Healthier Weight
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Non-Surgical Endoscopic Gastric Bypass Revision (ERGB)

Surgeon Jamie Kelly
Healthier Weight is the first private clinic in the UK to offer Apollo Endosurgery’s new non surgical gastric bypass pouch revision (ERGB) treatment via endoscope.

This treatment is helping to overcome one of the biggest challenges facing weight loss specialists; how best to deal with gastric bypass patients who, following initial success, are now regaining weight.

What is a non-surgical gastric bypass revision (ERGB)?

Until now, if you were regaining weight after gastric bypass surgery, your options were limited to reducing the size of the pouch, extending the limb, placing a band around the pouch, or any combination thereof. Results were modest, and the revisional surgery was higher risk than the original bypass procedure.

This new revisional procedure is less invasive as it is performed endoscopically with a stitching device placed into the stomach through the mouth, with the enlarged pouch stitched from within to reduce its capacity. This means that unlike surgery, there is no cutting or stapling, no scarring and no wounds. The procedure is carried out in the UK by pioneering surgeon Mr Jamie Kelly under general anaesthetic for patient comfort, and it takes less than an hour.

Benefits of the endoscopic gastric bypass revision:

  • Non-surgical, so it has a lower risk factor
  • Can be done as a day case procedure (initially will be overnight stay)
  • Recovery time is just a few days, rather than a few weeks

Am I eligible for a gastric bypass revision?

If you've had gastric bypass surgery and are regaining weight, the non-surgical endoscopic pouch reduction procedure may be a good option. We will explain all your options at consultation along with the pros and cons of each.

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How much weight will I lose following revisional surgery?

It’s impossible to accurately predict how much weight you will lose as results will vary depending on several factors, including your willingness to adapt your diet and physical activity post procedure.

The evidence we have suggests that you can expect to lose about 50-60% of the regained weight since your lowest weight, post-bypass surgery (see graph, below). This compares favourably with the weight loss achieved through surgical revisional options, meaning you can expect a good weight loss result without the associated risks of surgery*.


*Weight loss surgery results and benefits differ for each individual. Results cannot be guaranteed

Post-operative support

Aftercare nurse

Any weight loss procedure is only as good as the long term commitment of the patient and the long term support of the clinic. This is particularly so when it comes to gastric bypass revision.

Invariably, weight regain has occurred because patient behaviours have reverted back to those before the original bypass operation. For this reason, in addition to the revisional procedure, we also put in place a rigorous post procedure support programme that includes dietary and physical activity support and guidance. You will also have review meetings with surgeon Mr Jamie Kelly

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What are the risks with the endoscopic revision?

Although a lower risk procedure than the surgical alternatives, all revisional bypass procedures carry a risk, and these will be explained in full at your consultation. These risks include:

  • Anaesthetic related risk, e.g. reaction
  • Haemorrhage
  • Perforation of the stomach

For prices & finance options, get a quote online or call 0121 693 4488

*Weight loss surgery results and benefits differ for each individual. Results cannot be guaranteed

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*Weight loss surgery results and benefits vary and are different for each individual. As such, Healthier Weight cannot guarantee specific weight loss goals.