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Overstitch Transoral Endoscopic Pouch Reduction For Weight Gain After Gastric Bypass

01/05/2015 by DrCurry 42 Comments

NOTE: We are currently not offering Overstitch pouch reduction procedures.

Weight gain after gastric bypass is a problem which, until now, has had few good solutions.  Fortunately now, Apollo Endosurgery offers a device called Overstitch, which can help patients deal with this frustrating issue.  This is a unique endoscopic suturing device that can be used to reduce the size of the pouch or the stoma (the outlet from the pouch) to help with weight gain after gastric bypass surgery.

OverStitch
OverStitch Transoral Endoscopic Pouch Reduction

Prior to the Overstitch, other devices have been released to help physicians reduce pouch and stoma size, however many of them were flawed from the standpoint that they only allowed partial-thickness sutures to be placed in the stomach wall.  The Overstitch, however, allows the surgeon to place a stitch through all layers of the gastric wall, almost as if he were in the operating room doing open surgery.  The advantage for the patient is that this procedure should be more durable and likely to lead to permanent reduction in pouch or stoma size.  Accompanied by a healthy diet and regular exercise, this procedure can effectively help patients reverse the trend of weight gain after gastric bypass.

Not all patients who have suffered from weight gain after gastric bypass surgery are candidates for the Overstitch procedure, because pouch dilation or stomal enlargement are note the only cause of weight regain.  Typically, a screening endoscopy should be done in patients considering this procedure to determine if their anatomy is favorable to benefit from the Overstitch.

Typically this procedure is not covered by insurance, but is relatively affordable compared to more invasive options that have been done in the past.  Financing is available for patients who are interested in taking advantage of this new and exciting technology.  Click here for more info on financing options.

 

Filed Under: Anouncements, Uncategorized Tagged With: overstitch, weight regain after gastric bypass

Reader Interactions

Comments

  1. Tracey says

    19/04/2017 at 1:22 pm

    I had Gastric Bypass in 2012. I had done great until about last year. I feel like i am gaining weight and it is very stressful. Will the Overstitch procedure work in helping loose more weight?

    Reply
    • Dr. C says

      19/04/2017 at 1:42 pm

      Yes Tracey this is often times a great option for patients in your situation. Call 513-259-2555 and speak to our patient service reps, they can discuss the procedure with you as well as steps needed to move forward.

      Dr. Trace Curry
      Medical Director
      JourneyLite Physicians

      Reply
  2. Yolanda Johnson says

    08/05/2017 at 3:10 pm

    With this procedure about how much would a patient lose?

    Reply
    • Dr. C says

      09/05/2017 at 9:02 am

      Weight loss varies a lot after Overstich, typically around 25-50 lbs.

      Dr. Trace Curry
      Medical Director
      JourneyLite Physicians

      Reply
  3. Veronica Caballero says

    12/08/2017 at 12:43 am

    Will the stitches loosen up with time if weightloss is 25-50 pounds.

    Reply
    • Trace Curry says

      14/08/2017 at 8:43 am

      There is no way to predict for sure but most likely it would be the opposite, stitches would still be holding tight in a patient who lost 50 lbs.

      Dr. Trace Curry
      Medical Director
      JourneyLite Physicians

      Reply
  4. Tina Maury says

    14/09/2017 at 10:57 am

    Will vertical sleeve gastrectomy patients ever be candidates for the Overstitch procedure?

    Reply
    • Trace Curry says

      20/09/2017 at 12:22 pm

      Yes, in some cases it may be possible if the sleeve is dilated.

      Dr. Trace Curry
      Medical Director
      JourneyLite Physicians

      Reply
  5. John Kane says

    24/10/2017 at 12:56 pm

    Hi, what is the cpt code for this procedure?

    Reply
    • Trace Curry says

      27/10/2017 at 12:28 pm

      There isn’t a CPT code yet to my knowledge.

      Dr. Trace Curry
      Medical Director
      JourneyLite Physicians

      Reply
  6. Donna Haydra says

    22/01/2018 at 2:35 pm

    does Medicaid cover “Overstitch Transoral Endoscopic Pouch Reduction For Weight Gain After Gastric Bypass (they paid for the Gastric Bypass).

