Endoscopic management of weight regain following Roux-en-Y gastric bypass.

Endoscopic management of weight regain following Roux-en-Y gastric bypass. Expert Rev Endocrinol Metab. 2019 Jan 29;:1-14 Authors: Hourneaux De Moura DT, Thompson CC Abstract INTRODUCTION: With the cumulative increase in the number of patients undergoing bariatric surgery, postoperative weight regain has become a considerable challenge. Mechanisms for weight regain are not fully understood and the process is likely multifactorial in many cases. Endoluminal revisions that reduce gastric pouch size and diameter of the gastrojejunal anastomosis may offer an effective and less invasive management strategy for this population. Areas covered: We critically review data from case series, retrospective and prospective studies, and meta-analyses pertaining to weight regain after gastric bypass. A variety of endoscopic revision approaches are reviewed, including technique details, procedural safety and efficacy, and post-procedure care. Expert commentary: Given the proliferation of endoluminal therapies with evidence showing safety and efficacy in the treatment of weight regain, it is likely that endoscopic revision will be the gold standard to treat weight regain in patients with gastric bypass. PMID: 30691326 [PubMed - as supplied by publisher]
Source: Expert Review of Endocrinology and Metabolism - Category: Endocrinology Tags: Expert Rev Endocrinol Metab Source Type: research