Endoscopic Suturing with Overstitch

 

Have you had success from weight loss surgery but have now started to regain the weight? There are now options for patients who regain weight after their initial weight loss surgery.

The stomach pouch or outlet that connects to the small intestine can stretch over time. This allows patients to eat more food before they have the feeling of being full. AMI Surgery now offers an effective and safe endoscopic procedure that will reduce the size of the pouch to the original proportion post-operative.

 

WHY WOULD I REGAIN WEIGHT AFTER WEIGHT LOSS SURGERY?

Multiple studies have found that the majority of patients regain significant weight after weight loss surgery. The most common cause is when the stomach pouch or outlet is gradually stretched out. During the standard weight loss surgery (WLS) procedure, the outlet or stomach size is reduced so that not as much food can be consumed. This also slows the passage of food through the digestive tract. Because of this, the patient will feel fuller for a longer period of time even though they are consuming smaller portions.  Due to the dramatic decrease in calories, weight loss occurs. Studies have shown, however, that the stomach pouch or outlet will gradually stretch out so that it takes longer for the patient to experience a feeling of fullness. This is the cause of the patient’s regained weight.

 

ENDOSCOPIC OUTLET AND POUCH REPAIR

AMI Surgery now offers an endoscopic procedure to qualified patients that will reduce the size of an enlarged pouch and the diameter of the outlet. The procedure is performed through the use of a small flexible endoscope and medical device that allows for sutures to be strategically placed through the endoscope. The suturing devices and scope are inserted into the body through the mouth and down into the stomach in a similar way as a standard endoscope.  The diameter of the outlet is then reduced from the size of a silver dollar to the size of a dime by placing sutures around the outlet. If the stomach pouch needs to be reduced as well, then the same suturing technique can be used as well.

 

WHAT ARE THE BENEFITS OF THE ENDOSCOPIC PROCEDURE?

Due to scarring and adhesions from the initial bariatric surgery procedure, it can make laparoscopic revision surgery or open surgery extremely difficult if not impossible.  Patients who have undergone abdominal revision surgery are three times more likely to develop complications and the process takes much longer than the initial WLS. The risks are decreased if the patient has the revision through the endoscopic procedure when compared to the risks of abdominal revision surgery. Other added benefits include less pain, faster recovery, and no abdominal scarring. On average, patients are able to go home the same day; however discharge is based on Our Surgical Team’s recommendation.

 

WHAT ARE THE SIDE EFFECTS?

The endoscopic procedure normally does not cause patients to feel any discomfort. However, minor side effects can be caused due to the insertion of the endoscope into the mouth. These side effects can include sore throat, nausea, gas pain, swollen tongue, and lip pain.

 

WHAT IS THE RECOVERY PROCESS?

Following the revision procedure, patients are typically able to return to their normal routine within 48 hours.  Patients should follow the same diet and exercise guidelines that they did after their initial WLS following the endoscopic outlet and pouch repair.

 

WILL IT BE COVERED BY INSURANCE?

Depending upon a patient’s insurance plan, this procedure may be covered by insurance. If a patient’s insurance does not cover this procedure, cash pay options may be available. Patients can find out more by calling and speaking to a member of the AMI Surgical Team.