    Reply
    • Trace Curry says

      01/02/2018 at 10:12 am

      No, they do not unforuntately.

      Dr. Trace Curry
      Medical Director
      JourneyLite Physicians

      Reply
  7. Denise gifford says

    03/02/2018 at 9:09 am

    I understand the cost is self pay. Can you give me an idea of cost?

    Reply
    • Trace Curry says

      09/02/2018 at 7:22 am

      Hi there, you can find all our pricing at:
      https://journeylite.com/financing-options/

      Dr. Trace Curry
      Medical Director
      JourneyLite Physicians

      Reply
  8. Addie Me!!!! says

    28/04/2018 at 1:58 pm

    What is the success rate and why is it that it’s a 20-50Lbs weight loss expectancy if it seems like it brings the stoma / pouch down to its original post gastric bypass size?

    Reply
    • Trace Curry says

      03/05/2018 at 2:04 pm

      It’s complicated, and we really don’t understand it fully, but there are many factors other than stoma and pouch size involved.

      Reply
  9. Steven Braskett says

    17/07/2018 at 7:42 pm

    do you have to have bypass surgery first, or can you have overstich transoral surgery instead of bypass surgery?

    Reply
    • Trace Curry says

      19/07/2018 at 11:31 am

      Yes you can have an Overstitch as a primary procedure, it’s called an ESG though. Just type ESG in the search bar in the upper right of the site and you’ll find more info.

      Dr. Curry

      Reply
  10. Vanessa Tuten says

    29/07/2018 at 10:14 pm

    Is there no programs to help the unfortunate because I am broke but need help 😢 this sounds like something I need my weight is progressing my dieting and exercise is not working so if anyone knows of any financial help please feel free to email me Thanks

    Reply
    • Trace Curry says

      30/07/2018 at 7:59 am

      We are just a small private practice so we don’t have any programs for free procedures, but we do have financing partners if you’re interested.

      Dr. Trace Curry
      Medical Director
      JourneyLite Physicians

      Reply
  11. Brenda says

    07/08/2018 at 3:31 pm

    my UHC Insurance through my employer covers weight loss surgery, I had a RY done in 2004. I’ve gained about 40 lbs I am interested in the Overstitch. Reading some of the comments it sounds as if you don’t process through insurance. My question is why if our insurance covers weight loss procedures?

    Reply
    • Trace Curry says

      08/08/2018 at 8:29 am

      We do process insurance for surgical weight loss procedures, but they don’t typically cover Overstitch so it has to be self-pay.

      Dr. Trace Curry
      Medical Director
      JourneyLite Physicians

      Reply
  12. Lanesha Brown says

    15/10/2018 at 9:56 pm

    Since this last comment, have you heard of any insurance companies covering this overstitch procedure and do you know the cpt codes?

    Reply
    • Trace Curry says

      18/10/2018 at 7:37 am

      Overstitch is not covered unfortunately.

      Dr. Trace Curry
      Medical Director
      JourneyLite Physicians

      Reply
  13. Samantha Woollven says

    01/01/2019 at 6:41 pm

    Hi

    I had a Sleeve done approx 4 years ago, and have exercised 4/5 a week and managed to keep weight ain to a min, but feel the restriction has completely gone and very worried as gained 8lbs recently.
    I have a pacemaker fitted a year ago and would like to have this stitch procedure , i also live in the uk but have travelled abroad for my sleeve and tummy tuck.

    How long does the procedure take and would they consider me after having a pacemaker.

    kind regards

    sam

    Reply
    • Trace Curry says

      02/01/2019 at 7:34 am

      Not all sleeve patients are candidates for Overstitching, the sleeve has to be significantly dilated in order for it to work. We could probably arrange a video consult with Dr. Pitt on our new CurryCare app to discuss as he has the most experience with it.

      Dr. Trace Curry
      Medical Director
      JourneyLite Physicians

      Reply
  14. Michele says

    23/01/2019 at 3:41 pm

    Is the Overstitch a major surgery like the Bypass? What is the recovery time? How long must one be off work for a desk job? Is the $6250. for the Overstitch everything or are there other costs, as well?

