Saline Memorial Hospital Offers Overstitch Revision Procedure for Weight Loss Surgery Patients


Benton, AR (Oct. 30, 2017) – Saline Memorial Hospital (SMH) is one of the only hospitals in Arkansas to offer the overstitch – an endoscopic procedure to repair pouches and outlets in patients who are regaining weight after weight loss surgery.

Several studies suggest many patients regain significant weight after bariatric surgery. A common cause includes gradual stretching of the stomach pouch or outlet. When the standard-of-care weight loss surgery procedures are performed, the stomach and outlet are made very small to reduce the amount of food consumed and slow the passage of food through the digestive tract. Together, this helps patients feel fuller longer after eating just a small amount. As a result, weight loss occurs from a dramatic decrease in calories. Many clinicians have shown when the stomach pouch and/or outlet gradually stretch; it takes longer for the patient to feel full. As a result, patients may begin to regain weight.

 Until recently, there weren’t many options for such patients. But now, Saline Memorial Hospital has offered a solution. With new endoscopic devices that work with a standard endoscope, surgeons at Saline Memorial can reduce the volume of an enlarged pouch and the diameter of the outlet to their original post-operative proportions.

“This new endoscopic procedure offers patients a treatment option for post-weight loss surgery weight regain that they’ve never had before,” said Dr. Kristin Patton, Metabolic and Bariatric Surgery Director at Saline Memorial Hospital. “The potential advantages are significant: lowered risk of infection, limited post-operative pain, no visible scars and faster recovery times. Patients can usually go home the same day of the procedure, which is a substantial improvement over the lengthy recovery times associated with traditional surgical procedures.”

This procedure is performed using a small flexible endoscope and specialized devices that allows sutures to be placed through the endoscope. The scope and suturing devices are inserted through the mouth into the stomach pouch the same way as a standard endoscope. Sutures are then placed around the outlet to reduce the diameter, typically from the size of a silver dollar to the size of a dime. The same technique may then be used to place additional sutures in the stomach pouch to reduce its volume capacity.

"20% of gastric bypass patients regain their weight overtime,” said Dr. Rex Luttrell, General and Bariatric surgeon at Saline Memorial Hospital. “Doing a gastric bypass revision to reduce the pouch size and regain that full feeling and satiety carries increased risks. The Overstitch procedure can reduce the pouch size without surgery and risks of complications."

SMH recently announced that its bariatric surgical center has been accredited as a Comprehensive Center under the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP®), a joint program of the American College of Surgeons (ACS) and the American Society for Metabolic and Bariatric Surgery (ASMBS).

Patients seeking surgical treatment for severe obesity and its related conditions have a high-quality choice for receiving treatment at a nationally accredited program that meets the highest standards for patient safety and quality of care in the greater Central Arkansas area.

For more information on the Weight Loss Center, visit

About Saline Memorial Hospital

Saline Memorial Hospital is a full-service health care facility that has served Saline County and the surrounding areas for more than 60 years. Located in Benton, Ark., SMH serves the community as a comprehensive medical center offering a wide range of inpatient and outpatient services, including but not limited to, behavioral health, gastroenterology, urology, cardiology, hospice, neurology, pediatrics, obstetrics/gynecology, orthopedics, otolaryngology, ophthalmology, sleep disorders and wound care.

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