Sleeve Revision Explained

An endoscopic sleeve revision tightens a sleeve gastrectomy. It is an outpatient, same-day non-surgical endoscopic procedure that lasts 30-45 minutes. It is best for people who had a surgical sleeve gastrectomy and have gained weight and can eat more food. The result? Patients will find they can feel full again, will be able to feel satisfied with smaller portions of food, and can do the things they want to do.

Who is it For?

Endoscopic sleeve revision is for people who had a sleeve gastrectomy surgery more than two years ago, lost some weight but then gained it back. This procedure is best for people who feel like they can eat larger portions and have trouble keeping their diet on track

How The Procedure Works

Endoscopic sleeve revision is a non-surgical endoscopic procedure that your doctor does on the same day. Your doctor will put an endoscope into your mouth and then use it to make your stomach tighter. It takes 30-45 minutes under anesthesia, and you are out of the hospital in just one day. It is usually smaller than before. Endoscopic sleeve revision is very closely related to Endoscopic Sleeve Gastroplasty. This is a new and advanced non-surgical endoscopic procedure for people who want to get the benefits of weight loss surgery, but without actually having that surgery. Most people will be able to return to work and normal activities within 2-3 days after this procedure.

How Much Weight Will I Lose?

The average weight loss following an endoscopic sleeve revision is 15-20% of body weight. Endoscopic revisions are not as dramatic as the original surgery, but they can help patients lose a lot of weight. The people who do best use this new tool to completely change their lifestyle.

Why Choose Us for Sleeve Revision?

Endoscopic Mastery

The complicated nature of endoscopic procedures demand a great amount of skill. Dr. Veera is a gastroenterologist with an expertise in weight loss and endoscopies. He travels all over to learn the lastest cutting edge procedures so that he can bring most advanced care to Upsate South Carolina.

Bariatric Prestige

Dr. Veera is a renowned gastroenterologist who performs endoscopic procedures at Anmed Hospital. AnMed Health Weight Loss Surgery was certified in 2016 by the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP), a nationally accredited program that meets the highest standards for patient safety and quality of care. The MBSAQIP standards ensure that weight loss surgery patients receive a multidisciplinary program, not just surgery, which improves long-term success.

Physician Commitment

If you live in South Carolina, or are traveling from another state, we promise to provide the highest level of concierge care with direct access to your physician. We remain committed for your success throughout this weight loss journey because our goal is not just about losing pounds but also regaining health and happiness.

Pricing Plans (Cash Pay Only)


  • Initial Physician Consultation
  • Pre-Surgery Comprehensive Bariatric Nutrition Consultation
  • Pre-Surgery Psychiatry/Psychologist Evaluation
  • Sleeve Revision Procedures (inclusive of all Anmed facility, anesthesia, and physician fees)
  • Physician Post Procedure Follow Up Visits
  • 24/7 Medical Staff On-Call Access

Insurance does not currently provide coverage for non-surgical weight loss procedures

Non-Surgical Endoscopic Procedure Comparisons





LSG (Do Not Offer)

Type of Procedure

Non Surgical (Endoscopic)

Non Surgical (Endoscopic)

Non Surgical (Endoscopic)


Is Hospitalization Required




Yes; 1-3 days

Return to work

2-3 days

2-3 days

2 days

1-2 weeks

Average Excess Weight Loss

50 %

30-40 %

50-60 %

60-70 %

Average Total Body Weight Loss

20 %

15 - 20 %

25 %


Major Complications

Rare <1%

Rare <1%

Rare <1%

2-6 % (0.11% mortality)






Covered by insurance




Yes (if eligible)


How is This Different From a Surgical Revision?

An endoscopic sleeve revision is a minimally invasive non-surgical procedure that can be performed without incisions. The recovery time for this surgery lasts only 2-3 days, and most patients return to work soon after the operation.

How Long is the Procedure?

The procedure is done in less than thirty minutes. You will be sedated during the entire process which takes place at an outpatient setting. After waking up, you’ll recover and then go home all within a few hours from start to finish!

What are the Risks of the Procedure?

You may experience mild nausea, chest pressure, and stomach spasm. These symptoms will pass in less than a day. Although rare complications like infection or bleeding are possible, the risk is still low at under 1%.