    Reply
    • Trace Curry says

      14/02/2019 at 9:53 am

      Hi there and sorry for the delay. It is not a surgery at all, it’s done through a scope down the esophagus. Recovery is just a few days in most cases.

      Dr. Trace Curry
      Medical Director
      JourneyLite Physicians

      Reply
  15. Diane stroud says

    25/09/2019 at 7:00 pm

    What is the cost of the surgery?
    I had gastric sleeve 2016
    Keeping weight off but only lost 35 lbs
    Would like to lose another 50.
    Medicare paid for first surgery.
    Do they cover this procedure

    Reply
    • Trace Curry says

      26/09/2019 at 1:58 pm

      Hello, overstitch is generally not covered by insurance. Conversion to either gastric bypass or SIPS could be however. I would recommend giving our patient service reps a call at 513-259-2555 and they can help you.

      Dr. Trace Curry
      Medical Director
      JourneyLite Physicians

      Reply
  16. Rachel MCCLELLAND says

    03/10/2019 at 1:18 am

    Is the pouch stitch revision part of the $1000 off special?

    Reply
    • Trace Curry says

      18/10/2019 at 12:44 pm

      Sorry, it’s not included in the special as it is a revisional procedure.

      Dr. Trace Curry
      Medical Director
      JourneyLite Physicians

      Reply
  17. Angela J Thompson says

    28/10/2019 at 9:57 pm

    I had a bypass in 2005 and I gained 35 pounds back. I had the scope done to see if my pouch grew and I was told it did not. Can I still get the overstitch? what can I do to lose the weight again.

    Reply
    • Trace Curry says

      07/11/2019 at 4:08 pm

      We don’t recommend Overstitch for patients with normal pouches. A medical weight loss option could be a possibility. Give our patient service reps a call at 513-559-1222 and they can help you.

      Dr. Trace Curry
      Medical Director
      JourneyLite Physicians

      Reply
  18. Jeremy Byers says

    13/01/2020 at 11:47 am

    Hello I had rny gastric bypass in 2005 I was 700 pounds when I had it done have lost 277 in the beginning I have regained about 75 pounds . I was told I have an ulcer in my pouch yet my surgeon never looked he just gave me some pills they don’t really work I think but I also have severe reflux bad. What kind of options could I have done it will be 15 years in March

    Reply
    • DrCurry says

      23/02/2020 at 1:30 pm

      This is tough to judge with limited info, I would recommend a consultation with one of our docs to see if they can help.

      Dr. Trace Curry
      Medical Director
      JourneyLite Physicians

      Reply
  19. Anon says

    06/03/2021 at 1:43 am

    I have low iron since my gastric bypass surgery, would this procedure make that worse, better, or no change?

    Reply
    • DrCurry says

      11/03/2021 at 8:13 pm

      Hello and thanks for your interest. I wouldn’t anticipate the Overstitch procedure to have any impact on iron deficiency.

      Reply
  20. Annette says

    27/10/2021 at 5:34 pm

    Hi I had VSG in 2011 I lost 50 lbs but in a few months felt no restriction and gained it all back plus. I don’t want a gastric bypass can I get over stitch? Thank you!

    Reply
    • DrCurry says

      04/11/2021 at 3:40 pm

      We are not offering Overstitch for sleeve patients as we haven’t seen good results with it.

      Reply
  21. Kristi says

    03/11/2021 at 5:11 pm

    Hi, I had the duodenal in 2013 and had complications so they went back in and lengthened it to 10 ft which helped a lot.. A few years ago I had a phytobezoar associated with suture material leading to intusseseption. The initial surgery worked for about 5 years but now I’m constantly struggling with weight gain and yo-yo dieting. Would you suggest a sleeve revision or the overstitch? I appreciate your time!

    Reply
    • DrCurry says

      04/11/2021 at 3:37 pm

      There is not a lot of data on this but we haven’t seen great results with Overstitching sleeves. A re-sleeve would only be an option if a current sleeve is majorly dilated and even then results are marginal. Probably in a case like this an endoscopy would have to be done first to see what the anatomy looks like.

      Reply

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