If you’re unsure whether these apply to you, booking a consultation is the simplest way to get clarity. Dr. Bedi can guide you through the appropriate assessments and help determine whether a revisional procedure is the right next step for your situation.
Revisional Endoscopic Procedures
Revisional endoscopic procedures like TORe and SIS are minimally invasive options for people who had bariatric surgery in the past and now feel their original sense of fullness or restriction has gradually decreased. Over time, natural changes in the stomach can make portion control harder, and these techniques offer a gentle, incisionless way to restore that support. They’re designed for patients who want to regain momentum without undergoing another major operation.
Transoral Outlet Reduction
TORe is a minimally invasive endoscopic procedure designed for people who previously had gastric bypass surgery and now find that their outlet (the gastrojejunal anastomosis) has widened over time. This stretching can reduce the feeling of fullness and make portion control difficult. TORe gently tightens the outlet from the inside using sutures, restoring restriction and helping patients regain control without undergoing another surgery.
- Restores lost restriction
- Improves portion control
- Avoids surgical re-operation
- Supports renewed weight-loss progress
- Addresses natural outlet stretching
- Fast recovery, minimal downtime
Sleeve in Sleeve Revision
SIS is an incisionless endoscopic procedure for people who previously had sleeve gastrectomy and now feel their restriction has decreased over the years. The stomach can naturally widen or relax with time, making portion control difficult again. SIS gently tightens the existing sleeve from the inside using endoscopic sutures, helping patients regain fullness and support their progress without undergoing another surgery.
- Restores sleeve tightness
- Helps regain earlier fullness
- Improves portion control
- Supports renewed weight-loss efforts
- Avoids surgical re-sleeve
- Quick recovery, no incisions
Who Is a Good Candidate for Revision?
Revisional procedures like TORe and Sleeve-in-Sleeve are designed for individuals who previously had bariatric surgery and now feel their original level of restriction or fullness has changed over time. You may be a good candidate if any of the following apply:
You previously had gastric bypass or sleeve gastrectomy
You’ve noticed a gradual loss of fullness after meals compared to earlier years
Portion sizes have increased even though your habits haven’t
You’ve experienced weight regain after initial success
You want a non-surgical option instead of undergoing another bariatric operation
You’re medically cleared for an endoscopic, sedation-based procedure
You prefer a faster recovery with minimal downtime
Imaging or endoscopy shows a stretched gastric outlet or dilated sleeve
Revisional Endoscopic Procedures:
What Patients Can Expect?
Before the Procedure
- A consultation is completed to review your past bariatric surgery, current symptoms, and goals.
- Imaging or endoscopic evaluation may be recommended to confirm whether the outlet or sleeve has widened.
- You’ll receive clear instructions on fasting, medications, and preparation for the procedure day.
During the Procedure
- The procedure is performed endoscopically through the mouth — no incisions.
- Specialized tools are used to gently tighten the stretched outlet (TORe) or reinforce the sleeve (SIS).
- Sedation keeps you comfortable throughout, and the procedure typically lasts under an hour.
Recovery and Follow-Up
- Most patients return home the same day.
- A short phase of liquid and soft foods supports healing.
- Follow-up visits help ensure restriction improves and progress remains on track.
- Normal activities usually resume within a few days.
Why Patients Choose
Dr. Gurneet Bedi
Dr. Gurneet Bedi is a board-certified gastroenterologist with advanced training in therapeutic endoscopy and minimally invasive weight-loss interventions. He is part of Gastro Florida, a leading GI care network recognized for exceptional digestive health services.
Patients value his approach because it is:
Specialized expertise in endoscopic revision for patients who previously underwent bariatric surgery.
Minimally invasive, incisionless techniques that avoid the risks and recovery time of repeat surgery.
Personalized treatment planning based on your unique history, anatomy, and long-term goals.
Advanced endoscopic tools and techniques designed for precision, comfort, and safety.
Supportive follow-up care to help you regain momentum and maintain progress over time.
Dr. Bedi’s goal is to provide a clear, structured pathway for patients who want a safe, non-surgical method to manage their weight and overall health.
Frequently Asked Questions
We’ve got answers. Learn everything you need to know about the Revisional Endoscopic procedures.
Do I qualify for a revisional procedure if I’ve never had bariatric surgery?
No. TORe and SIS are specifically for individuals who previously had gastric bypass or sleeve gastrectomy.
Will this replace the need for another surgery?
For many patients, yes. These procedures offer a non-surgical alternative that can restore restriction without the risks of a second operation.
How long does recovery take?
Most patients resume normal activities within 48–72 hours, with a gradual return to regular foods.
Is the procedure painful?
Sedation is used to ensure comfort. Most patients report minimal discomfort afterward.
How do I know if TORe or SIS is right for me?
Your history, anatomy, and symptoms determine which option fits best. That’s why evaluation is essential.
Schedule Your Consultation
If you’re considering a revisional endoscopic procedure but aren’t sure whether it’s right for you, a consultation is the best place to begin. Dr. Bedi will review your previous surgery, assess your current condition, and guide you through the testing and options that match your goals. You’ll receive clear, practical recommendations so you can make an informed and confident decision about your next steps.