New Non-Surgical
Weight Loss Procedures.

Home » Patient Resources » Am I a Candidate for Endoscopic Bariatric Surgery?

Am I a Candidate for Endoscopic Bariatric Surgery?

Bariatric surgery has given those living with obesity new hope for improved health and more active lifestyles.  New developments in the field of bariatrics have allowed physicians to perform gastric restrictive procedures without major or laparoscopic surgery. Located in Montclair, the Center for Bariatric Endoscopy, the “Premiere Bariatric Surgical Institute in New Jersey”, offers endoscopic bariatric surgery to patients from around the world. These procedures are performed by Dr. Sohail N. Shaikh.

Am I a Candidate for Endoscopic Bariatric Surgery?

The criteria for endoscopic bariatric procedures is similar to the criteria for traditional bariatric surgery, however, patients with a BMI of 30 and sometimes even lower can qualify. Use our online calculator to check you BMI.  If you have been struggling to lose weight on your own, the Center for Bariatric Endoscopy offers alternative, less invasive and less risky options. The best way to determine if you are a candidate for Endoscopic Bariatric Surgery is to schedule a consultation with Dr. Shaikh.

Benefits of Endoscopic Bariatric Surgery

Endoscopic Bariatric Surgery offers weight loss procedures that do not involve external cuts, but are instead performed entirely through the mouth. Benefits of these types of procedures include the following:

  • Same-day, outpatient procedure (patients go home the same day)
  • Virtually painless
  • Fast recovery time – Most patients are back to work in 2-3 days
  • No outside cuts, no scars
  • No need for antibiotics
  • No risk of wound infection or other surgical complications

Endoscopic Bariatric Surgery Before and After

Many men and women in New Jersey and across the country have sought the expertise of Dr. Shaikh to perform Endoscopic Bariatric Surgery. You can see some of the results of our procedures by browsing our Endoscopic Bariatric Surgery Before and After Pictures.

How is Endoscopic Bariatric Surgery Performed?

Endoscopic Bariatric Surgery is performed through the mouth with an endoscope (a thin, flexible tube with a camera and a light) and specialized suturing equipment. The long, flexible tube of the endoscope allows Dr. Shaikh to access your stomach and small intestine through your mouth, instead of using incisions on the outside of your body. The suturing equipment allows him to remodel your stomach tissue and reduce the volume of your stomach.

Types of Endoscopic Bariatric Surgery

Incision-Free Gastric Sleeve

Patients who meet certain clinical criteria may be candidates for an outpatient endoscopic gastric sleeve procedure at the Center for Bariatric Endoscopy. Incision-free gastric sleeve surgery helps with weight loss by reducing the size of your stomach to control the amount of food that your stomach can hold. This reduces your food intake and helps you lose weight. Dr. Shaikh uses an endoscope for the incision-free gastric sleeve procedure. The endoscope is inserted into the patient’s mouth and carefully guided down the esophagus to the stomach. A special tool on the endoscope allows Dr. Shaikh to place sutures in your stomach and cinch stomach tissue together to create a small, sleeve-like stomach pouch. The primary benefit of the incision-free gastric sleeve procedure is that incisions are not required in the patient’s abdomen to access the stomach. As a result, patients achieve outcomes similar to bariatric surgery with minimal recovery, no scars, and greatly reduced risk.

Endoscopic Gastric Balloon

Endoscopic Gastric Balloon placement may be a great option for you if you are looking for a weight loss aid, but do not wish to have a surgical procedure that changes your internal anatomy.  The Gastric Balloon procedure requires no external incisions (which means no scars on your abdomen), and is a short-term procedure that can be reversed at any time. During the procedure, Dr. Shaikh accesses the stomach though the mouth by inserting a flexible endoscope tube through your mouth and down your esophagus. Attached to the endoscope is a balloon that is made of a soft silicone material. Dr. Shaikh positions the balloon inside the stomach and fills it with either liquid or air. The inflated balloon takes up space inside the stomach, thus reducing the amount of food that you can eat before feeling full. The balloon remains in your stomach for no longer than six months, and can be removed at any time. The Gastric Balloon allows you to lose weight and learn healthier eating habits by restricting the portions of food you are able to consume.  In some cases, Dr. Shaikh may recommend the endoscopic gastric balloon prior to more invasive types of bariatric surgery.

Endoscopic Gastric Plication

One of the most recent advancements in bariatric surgery is gastric placation. The procedure involves making several folds in the stomach and anchoring the folds with sutures or clips. These folds decrease the overall size and volume of your stomach to reduce its capacity for food.  Dr. Shaikh performs endoscopic gastric plication using an endoscope that is fed through the mouth and esophagus. He then uses special equipment attached to the endoscope to create the folds in the stomach. The procedure is typically offered in an outpatient setting, and requires no hospital stay. No external incisions are needed, and the procedure is virtually painless.

