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.

Bulajic, M., Vadalà Di Prampero, S. F., Boskoski, I., Costamagna, G., Endoscopic therapy of weight regain after bariatric surgery, <<WORLD JOURNAL OF GASTROINTESTINAL SURGERY>>, 2021; 13 (12): 1584-1596. [doi:10.4240/wjgs.v13.i12.1584] [https://hdl.handle.net/10807/221708]

Endoscopic therapy of weight regain after bariatric surgery

Boskoski, Ivo;Costamagna, Guido
2021

Abstract

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.
Inglese
Bulajic, M., Vadalà Di Prampero, S. F., Boskoski, I., Costamagna, G., Endoscopic therapy of weight regain after bariatric surgery, <<WORLD JOURNAL OF GASTROINTESTINAL SURGERY>>, 2021; 13 (12): 1584-1596. [doi:10.4240/wjgs.v13.i12.1584] [https://hdl.handle.net/10807/221708]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10807/221708
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