Revision Of Gastric Sleeve
in Washington, DC
How Does the Gastric Sleeve Revision Work?
A gastric sleeve revision is designed for individuals who initially lost weight after laparoscopic gastric sleeve surgery (VSG) but have since experienced a plateau or weight regain. Studies have shown that while many patients see significant short-term weight loss, a large number begin to regain weight over time. There is still hope for these patients to reach their weight loss goals using non-surgical interventions, and depending on the factors contributing to weight regain, a gastric sleeve revision may be the right solution to help get them back on track.
A gastric sleeve revision is an outpatient procedure that takes less than an hour and is performed using an endoscope, so there are no incisions or hospital stay required. During the procedure, the doctor tightens a stomach pouch that has expanded or further reduces the size if it was not initially reduced enough, using a specialized suturing technique. This helps decrease stomach capacity and restore the restriction and portion control created during the original surgery, allowing patients to feel full sooner and stay satisfied longer while keeping the stomach’s natural function unchanged.
Gastric Sleeve Revision Vs. Bariatric Surgery
VSG Revision
- No hospital admission: the same-day procedures
- No surgical incisions: the procedures are completed through the mouth
- No scars
- Fast recovery & fewer complications
- No permanent anatomy changes
- No lifelong supplementations needed
Bariatric Surgery
- Patient must be admitted to a hospital
- Undergoes surgery including incisions that take time to heal
- Increased risk of complications
- 1-5 days of hospitalization
- Permanent surgical anatomy change
- Lifelong supplementations needed
Revision of Bariatric Surgery
A non-surgical, minimally invasive, reversible procedure to significantly reduce your stomach size and help you lose weight.
- Revision of Bariatric Surgery
- Smart scale
- Pre-procedure blood work
- Post-procedure IV fluid therapy
- Dietitian consultations
- 12-month follow-up with your care team
- Unlimited messaging with your care team
- Medications not included
Financing Options
Meet Dr. Janese Laster-Butler
Testimonials
FAQs
What Are Common Reasons to Consider Gastric Sleeve Revision Surgery?
- The First Surgery Wasn’t Restrictive Enough
- Sometimes, the initial gastric sleeve surgery didn’t provide sufficient restriction, or due to chronic overeating, the surgical stomach gradually stretched to accommodate more food.
- Returning To Old Behaviors
- The main reason that individuals gain weight after gastric sleeve surgery is they do not maintain permanent changes to their lifestyles that promote sustaining a healthy weight. They often return to unhealthy eating habits, have a reduction in physical activity, fail to get adequate sleep, or reduced water intake, etc. It is challenging to change behaviors that many have been practicing for years, but it is the most important part of the weight loss process.
Who Is A Good Candidate For VSG Revision?
Qualifying for a non-surgical gastric sleeve revision does not involve the same challenging process as the initial gastric sleeve surgery or a surgical revision. Good candidates for an endoscopic revision of gastric sleeve include:
- Patients who lost weight initially after surgery, but have reached a plateau years later, or are now experiencing weight regain gaining weight despite eating healthy and exercising
- Individuals who are free from medical conditions that would compromise their procedure and results. (Bleeding disorders or excessive scar tissue)
- Individuals who understand the possible side effects and what the procedure can and cannot do
- Patients who understand that they will need to make permanent changes to their behavior and lifestyle to reach and maintain a healthy weight and are committed to the process.
How Do I Know if A Gastric Sleeve Revision Will Work for Me?
If you are a former gastric sleeve patient and you stopped losing weight, or you have been gradually re-gaining weight, a consultation with Gut Theory Total Digestive Health can help figure out what is going on.
The compassionate and knowledgeable professionals at Gut Theory Total Digestive Care can help you regain control of your weight loss journey without an additional surgery.
Dr. Janese Laster-Butler is a quadruple board-certified expert who specializes in helping those suffering from obesity become healthier through weight loss. Even if your gastric sleeve surgery was years ago, she can help identify what conditions are impacting your ability to lose weight or causing weight gain and create a plan that is tailored to your circumstances that will get your weight loss back on track.
Your weight loss plan may include an endoscopic procedure that tightens up your existing stomach pouch, prescription weight loss medication to suppress your appetite, nutritional guidance, or more. Set up a consultation today and let the experts at Gut Theory Total Digestive Care learn more about your options for a second chance at reaching your weight loss goals.
How Much Weight Loss Can I Expect?
The average amount of weight patients lose after an endoscopic revision to gastric sleeve can vary depending on how much smaller the resultant stomach is made and how well the individual adheres to a healthy lifestyle. One study reported participants’ average excess weight loss one month after endoscopic revision was almost 19% and 48% of excess weight at the one-year mark.
What is the Recovery Time?
There are no incisions made during this procedure, and it is much less invasive than surgery. Most patients can return to their normal routines within a few days.
How easy is it to get to Gut Theory Total Digestive Care office?
Gut Theory Total Digestive Care office is located in Friendship Heights, right next to Friendship Heights Metro Station on the Red Line, making it easy to reach from many parts of Washington, DC, including Chevy Chase, Tenleytown, the American University area, and other Northwest DC neighborhoods.
Which Weight Loss Option Should I Choose?
| Category | Gut Essentials – Overhaul | Gastric Balloon | ESG (Endoscopic Sleeve Gastroplasty) | Gastric Sleeve Revision |
|---|---|---|---|---|
| Cost | $350 – $475/mo (6-month commitment) |
$7,495 total |
$12,995 total |
$11,995 total |
| Invasiveness | Non-invasive | Minimally invasive (endoscopic) | Minimally invasive (endoscopic, no incisions) | Minimally invasive (endoscopic, no incisions) |
| Avg. Weight Loss | 5 – 25% of body weight (varies widely) |
10 – 15% of body weight |
15 – 20% of body weight |
Additional 10 – 20% on top of prior loss |
| Recovery Time | None | 2 – 3 days (mild discomfort) |
2 – 3 days off work | 2 – 3 days off work |
| Reversible? | Yes — stop anytime | Yes — balloon removed at 6 months | Technically yes; not routinely done | Sutures, yes — not the initial surgery |
| Procedure Type | Ongoing membership program | Temporary (6-month balloon) |
Long-term durable results | Long-term durable results |
| Key Pros |
+ No procedure needed
+ Lowest entry cost
+ Flexible & reversible
+ Medication option avail.
+ Virtual wellness incl.
|
+ No surgery required
+ Reversible option
+ Jumpstarts habits
+ 12-mo follow-up incl.
|
+ No incisions
+ Greater weight loss
+ Durable long-term results
+ No hospital stay
+ Full care team incl.
|
+ Addresses sleeve failure
+ Significant add’l loss
+ Treats complications
+ Established approach
+ Full care team incl.
|
| Key Cons |
– Depends on adherence
– Slower weight loss
|
– Balloon removed @ 6 mo
– Nausea common early
– Weight regain possible
– Medications not incl.
|
– Highest upfront cost
– General anesthesia req.
– Post-op diet restrictions
– Medications not incl.
|
– General anesthesia req.
– Post-op diet restrictions
– Medications not incl.
|
Our Location
Mon – Fri:
9:00 AM – 5:00 PM
