also correct an enlarged vertical sleeve gastrectomy. The procedure involves endoscopically suturing the sleeve to make it small again. This process is closely related to the Endoscopic Sleeve Gastroplasty procedure. Contact us to learn if you may be a candidate.

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