Endoscopic therapy of weight regain after bariatric surgery |
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| Authors: | Milutin Bulajic Salvatore Francesco Vadal&# di Prampero Ivo Boškoski Guido Costamagna |
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| Affiliation: | Milutin Bulajic, Salvatore Francesco Vadalà di Prampero, Department of Gastroenterology and Digestive Endoscopy, Mater Olbia Hospital, Olbia 07026, ItalyIvo Boškoski, Guido Costamagna, Digestive Endoscopy Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome 00168, Italy |
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| 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. |
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| Keywords: | Morbid obesity Weight regain Endoscopic sleeve gastroplasty Transoral outlet reduction Bariatric surgery Full thickness suturing |
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| 点击此处可从《World journal of gastrointestinal surgery》浏览原始摘要信息 |
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