Endoscopic Gastric Bypass Revision

Bariatric surgery is becoming a more common and accepted means for weight loss. In some cases, most commonly years after surgery, weight regain can occur. There are several causes for potential weight regain, but until recently there were very few options to address this issue. Reoperation is one such option, however, repeat surgery carries great risks. Dr. Shaikh offers endoscopic gastric bypass revision for those who qualify.

Dr. Shaikh uses several types of diagnostic tests to determine the possible causes for your weight regain. These tests may include radiography of the upper gastrointestinal tract (upper GI series) or an upper endoscopy to view your esophagus and stomach from the inside (EGD). The tests may reveal a problem with the size of your stomach and/or outlet between your stomach and intestines. He may also determine that certain irregularities are interfering with your ability to lose weight, such as gastrogastric fistulas and anomalies along the staple line. If the tests indicate that your stomach pouch or stoma are stretched or were not adequately reduced during your first gastric bypass surgery, he may recommend endoscopic gastric bypass revision. The minimally-invasive procedure maximizes the benefits of endoscopic technology. The long flexible tube if fed through your mouth, along the esophagus and inside the stomach. Dr. Shaikh uses suturing equipment to remodel your anatomy and restore it to what it was after your first gastric bypass surgery.

Preparing for Endoscopic Bariatric Surgery

Endoscopic Bariatric Surgery is less invasive than open or laparoscopic bariatric surgery. Pre-procedure preparation will depend on the specific procedure you need. It is important that you are evaluated by your primary care physician to ensure you are medically cleared for an endoscopic surgical procedure. Endoscopic bariatric repair also requires consultation with a Registered Dietitian to review the special diet you need to follow before and after to ensure proper healing and encourage weight loss.

Recovery from Endoscopic Bariatric Surgery

The goal of Endoscopic Bariatric Surgery is to limit the volume of food your stomach is able to hold. This allows you to eat much smaller portions and still feel full and satisfied.  Endoscopic procedures offered by the Center for Bariatric Endoscopy cause far less tissue trauma than traditional bariatric surgeries that require incisions on the outside of the body. As a result, recovery time is significantly reduced. Most patients return to work after just a few days, and discomfort is minimal.

How Much Does Endoscopic Bariatric Surgery Cost?

Endoscopic Bariatric Surgery is typically not covered by insurance, but we are happy to check you plan’s benefits on your behalf. For more information, contact your medical insurance company. If you are interested in making affordable monthly payments on your portion of the cost, please visit our financing page to learn about Advance Care Card.

Is Endoscopic Bariatric Surgery Right for Me?

Endoscopic Bariatric Surgery is an option for those interested in having a bariatric procedure, but wary of the risks associated with traditional surgical methods.  If you have been struggling to lose weight on your own and endoscopic bariatric surgery sounds like the right choice for you, call today to schedule a consultation with Dr. Shaikh. Out of state patients can click here to request a virtual consultation.

Why Choose Dr. Sohail N. Shaikh for Endoscopic Bariatric Surgery?

Dr. Shaikh is a pioneer and a world leader in the field of bariatric endoscopy. He has performed endoscopic bariatric repair since his training at The University of Arizona and Harvard Medical School where he focused on advanced, developmental and bariatric endoscopy.  Dr. Shaikh teaches nationally and internationally and is involved in research to advance the field. He is an understanding and caring physician who puts his patients’ needs above all else. At the Center for Bariatric Endoscopy, we understand that weight gain may be difficult to control, and we are dedicated to giving you the tools you need to succeed.

What to Expect During Your Consultation for Endoscopic Bariatric Surgery

Dr. Shaikh will help you determine if Endoscopic Bariatric Surgery is right for you. He may request that you to have diagnostic testing in order to better assess your anatomy and ensure that your stomach is healthy enough for a procedure.  If endoscopic surgery is a good option for you, Dr. Shaikh will explain your condition and outline all of your options during your consultation. He will also ask you questions regarding your past medical history and current struggles and goals to gain a better understanding of your overall health.

Endoscopic Bariatric Surgery is a safe and effective alternative to conventional bariatric surgery. If you would like more information or want to know if you are a candidate for endoscopic bariatric surgery, contact Dr. Shaikh today!


“Individual results may vary.  Results are not guaranteed with this or any other procedure. Any weight loss procedure should be accompanied with nutritional counseling and an appropriate diet and exercise program.”