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Bariatric Revision Surgery and TORe in Atlanta

Oneka Bariatrics & Wellness in Atlanta offers bariatric revision surgery and transoral outlet reduction (TORe) for patients who have regained weight or had an underperforming result after a previous gastric sleeve or gastric bypass. Revision is performed by Dr. Shani Belgrave, MD, FACS, FASMBS, and patients who had their original surgery elsewhere are welcome with a records release for continuity of care. TORe is an incisionless endoscopic procedure specifically for weight regain after gastric bypass. Candidacy is individualized and confirmed at consultation. Call (470) 250-0035 to discuss your options.
Weight regain after bariatric surgery is common and does not mean you failed. Bodies and anatomy change, and there are real options. At Oneka, Dr. Belgrave evaluates what happened and helps you choose a path forward, whether that is a surgical revision, an endoscopic procedure, or a non-surgical approach.

What is bariatric revision surgery?

Revision surgery addresses a prior bariatric procedure that has stopped working as intended, whether from weight regain, complications, or an underperforming operation. Revision is more complex than a first operation, so candidacy and approach are individualized. Patients who had surgery elsewhere are welcome with a records release for continuity of care.

What is TORe (transoral outlet reduction)?

TORe is an incisionless endoscopic procedure for patients who have regained weight after a gastric bypass. Over time, the outlet of the bypass pouch can stretch, and TORe reduces that outlet through the mouth with no external incisions, helping restore the restriction the bypass originally provided.
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Common reasons patients come to Oneka for revision

  • Weight regain after a gastric sleeve or gastric bypass performed years ago.
  • An underperforming first operation that did not reach expected weight loss.
  • Severe reflux after a sleeve, where converting to a bypass may help.
  • Needing a new surgeon after moving to the Atlanta area or losing access to a prior practice.

Can you take over my care if I had surgery elsewhere?

Yes. With a records release for continuity of care, Oneka can take over your follow-up and evaluate revision options even if your original bariatric surgery was performed at another practice. This is a common reason patients transfer to Dr. Belgrave.

A path forward after weight regain

Oneka Bariatrics & Wellness offers revision surgery and transoral outlet reduction (TORe) for patients who regained weight or had an underperforming result after a prior gastric sleeve or bypass. Dr. Shani Belgrave evaluates your history and anatomy and discusses individualized options at consultation.

Incisionless option for post-bypass regain

TORe is an incisionless endoscopic procedure performed through the mouth, with no external scars, specifically for weight regain after gastric bypass. It tightens the stretched outlet of the bypass pouch to help restore the original restriction.

Continuity of care for patients from elsewhere

Patients who had bariatric surgery at another practice, or who moved to Atlanta, can transfer their care to Oneka with a records release. Dr. Belgrave, a board-certified bariatric surgeon and Atlanta Top Doctor, takes over follow-up and evaluates revision candidacy.

Why patients choose Oneka for revision and TORe

  • A board-certified, fellowship-trained bariatric surgeon experienced in complex revision anatomy and post-bypass weight regain.
  • Both surgical revision and the incisionless TORe procedure available, so the approach fits your situation rather than one option only.
  • Patients who had surgery elsewhere are welcomed with a records release for true continuity of care.
  • Honest evaluation of whether revision, an endoscopic procedure, or medical weight loss is the right next step.
  • Privileges at Northside Hospital Atlanta and Northside Hospital Cherokee, both participating in the hospital-level MBSAQIP program.

Gastric sleeve revision in Atlanta

Patients who regained weight or developed reflux after a sleeve performed elsewhere may be candidates for revision, sometimes by converting the sleeve to a gastric bypass. Oneka in Atlanta reviews prior anatomy with a records release and discusses individualized revision options.

Weight regain after gastric bypass

When weight returns after a gastric bypass, the pouch outlet may have stretched. Oneka offers TORe, an incisionless endoscopic outlet reduction, as well as surgical revision where appropriate, evaluated case by case by Dr. Belgrave.

Telehealth consultations for revision questions

Patients located anywhere in Georgia can begin with a telehealth consultation to discuss revision and TORe candidacy and gather records. In-person evaluation is needed before any procedure, but telehealth removes the first barrier for distant patients.

Frequently Asked Questions (FAQ)

Do you do revision surgery if I had bariatric surgery before?

Yes. Oneka offers revision bariatric surgery for patients with a prior procedure, including weight regain or an underperforming operation. This includes patients who had surgery elsewhere, with a records release for continuity of care. Candidacy and approach are individualized at consultation.
Transoral outlet reduction (TORe) is an incisionless endoscopic procedure for weight regain after gastric bypass that reduces the size of the stomach outlet. Dr. Belgrave evaluates your post-bypass anatomy and discusses whether TORe or another revision option fits you.
TORe stands for transoral outlet reduction, an endoscopic revision procedure performed through the mouth with no external incisions. It is specifically for patients who have regained weight after a gastric bypass, by tightening the enlarged outlet of the stomach pouch.
Yes. With a records release for continuity of care, Oneka can take over follow-up and evaluate revision options for patients who had their original bariatric surgery at another practice or moved to the Atlanta area.
Revision is generally more complex than a first operation because of scar tissue and changed anatomy, which is why candidacy and approach are individualized. Dr. Belgrave reviews your prior records and discusses the risks and options specific to your case.

Medically reviewed by Dr. Shani Belgrave, MD, FACS, FASMBS, board-certified minimally invasive and bariatric surgeon and founder of Oneka Bariatrics & Wellness.

Credentials

  • Board-certified, fellowship-trained minimally invasive and bariatric surgeon experienced in revision
  • Atlanta Magazine Top Doctor 2025 and 2026; 2025 Young Physician of the Year (Atlanta Medical Association)
  • Member: ASMBS, American College of Surgeons, SAGES; President-Elect, Atlanta Medical Association
  • Surgical privileges at Northside Hospital Atlanta and Northside Hospital Cherokee (hospital-level MBSAQIP participation)
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