★★★★★ 4.9 from 850+ reviews
Revision after gastric bypass · Tijuana and Cancún
If you are regaining weight or having problems after a gastric bypass, the first step is finding out why. Our team reviews your history and anatomy, then explains your options. TORe is the gastric bypass revision Renew offers.
Renew does not currently offer surgical bypass revision or reversal. HSA and FSA accepted.
Free, no-obligation review
A coordinator will contact you about your options and quote, with no commitment.
Prefer to talk? Call (844) 736-3963, available 24/7.
Prefer to talk? Call 24/7 (844) 736-3963
Why results change
Over time, the opening between your pouch and small intestine (the outlet) can stretch. Food then empties faster and you feel hungry again sooner. Studies link a larger outlet to weight regain (Johns Hopkins Medicine). Eating habits, medications and other health changes can also play a part.
Larger portions, hunger soon after eating, or regaining a large part of what you lost.
Shaky or sweaty spells after eating, which can come from rapid emptying.
Ulcers, reflux, persistent vomiting or malnutrition, which need a medical review.
Rarely, the bypass needs to be modified to improve nutrition.
Assessment first
Your options
These are different treatments. Revision aims to restore or improve your bypass. Reversal undoes it.
| TORe (endoscopic revision) | Surgical revision | GLP-1 medication | Reversal | |
|---|---|---|---|---|
| What it is | Stitches placed through the mouth tighten a stretched outlet | An operation such as pouch revision or lengthening the bypassed limb | A weekly injection that reduces appetite | An operation that reconnects the stomach and intestine |
| Incisions | None | Yes, usually laparoscopic | None | Yes |
| Who it suits | Weight regain with a stretched outlet | Selected cases after a full surgical review | Many patients, alone or with a procedure | Rare cases, such as severe complications |
| At Renew | $8,599 all-inclusive | Not currently offered | GLP-1 program | Not offered. Learn about reversal |
Surgical options after gastric bypass include pouch revision, banding, distalization and conversion to a duodenal switch or SADI-S, according to the ASMBS statement on weight recurrence. The statement also notes that endoscopic therapies such as TORe offer modest but clinically meaningful weight loss with low complication rates.
What the research says
Is revision riskier than a first surgery? Surgical revision is more complex than first-time bariatric surgery, so it should be done by a surgeon who has performed it many times. TORe avoids incisions but is still a procedure under general anesthesia. Meet our surgeons.
Pricing
TORe is the gastric bypass revision Renew currently offers, performed by Dr. Héctor Pérez. If TORe isn’t right for you, our team will tell you and discuss other options, such as GLP-1 medication. Had a gastric sleeve and want to convert to a bypass? See revision surgery.
Send your bypass history and our surgeons will review it. Virtual consultations are available.
Video testimonial
A Renew patient shares their gastric bypass revision experience in Tijuana.
5-star reviews from Google and Facebook. Want to talk with a past patient? Ask your coordinator.
“I did a lot of research and then found Renew. I was pleasantly surprised that not only was their price amazing, I wasn’t missing anything in service. Any questions I had were answered promptly, even today (I’m 16 months post op)!”
“Everything from beginning to end went great. The entire staff and team that helped me with this journey were absolutely great. From pre-op to post-op, constantly checking in with pain and nausea, giving meds. Could not have asked for a better Dr, staff or environment.”
“Dr. Green and his staff are truly amazing. I have referred 5 people to him, and my husband and daughter have chosen him and his staff to guide us through this journey. The hospital is so clean and the staff was Johnny on the spot to help.”
from 850+ reviews across 4 platforms
Ratings and review counts as listed on each platform. Select a platform to read reviews there.
Options include nutrition and lifestyle support, GLP-1 medication, endoscopic revision (TORe) and surgical revision. Renew offers TORe and a GLP-1 program, and reviews your records and anatomy before recommending one.
Revision modifies your bypass to restore or improve results, either endoscopically (TORe) or surgically. Reversal reconnects your stomach and intestine to undo the bypass, and is reserved for rare cases.
Yes. TORe is an endoscopic revision for people regaining weight after gastric bypass, performed by Dr. Héctor Pérez in Tijuana or Cancún. It is $8,599 all-inclusive.
TORe is $8,599 all-inclusive. It is the only gastric bypass revision Renew currently offers. Renew does not currently offer surgical bypass revision or reversal.
In a study of 62 matched bypass patients, adverse events were 6.5% after endoscopic revision vs 29% after surgical revision, with no significant difference in weight loss at 5 years.
They help. Send what you have, such as your operative report and any imaging. Our team will tell you if anything else is needed.
Free surgeon review
Tell us when you had your bypass and what has changed, and our team will follow up with your options and quote. No commitment.
Double board-certified surgeons with 9,000+ surgeries.
Prefer to talk? Call 24/7 (844) 736-3963
Free, no-obligation review
Form loading. Prefer to talk? Call (844) 736-3963, available 24/7.
No commitment. A coordinator will contact you.
