
Endoscopic Revision
A Revolutionary Approach to Recurrent Weight Gain
Advanced solutions to help you regain control of your weight
At Instituto Mexicano de Cirugía Endoscopia Bariátrica (IMCEB) and Bariatric Endoscopy of Mexico (BEM), we understand these challenges and offer advanced solutions to help you regain control of your weight.
During your consultation, we will conduct a comprehensive evaluation of your medical and surgical history, as well as your previous weight loss efforts.
Our expert team will assess your eligibility for a scar-free, minimally invasive, and highly effective endoscopic procedure designed to support you on your journey to a healthier and more sustainable life.
Take Control of Your Weight Again with TORe

A Safe and Effective Solution for Post-Bariatric Surgery Weight Regain
If you are struggling with this challenge, we can help.
At the Instituto Mexicano de Cirugía Endoscópica y Bariátrica (IMCEB) and Bariatric Endoscopy of Mexico (BEM), we offer a minimally invasive, non-surgical, and scar-free solution known as Transoral Outlet Reduction (TORe) to help you lose 15-18% of your body weight and regain control of your health.
Why Choose TORe?
A Revolutionary Approach to Recurrent Weight Gain
This provides a safe, effective, and long-lasting weight loss solution.
Using the cutting-edge OverStitch™ Endoscopic Suturing Device, this procedure reduces the size of your gastric outlet, restoring the restrictive effect of your original bypass.
Dr. Sánchez-Luna has nearly a decade of experience with this device and has trained numerous specialists in six international endoscopic suturing courses.
Enhancing Long-Term Results with a Comprehensive Approach
We integrate anti-obesity medications (AOM) into your personalized treatment plan to maximize and sustain your weight loss results—this is our standard practice.
Is TORe Right for You?

Take the first step toward a healthier you
Start Your Journey Today!

Your journey to a healthier, happier you starts today
Know more about TORe
Regain Control with Revisional Endoscopic Sleeve Gastroplasty (re-ESG)
A Minimally Invasive Solution for Sleeve Gastrectomy Patients
At the Instituto Mexicano de Cirugía Endoscópica y Bariátrica (IMCEB) and Bariatric Endoscopy of Mexico (BEM), we understand these challenges and offer advanced solutions to help you regain control of your weight.
During your consultation, we will conduct a comprehensive evaluation of your medical and surgical history, as well as your previous weight-loss efforts.
Our team of experts will assess your eligibility for re-ESG (revisional endoscopic sleeve gastroplasty), a scar-free, minimally invasive, and highly effective endoscopic procedure to support you on your journey to a healthier, more sustainable life.
Why Choose Revisional ESG?

A Cutting-Edge, Safe, and Effective Procedure
Dr. Sánchez-Luna, a pioneer and authority in bariatric, metabolic, and surgical endoscopy, is the only endoscopist in Mexico and Latin America performing an advanced and cutting-edge version of re-ESG.
This provides a safe, effective, and long-lasting weight loss solution.
Using the cutting-edge OverStitch™ Endoscopic Suturing Device, this procedure reduces the size of your stomach, restoring the restrictive effect of your original sleeve gastrectomy.
Dr. Sánchez-Luna has nearly a decade of experience with this device and has trained numerous specialists in six international endoscopic suturing courses.
A Personalized Approach for Long-Term Success
We integrate anti-obesity medications (AOM) into your personalized treatment plan to maximize and sustain your weight loss results—this is our standard practice.
Is re-ESG Right for You?

Take the first step toward a healthier you
Start Your Journey Today!

Your journey to a healthier, happier you starts today
Know more about re-ESG
Frequently asked questions
1. Why should I choose endoscopic revision over surgical revision?
Recent studies have shown that endoscopic revision is as effective (and sometimes more effective) than surgical revision. Additionally, up to 15-20% of the patients who undergo surgical revision may develop complications from revisional surgery–the risk of surgical revision is actually higher than that of the initial surgical intervention.
This endoscopic revision procedure of your gastric bypass or surgical sleeve is both safe and effective, with most of our patients maintaining their weight loss for 5 to 10 years.
2. What should I expect during the procedure?
This outpatient procedure is performed under general anesthesia. Patients typically experience some minor abdominal discomfort and nausea, which are usually well managed with the medications prescribed after the procedure.
3. What is the recovery like after the endoscopic revision procedure?
We usually have our patients go home the same day as the procedure, and they can return to their normal activities as tolerated the following day. You will have a special medication and dietary regimen to follow for several weeks after the procedure, which ensures you feel well and continue on your path to a healthier weight.
4. What sort of follow-up will I have?
We take pride in the follow-up care we provide to our patients at IMCEB and BEM. We believe that the most important aspect of our job extends beyond your procedure with us; rather, we aim to be a key partner in your journey to well-being.
Our well-established and internationally recognized follow-up program and care team set us apart, and you will have scheduled visits over the course of a year.
5. Are endoscopic revisional procedures covered by insurance?
Although endoscopic revisional procedures are mature, well-established, safe, and effective procedures, they are not covered by insurance. We do, however, offer financing options.
6. Why should I choose IMCEB (Instituto Mexicano de Cirugía Endoscópica y Bariátrica) and Bariatric Endoscopy of Mexico (BEM) for my procedure?
Dr. Sánchez-Luna is a trailblazer in bariatric, metabolic, and surgical endoscopy in Mexico. He is the Founder and CEO of both IMCEB and BEM, and the only physician in Mexico and Latin America triple-board certified in Internal Medicine, Gastroenterology, and Obesity Medicine by U.S. boards. He also holds full medical licensure in Mexico to practice Medicine, Gastroenterology, and Interventional Endoscopy.
With a career dedicated to transformative care, Dr. Sánchez-Luna has successfully treated over 11,000 patients. Since 2019, he has led six advanced training courses in endoscopic suturing using the OverStitch™ Endoscopic Suturing System—the same cutting-edge device he uses in his procedures. With nearly a decade of hands-on experience, he is Mexico’s most experienced operator of the OverStitch™ system, setting the standard for excellence in endoscopic weight loss solutions.