Endoscopic therapy of weight regain after bariatric surgery

Weight regain following primary bariatric surgery occurs in a significant proportion of patients and is attributed to epidemiological, anatomical and metabolic factors. Surgical revision of these patients has significant risks and limited benefits. Endoscopic revisions that reduce gastric pouch size...

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Autores principales: Bulajic, Milutin, Vadalà di Prampero, Salvatore Francesco, Boškoski, Ivo, Costamagna, Guido
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2021
Materias:
Minireviews
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8727177/
https://www.ncbi.nlm.nih.gov/pubmed/35070065
http://dx.doi.org/10.4240/wjgs.v13.i12.1584
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author Bulajic, Milutin
Vadalà di Prampero, Salvatore Francesco
Boškoski, Ivo
Costamagna, Guido
author_facet Bulajic, Milutin
Vadalà di Prampero, Salvatore Francesco
Boškoski, Ivo
Costamagna, Guido
author_sort Bulajic, Milutin
collection PubMed
description Weight regain following primary bariatric surgery occurs in a significant proportion of patients and is attributed to epidemiological, anatomical and metabolic factors. Surgical revision of these patients has significant risks and limited benefits. Endoscopic revisions that reduce gastric pouch size and diameter of the gastrojejunal anastomosis may offer an effective, safe, less invasive and even reproducible treatment. We herein discuss the indication, selection and feasibility of different endoscopic techniques that could be used in the management of weight regain following primary bariatric surgery. Future research could optimize a personalized approach not only in the endoscopic management but also in combination with other therapeutic modalities for weight regain after bariatric surgery.
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spelling pubmed-87271772022-01-20 Endoscopic therapy of weight regain after bariatric surgery Bulajic, Milutin Vadalà di Prampero, Salvatore Francesco Boškoski, Ivo Costamagna, Guido World J Gastrointest Surg Minireviews Weight regain following primary bariatric surgery occurs in a significant proportion of patients and is attributed to epidemiological, anatomical and metabolic factors. Surgical revision of these patients has significant risks and limited benefits. Endoscopic revisions that reduce gastric pouch size and diameter of the gastrojejunal anastomosis may offer an effective, safe, less invasive and even reproducible treatment. We herein discuss the indication, selection and feasibility of different endoscopic techniques that could be used in the management of weight regain following primary bariatric surgery. Future research could optimize a personalized approach not only in the endoscopic management but also in combination with other therapeutic modalities for weight regain after bariatric surgery. Baishideng Publishing Group Inc 2021-12-27 2021-12-27 /pmc/articles/PMC8727177/ /pubmed/35070065 http://dx.doi.org/10.4240/wjgs.v13.i12.1584 Text en ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
spellingShingle Minireviews
Bulajic, Milutin
Vadalà di Prampero, Salvatore Francesco
Boškoski, Ivo
Costamagna, Guido
Endoscopic therapy of weight regain after bariatric surgery
title Endoscopic therapy of weight regain after bariatric surgery
title_full Endoscopic therapy of weight regain after bariatric surgery
title_fullStr Endoscopic therapy of weight regain after bariatric surgery
title_full_unstemmed Endoscopic therapy of weight regain after bariatric surgery
title_short Endoscopic therapy of weight regain after bariatric surgery
title_sort endoscopic therapy of weight regain after bariatric surgery
topic Minireviews
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8727177/
https://www.ncbi.nlm.nih.gov/pubmed/35070065
http://dx.doi.org/10.4240/wjgs.v13.i12.1584
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