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Endoscopic Management of Obesity in New Jersey

Endoscopic management of obesity is for patients who are seeking a weight loss procedure for the first time or those who have had surgery in the past. Additionally, some complications related to bariatric surgery may now be addressed by endoscopic means. Procedures that previously required invasive surgery can now be performed endoscopically, through the mouth. Endoscopic management of obesity is one of the latest advancements in bariatric care, and at the Center for Bariatric Endoscopy, the “Premiere Bariatric Surgical Institute in New Jersey”, located in Montclair, Dr. Shaikh offers minimally invasive endoscopic obesity management to bariatric patients in New Jersey and around the world.

What Is Endoscopic Management of Obesity?

Before endoscopic bariatric techniques were developed, bariatric procedures required the surgeon to access the gastrointestinal tract through incisions on the abdomen. The incisions ranged from significant to minimal, such as those used for laparoscopic repair. Accessing the stomach and small intestine in this manner causes tissue trauma that may extend the patient’s recovery and significant post-surgical discomfort. Additionally, operations through the stomach wall carry an increased surgical risk, particularly for endoscopic bariatric surgery.

Endoscopic management of obesity gives bariatric patients a much safer alternative. The stomach and small intestine are accessed through the mouth using an endoscope. Once the flexible tube reaches the stomach, Dr. Shaikh performs the necessary procedures and repairs

Benefits of Endoscopic Management of Obesity

When compared to more invasive techniques, patients experience:

  • Reduced post-surgical pain
  • NO external cuts or incisions
  • Less downtime
  • Less likelihood of post-surgical complications
  • Less blood loss
  • Typically able to go home the same day

How is Endoscopic Management of Obesity Performed?

Endoscopic management of obesity takes advantage of existing technology that is used every day for endoscopies. The endoscope is a long, flexible tube that has a tiny camera and light on the end. Dr. Shaikh also attaches special surgical instruments to the endoscope.

Endoscopic management of obesity does require the use of general anesthesia to keep you comfortable during the procedure. The tube is fed through your mouth and along your esophagus into your stomach. From inside the stomach, Dr. Shaikh is able to make the necessary adjustments to your stomach, stoma, small intestine, or place an intraluminal device (balloon).

Preparing for Endoscopic Management of Obesity

Prior to endoscopic management of obesity, we recommend evaluation by your primary care physician. Additionally, you should follow up with your Registered Dietitian Nutritionist and other health care advocates. We require you to follow a liquid diet just prior to the procedure and follow a specific diet afterwards. It is important that you understand the steps involved prior to an endoscopic bariatric procedure.

If you have had surgery before and are considering endoscopic bariatric repair it is important to evaluate your post-surgical anatomy with imaging or endoscopy.

Recovery from Endoscopic Management of Obesity

Endoscopic management of obesity (for those who have not had previous weight loss surgery) includes Endoscopic Gastroplasty, Endoscopic Plication and Intragastric balloons. Recovery is usually one week or less depending on the procedure. Most patients have little to no symptoms after a few days. The most common symptom after endoscopic management of obesity is nausea which can be easily managed with oral medications.

If you have had weight loss surgery before, you may remember the recovery and healing process from bariatric surgery as being painful, uncomfortable and quite lengthy. Fortunately, endoscopic management of obesity requires significantly less time to heal because of the minimally invasive nature of the procedures. You can actually return to work in just a few days!

How Much Does Endoscopic Management of Obesity Cost?

Cost is a factor for many of our patients when they consider endoscopic management of obesity. We recommend that you first check with your medical insurance company to find out if the procedures are considered medically necessary, or elective. If the procedure is deemed medically necessary, your insurance should cover a portion of the cost. Elective procedures, on the other hand, are completely self-pay, meaning that that insurance covers none of the cost. Because we do not want the out-of-pocket cost to be a barrier to your endoscopic management of obesity, we work with Advance Care. 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 Endoscopic Management of Obesity Right for Me?

Bariatric surgery has given many obese patients the additional support they need to finally succeed with their weight loss goals. Recently, research has been conducted on bariatric patients to determine the long-term success rates of those that undergo bariatric surgery. This research has revealed an unexpected outcome – bariatric surgery is not always a permanent weight loss solution. If you are a bariatric patient who has gained weight or experienced complications from the surgery, endoscopic management of obesity might be right for you.

Why Choose Dr. Sohail N. Shaikh for Endoscopic Management of Obesity?

Endoscopic management of obesity is a relatively new advancement in obesity management. Dr. Shaikh is one of only a few surgeons in the country who is experienced with the procedures. His excellent skills and knowledge have earned him a reputation with his peers around the world. Dr. Shaikh has been featured in the media, and he frequently travels to other parts of the United States and other countries to perform the procedures and teach other surgeons.

What to Expect During Your Endoscopic Management of Obesity Consultation

After careful consultation with Dr. Shaikh and the team at the Center for Bariatric Endoscopy, your care plan will be established. Depending on your needs, a primary endoscopic procedure, such as the endoscopic sleeve or plication may be considered. Furthermore, if you have had a gastric sleeve or RYGB in the past, a repair procedure may be appropriate. Dr. Shaikh will go through your options and answer any questions you may have.

Endoscopic management of obesity is an advanced treatment for weight gain and other complications in bariatric patients. Dr. Sohail Shaikh of the Center for Bariatric Endoscopy is an internationally renowned expert in endoscopic management of obesity. 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.”