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Endoscopic Gastro-Gastric Fistula Repair in New Jersey

Many people experience insignificant weight loss—and even weight gain—after gastric sleeve surgery. Luckily, these men and women do not have to give up on their weight loss goals. Endoscopic repair of the gastro-gastric fistula at the Center for Bariatric Endoscopy, located in Montclair and the “Premiere Bariatric Surgical Institute in New Jersey”, offers a safe solution to help you and other patients from around the world get back on track with their weight loss goals.

What is Endoscopic Gastro-Gastric Fistula Repair?

gastro-gastric_fistula_repairThe Center for Bariatric Endoscopy offers endoscopic gastro-gastric fistula repair. This approach to surgery is safer and has less downtime than more invasive traditional surgical options. A gastro-gastric fistula is an abnormal connection between the new stomach pouch and old stomach remnant that can form after gastric bypass surgery. This surgical defect allows ingested food to pass from the new stomach pouch into the old stomach, thereby allowing a larger volume of food to be eaten without restriction. This leads to increased food and beverage intake and can render a gastric bypass surgery ineffective.

Benefits of Gastro-Gastric Fistula Repair

Endoscopic Gastro-Gastric Fistula Repair at the Center for Bariatric Endoscopy offers the following benefits:

  • No cuts from the outside of the body
  • Virtually painless
  • Same day surgery (able to go home the same day)
  • Can restore feelings of fullness and promote weight loss
  • No need for antibiotics
  • Back to work in 2-3 days

How is Endoscopic Gastro-Gastric Fistula Repair Performed?

Using anesthesia (the patient does not feel or remember the procedure), a thin, flexible tube called an endoscope is passed through the mouth and into the stomach in order to identify the defect. The tissue is then prepared and repaired endoscopically using any combination of sutures, mesh, fibrin glue, clips and other equipment. This procedure involves no external cuts, minimal to no blood loss and a virtually no pain.

Preparing for Endoscopic Gastro-Gastric Fistula Repair

If you are gaining weight or experiencing other symptoms that may indicate the development of a gastro-gastric fistula, diagnostic testing can be done. A gastro-gastric fistula can usually be diagnosed with some combination of tests including upper endoscopy, upper GI series, barium swallow, abdominal ultrasound or CT scan. If a fistula is confirmed, you may be a candidate for endoscopic repair of the defect. You will need to fast after midnight the day before the procedure since the surgery requires the use of general anesthesia. This fasting is intended to empty the contents of your stomach and reduce the likelihood of complications during surgery.

Recovery from Endoscopic Gastro-Gastric Fistula Repair

The endoscopic techniques used by Dr. Shaikh reduces post-surgical recovery time and patient discomfort. In most cases, patients return to work after just a few days, although activities including exercise may need to be limited for up to three weeks. Dr. Shaikh may also require you to follow a liquid diet for a period of time to ensure proper healing.

How Much Does Endoscopic Gastro-Gastric Fistula Repair Cost?

The cost of endoscopic gastro-gastric fistula repair surgery at the Center for Bariatric Endoscopy varies by patient. Your insurance carrier may cover a portion of the cost, although we offer financing through CareCredit® and Advance Care. You may also want to connect with organizations that specialize in helping bariatric patients afford their surgery, such as the Obesity Action Coalition.

Is Endoscopic Gastro-Gastric Fistula Repair Right for Me?

Your weight gain or limited weight loss may be caused by a gastro-gastric fistula if you have the following symptoms:

  • Inadequate or insignificant weight loss after gastric bypass
  • Weight gain after gastric bypass
  • Ability to tolerate normal or large portions of food without issue
  • Abdominal pain
  • Heartburn symptoms months after surgery

Why Choose Dr. Sohail N. Shaikh for Endoscopic Gastro-Gastric Fistula Repair?

Dr. Shaikh specializes in minimally invasive endoscopic bariatric procedures including endoscopic gastro-gastric fistula repair.  His procedures offer many benefits over traditional surgical procedures, including less post-operative discomfort and little to no pain. This minimally invasive procedure is done entirely through the mouth and causes little injury to tissue.  Typically, an overnight stay at the hospital is not required. Endoscopic gastro-gastric fistula repair involves no external cuts, results in minimal to no blood loss and offers a quick recovery. The endoscopic repair of a gastro-gastric fistula results in fewer complications, reduced risk of infection and fewer side effects.

What to Expect During Your Consultation for Endoscopic Gastro-Gastric Fistula Repair

If you have signs of a gastric fistula, Dr. Shaikh may ask you to have diagnostic testing completed. If it is determined that you have a gastro-gastric fistula, he will explain your condition and what options you have for surgical intervention during your consultation. He will also ask about your past medical history and initial bariatric surgery to have a better understanding of your overall health.

The development of a fistula, or connection, between your stomach pouch and old stomach, can lead to many symptoms, including the inability to lose weight and even weight gain. Dr. Sohail Shaikh of the Center for Bariatric Endoscopy offers endoscopic repair of gastro-gastric fistulas. 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.”