BARIATRIC REVISION

A specialized weight loss solution
for post-gastric surgery patients

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ABOUT BARIATRIC REVISION / TORE

Bariatric revision, or transoral gastric outlet reduction, is a non-surgical intervention tailored to enhance the well-being of individuals who have experienced weight regain following gastric bypass surgery.

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WHY DO PATIENTS REGAIN WEIGHT AFTER BYPASS AND GASTRICSLEEVE?

During gastric bypass surgery, a communication pathway known as a gastrojejunal anastomosis or outlet is established between the stomach and the jejunum. However, with time, this opening can enlarge, diminishing the sensation of fullness during meals. Consequently, patients may overeat, contributing to weight gain post-surgery.

For post-bypass patients grappling with weight regain, a non-surgical solution is now available to help regain control and facilitate weight loss. Bariatric revision offers a swift recovery with no downtime, allowing patients to resume their normal activities the following day.

BARIATRIC REVISION

ADVANTAGES OF BARIATRIC REVISION:

Physicians may suggest this procedure to certain patients due to its associated advantages, which include:

This procedure is minimally invasive, requiring no incisions.

It offers a faster alternative to traditional surgery.

It's an outpatient procedure, allowing patients to leave the Endoscopy center on the same day.

There's a reduced risk of complications during or after the procedure.

Patients can expect comparable weight loss rates to their original bariatric procedure.

IS THE OVERSTITCH PROCEDURE RIGHT FOR ME?

The OverStitch procedure may not be suitable for all individuals, as weight gain might not solely stem from an enlarged stomach opening. Consult with your physician to determine if OverStitch surgery aligns with your needs.

Insurance coverage for Post Bariatric Revision and ESG requires a $1,995 purchase at the initial procedure to remain effective.

BARIATRIC REVISION
BARIATRIC REVISION

WHAT’S COVERED:

Receive post-operative hydration services at any of our facilities.

Access unlimited one-on-one nutrition counseling sessions.

Benefit from 12 months of complication coverage, including re-suturing*.

Enjoy unlimited visits with Dr. Ibegbu for one year, which includes weight loss pharmacotherapy consultations.

POST-PROCEDURE DIET
Following the procedure, an immediate return to normal eating habits isn't feasible. Instead, a gradual diet progression is initiated, commencing with clear liquids, advancing to full liquids, followed by soft foods, and eventually reintroducing regular foods. This step-by-step approach facilitates optimal healing while minimizing any discomfort or pain associated with the procedure.
Stage 1 (7 Days):
During the initial phase of the diet, focus on consuming 48-64 fluid ounces per day, ensuring hydration by taking small sips every 15 minutes. Opt for sugar-free, non-carbonated beverages with fewer than 10 calories per 8-ounce serving. Suitable options include water, Hint Water, Fruit2O, Mio Drops, Crystal Light, True Lemon/True Lime Packets, Sugar-Free Jell-O, Sugar-Free Popsicles, and decaf tea or coffee without cream or sugar. Note that hot or cold liquids may not be as well tolerated. Steer clear of caffeine and alcohol during this phase. Additionally, incorporate a daily dose of MiraLAX for the initial two weeks to support digestive regularity.
Stage 2 (Until ready to move to soft foods):
During the full liquid phase, maintain a target of 64 fluid ounces of sugar-free beverages per day. Enhance protein intake by incorporating two or three protein shakes daily, ensuring each serving contains 20-30 grams of protein, less than 200 calories, and less than 5 grams of sugar.
Stage 3 (1 Month): Part 1
Welcome to Stage 3 of your post-op diet! You've reached a significant milestone on your journey towards achieving your nutrition objectives. During this phase, the focus shifts from pureed foods to soft options that can be easily mashed with a fork. It remains crucial to aim for a daily protein intake of approximately 60-90 grams to support your dietary goals.
Stage 3 (1 Month): Part 2
Luckily, there's a wide array of soft food options available to choose from. These include eggs, soft-baked white fish, canned chicken, tuna, or salmon (mixed with mayonnaise or plain Greek yogurt for optimal texture), deli meats like chicken, turkey, and ham, as well as tofu and other soft vegetable proteins. Additionally, you can incorporate real cheese, cottage cheese, ricotta cheese, and plain or light Greek yogurt into your meals for added protein. Legumes such as lentils and refried beans, along with non-starchy vegetables and unsweetened applesauce, are also recommended, but it's best to consume them after meeting your daily protein target.
Stage 3 (1 Month): Part 3
Maintain your meal routine with three small meals a day and one protein-packed snack. Begin each meal by prioritizing protein consumption. Remember to cease drinking liquids 15 minutes before eating and wait 20-30 minutes post-meal before resuming liquid intake. This strategy ensures adequate hydration without the discomfort associated with overeating.
Stage 4 (Regular Maintenance Diet): Part 1
We encourage all patients to prioritize a healthier lifestyle post-procedure. Aim for three balanced meals each day, with the option of a snack if needed. Additionally, for the next month or so, incorporating one protein shake daily can help ensure you meet the recommended protein intake of 60-90 grams per day.
Stage 4 (Regular Maintenance Diet): Part 2
When planning your meals, focus on selecting high-quality protein sources that require thorough chewing. Prioritizing protein in your meals, comprising about 75% of each serving, promotes satiety over extended periods. If hunger persists within 15-20 minutes after consuming your primary protein portion, consider adding non-starchy vegetables as a side dish. Avoid deep-fried or breaded items when aiming for weight loss goals.
Stage 4 (Regular Maintenance Diet): Part 3
While the texture of the diet shifts in Stage 4, it remains crucial to uphold a minimum protein intake of 60-90 grams (or more) daily, alongside consuming 64 ounces (or more) of sugar-free liquids. To optimize weight loss outcomes, maintaining regular exercise routines and adjusting intensity or duration as needed can be beneficial. Consistent prioritization and practice of these dietary and lifestyle adjustments are key to achieving success.
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