Endoscopic revision is designed to reduce the size of the gastric pouch and the opening to the small intestine to help patients feel fuller with smaller portions, aiding in weight management. While it can significantly contribute to preventing further weight regain by restoring the stomach's intended size, maintaining weight loss also depends on adopting long-term healthy lifestyle changes, including diet and exercise. It's not a permanent solution on its own, but it is a tool to help patients get back on track with their weight loss goals.