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Dilated Gastric Sleeve Repair in New Jersey

Weight gain after gastric sleeve surgery may indicate that your gastric sleeve has stretched. The result is that you are able to eat more food, which may lead to weight gain. Endoscopic repair of a dilated gastric sleeve is a safe and minimally invasive procedure that may help patients from around the world stay on target with their weight loss goals, and is offered by Dr. Sohail Shaikh at the Center for Bariatric Endoscopy, located in Montclair, and the “Premiere Bariatric Surgical Institute in New Jersey”.

What is Dilated Gastric Sleeve Repair?

gastric-sleeve-reduction-150x150Years after a gastric sleeve has been inserted, the shape and size can change as a result of dietary and lifestyle alterations. The gastric sleeve can stretch out, allowing larger quantities of food to be ingested. Dilated gastric sleeve can also result from any of the following changes:

  • Gradual increase in the volume of food or drink intake
  • Lack of adherence to dietary recommendations
  • Eating and drinking at the same time
  • Surgical changes

Stretching of the sleeve allows more food to be eaten at each meal or snack, without feelings of fullness or restriction. This leads to increased appetite and food intake, which can then lead to weight gain.

Endoscopic repair of a dilated gastric sleeve reduces the shape and size of the gastric sleeve to limit the amount of food intake tolerated at one time. The goal of this procedure is to restore the size of the sleeve to its original dimensions.

Benefits of Dilated Gastric Sleeve Repair

Endoscopic dilated gastric sleeve repair is safer than traditional surgical interventions and involves less downtime and less discomfort during recovery. Additional benefits of endoscopic dilated gastric sleeve repair include:

  • Virtually painless procedure
  • Minimal to no blood loss
  • No cuts from the outside
  • No risk of wound herniation or external wound infection
  • Can restore the feeling of fullness and aid weight loss
  • Same day surgery (able to go home the same day)
  • No re-routing of existing anatomy
  • No need for antibiotics

How is Dilated Gastric Sleeve Repair Performed?

Endoscopic repair of a dilated gastric sleeve is a minimally invasive procedure used to treat weight gain after gastric sleeve surgery. Using anesthesia (you will not feel or remember the procedure) an endoscope (a thin, flexible tube with a camera and a light at the end) with a suturing apparatus is passed through the mouth and into the stomach to identify and treat the dilated gastric sleeve. The tissue is prepared and remodeled endoscopically (through the mouth) with sutures to help restore your post-gastric sleeve anatomy. This is done to reduce the dilated gastric sleeve approximately to the size it was after your initial surgery. The procedure is performed as an outpatient, same-day procedure.

Preparing for Dilated Gastric Sleeve Repair

As part of the diagnostic process, Dr. Shaikh may order blood work and tests before your surgery, which can include x-rays or an upper endoscopy. He will also request medical clearance from your primary doctor and refer you to our bariatric Registered Dietitian Nutritionist for nutrition counseling and education. You will need to follow a liquid diet for 1 week prior to your procedure.

Recovery from Dilated Gastric Sleeve Repair

If you and Dr. Shaikh decide that endoscopic dilated gastric sleeve repair is right for you, you should plan to take 1-2 days off from work the day of and the day after your procedure is scheduled. Because endoscopic repair is so minimally invasive, recovery is very quick and discomfort is minimal. Dr. Shaikh will schedule a follow-up appointment 1-2 weeks after your surgery to monitor your progress.

How Much Does Dilated Gastric Sleeve Repair Cost?

Endoscopic dilated gastric sleeve repair may be covered by your medical insurance. While you are responsible for any remaining balance, we work with CareCredit® and Advance Care to offer our patients affordable payment plans for their procedures. To learn more, please visit our financing page. You may also want to connect with organizations that specialize in helping bariatric patients afford their surgery, such as the Obesity Action Coalition.

Is Dilated Gastric Sleeve Repair Right for Me?

If you have any of the following symptoms, your gastric sleeve may have stretched, allowing you to consume more food and, as a result, to gain weight:

  • Weight gain
  • Ability to eat more food at one sitting without feeling full
  • Decreased feelings of fullness after a meal
  • Increased feelings of hunger
  • Ability to eat foods and beverages previously not tolerated

Why Choose Dr. Sohail N. Shaikh for Dilated Gastric Sleeve Repair?

Endoscopic surgery for dilated gastric sleeve repair is one of the most minimally invasive interventions available for post-operative bariatric patients. Dr. Shaikh is one of few surgeons in the country who perform the procedure and is recognized among his peers around the world as a leading expert in endoscopic bariatric procedures including dilated gastric sleeve repair.

What to Expect During Your Consultation for Dilated Gastric Sleeve Repair

Prior to recommending endoscopic dilated gastric sleeve repair, your personal consultation with Dr. Shaikh will allow him to develop a proper diagnosis. Because diet and exercise play a key role in your weight loss, he will ask you questions about the foods you eat, meal sizes and frequency. He will also inquire about your exercise routine. Once he understands these aspects of your weight loss journey, he may also ask if you have experienced any life events that have interfered with your diet and exercise. If diet and exercise do not seem to be the cause of your weight gain, he will order blood work and diagnostic tests to determine if your gastric sleeve is dilated.

The dilation, or enlargement, of a gastric sleeve after bariatric surgery occurs in a small percentage of patients. This condition impedes your ability to lose weight effectively. Endoscopic repair of a dilated gastric sleeve helps you successfully achieve your weight loss goals. 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.”