Austin Location

Endoscopic revision with Overstitch

Bariatric patients who have had gastric sleeve or gastric bypass surgery some time ago but are still struggling with weight gain now have a new option with the Overstitch™ procedure. Stomaphyx was an older device and procedure that was ineffective. It was therefore replaced by the Overstitch revision procedure.


There could be many reasons why someone would start gaining weight after the weight loss surgery, but the main factor could be the stretching of the opening from the stomach or the pouch. This are gradual change in your stomach after surgery. As this opening expands or the pouch expands, patients who have had weight-loss surgery may feel less full and end up eating larger portions of food. The Overstitch™ procedure involves decreasing the size of the opening between the pouch and the intestine and or the pouch itself so it returns to the previous size after your initial surgery.

  • The Overstitch procedure is performed using an endoscope and other specialized devices that allow sutures to be placed through the endoscope
  • The endoscope and suturing devices are inserted through the mouth into the stomach
  • Sutures are then placed around the outlet to reduce the diameter from the stomach into the intestine
  • Sutures may also be placed in the pouch to reduce the overall size of the pouch or gastric sleeve..

What Procedures can be done with Overstitch?

The overstitch device can be used for

  • Revision Gastric bypass for stoma and pouch reduction
  • Revision Gastric sleeve
  • Primary Endoscopic Gastric Sleeve

Overstitch Revision Procedure Advantages

  • Patients experience minimal to no pain, recover faster, and have no abdominal scarring
  • Short procedure as compared to an actual bariatric surgery and no surgical incisions are made.
  • Lower risk of complications
  • Typically, go home the same day

Is Overstitch Revision Right for You?

Whether the procedure is best for you or not depends on your specific situation with your previous surgery and current anatomy. Dr. Ganta will take many factors into account, including your body mass index, eating habits, your health problems, any previous surgeries and the risks of each procedure. The best way to determine if you would benefit from gastric bypass procedure would be to meet with Dr. Ganta in a free evaluation or a full consultation.

In general, Overstitch could be an option for you if:

  • You gained 20 lbs or more after previous successful surgery
  • Efforts to lose weight with diet and exercise have been unsuccessful
  • Your insurance plan does not cover this procedure

Recovery form Overstitch Procedure:

  • Patients are admitted on the morning of procedure typically 2 hours before the scheduled procedure.
  • After preoperative process you are evaluated by the registered nurse and anesthesia team
  • Procedure is then performed under full general anesthesia and takes approximately 1 hour.
  • Dr. Ganta believes that the procedure should not be rushed and adequate time should be spent in performing every procedure with precision and meticulousness to help accomplish an excellent recovery and result.
  • Most patients are discharged home the same day.
  • Return to work times may vary but many patients return to routine activities in about 1 to 2 days.

Benefits of Overstitch Revision Procedure:

Expected weight loss results vary widely depending on various factors including ability to exercise and follow the dietary recommendations.

Cost of Overstitch Revision Procedure in Austin

A decision to undergo a second procedure after the first procedure for weight regain is difficult both emotionally and financially. Insurance companies do not cover this procedure and therefore the cost may be a barrier for many patients. However it may be better to get the weight and health under control early on in the weight gain process so to prevent major and expensive interventions at a later time. We are glad to help with methods to finance the procedure. To learn more please contact us at 512-257-2425 or click on the button below and submit an online enquiry.