Hello, I’m in the process of getting a revision to my RNY (2004). It’s a “trans-oral” procedure. My stomach pouch has expanded at the junction of the pouch and the intestine that’s connected to it, so food doesn’t stay in it which makes me eat more, leading to regain. They’ll go down like an endoscopy and sew up the pouch, leaving a smaller hole. It costs less than a surgical procedure ( the insurance companies like that).