loader image
Formation logo

Endoscopic Revision of Sleeve Gastrectomy

We all stumble at times which can demotivate us. You are not defined by these set-backs. You are not a failure. Pick yourself up, Dust yourself off and let’s start again!
Less than 1% of the 70 million adults in the US that are obese take ownership of their health and undergo bariatric surgery every year. 60-80% of these patients achieve long term success with all the benefits of longevity, health and wellness regained. Unfortunately the others often regain all of their weight due to internal and external stumbling blocks. Until now, the only option Dr. Grandhige could offer these patients was surgical revision of their sleeve gastrectomy or gastric bypass which comes with measurable complication rates.
Endobariatric options now allow Dr. Grandhige to offer safe, effective, same-day revisions of your previous bariatric surgery to once again have a jump start in your wellness journey – without any incisions!

Endoscopic Sleeve Revisions

Laparoscopic Sleeve Gastrectomy (“Lap Sleeve”) is the most commonly performed bariatric procedure in the US at this time. It is a very effective weight loss procedure with significant decrease in heart disease, diabetes, back and joint issues.
Regaining weight after sleeve gastrectomy is often multifactorial, including gradual sleeve dilation, improper eating behaviors and hormonal adaptation. In some cases, patients that don’t have initial success, have an oversized sleeve that was created too big in their preliminary surgery.

Endoscopic revision of a sleeve gastrectomy further reduces the volume of your sleeve, resulting in restoration of your sense of feeling full with smaller portions. This safe, outpatient procedure, offers our patient a new opportunity to regain control of their body and wellness and get back on track.

How it works?

Endoscopic revision of Sleeve Gastrectomy works by using a device called the Overstitch which allows Dr. Gopal Grandhige to perform an endoscopic suturing technique bringing portions of the stomach wall together, reducing the total volume of your sleeve. Depending on how big your sleeve is, he will adjust the placement and number of sutures to optimize your outcome.
Medical illustration of an endoscopic balloon in a patient's stomach

Who Is a Good Candidate?

The Recovery Process

After the procedure, you can go home within a few hours. Most patients return to work in one to two days. There are no physical restrictions and in general, no pain is associated with this procedure.
Female model in blue and white polka-dot dress

The Key to Our Success Is Your Success

At Formation, we want you to succeed – for the rest of your life. We start with 1 month of one-on-one virtual nutritional coaching with Brooke Sobh and her team. She works hand in hand with Dr. Grandhige to get you prepared pre-operatively. After the surgery, you will continue to have close contact with her team. You will have quick weight loss given your restored anatomy for months after your surgery. After these initial months, many patients feel abandoned without the tools to create a life-long maintenance plan. Brooke implements her reverse-dieting program in order to increase your calories, thereby increasing your metabolism and prevent regaining of your weight.

Surgery Duration

30 minutes


Monitored sedation

Hospital Stay


Time Off Work

1 to 2 days

Schedule a consultation
At Formation, we believe that health breeds happiness, and we’re proud to offer a variety of weight loss procedures that enable our patients to improve their health and feel confident in their own skin. If you have stumbled or become frustrated with regaining weight after a previous sleeve gastrectomy, contact our office today and find out if endoscopic revision of your sleeve gastrectomy is right for you.
John Hopkins logo
Michigan University of Medicine
Yale New Haven Hospital logo
American Board of Surgery
American College of Surgeons
USF Health