Gastric Bypass

Gastric Bypass Revisions


Gastric bypass is a common weight loss surgery that involves creating a tiny stomach pouch, which is connected directly to the small intestine. Over time, the pouch and its connection point to the intestine (called the “outlet”) can enlarge. The result is the ability to eat larger portions, leading to weight regain. Most gastric bypass patients will eventually regain 30% of the weight they lost. But, more than 1 in 5 patients will regain all of the weight.

Endoscopic gastric bypass revision, also known as Transoral Outlet Reduction, is a same-day, incisionless procedure that tightens the pouch and outlet to their original size. The result is a restored sense of fullness, and the ability to lose weight that has been regained. Because the procedure is non-surgical, the recovery is brief, with most patients returning to work in 2-3 days.

Who It’s For

Endoscopic gastric bypass revision is best suited for patients who had gastric bypass more than two years ago, were initially successful in losing weight, but have since regained weight and can eat larger portions. Patients who are motivated and ready to get back on track and to utilize this “second chance” with their bypass will benefit the most.

How The Procedure Works

This is a 15-minute, non-surgical, incisionless procedure performed under anesthesia. Your physician will utilize an endoscopic suturing system—a device mounted to a flexible endoscope—which is then passed into the stomach through the mouth. Using this state-of-the-art tool, your stomach pouch and outlet will be tightened and restored to their original size, or smaller. The result is a permanent restoration of the original pouch.

How Much Weight You’ll Lose

The average weight loss with an endoscopic bariatric revision is 10-15% of body weight. While more modest than the original gastric bypass, an endoscopic revision allows patients to lose substantial weight but to also keep it off long-term. Studies show that weight loss after this procedure is maintained for five years or more, meaning the prior weight re-gain is completely halted.
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Why Choose True You for Gastric Bypass Revisions?

Endoscopic Expertise
Endoscopic gastric bypass revision is a technically challenging procedure that requires a high level of endoscopic skill and experience. Dr. McGowan, a board-certified gastroenterologist and endoscopist, is a leader and educator in the field of endoscopic weight loss, and regularly trains physicians from around the nation in the technique of endoscopic suturing. Dr. McGowan has performed hundreds of endoscopic bypass revisions, ensuring that you are in expert hands. And as a patient at True You, you will receive a comprehensive after care program, with a dedicated bariatric dietitian assisting you on your journey.
Bariatric Excellence
WakeMed Cary Hospital, where Dr. McGowan performs Gastric Bypass Revisions, is an accredited Comprehensive Center for Bariatric Surgery, Blue Distinction Center for Bariatric Surgery, and Cigna Center of Excellence in Bariatric Surgery. Though your Gastric Bypass Revision is a same-day, outpatient procedure, you will have the backing of a comprehensive, knowledgeable, and award-winning bariatric center.
24/7 Physician Access
Whether you live in North Carolina, or are traveling from another state, you will receive the highest level of concierge care, with 24/7 direct access to your physician via personal cell phone, text, email, and video chat. We remain committed to your success throughout your weight loss journey.


Gastric Bypass Revision: $6,995
The endoscopic Gastric Bypass Revision is a short, 15-minute procedure with a fast recovery. It has proven, long-term results, is clinically proven, and restores the gastric pouch to its original tightness. The non-surgical revision allows you to feel full again and lose weight.

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