Skip to main content
SpringerLink
Log in
Book cover

The SAGES Manual of Bariatric Surgery pp 465–479Cite as

Revision Endolumenal Therapies for Weight Recidivism

  • Chapter
  • First Online:

Abstract

The number of overweight and obese people has been increasing year by year for decades, and the number of surgeries and procedures to control this disease has increased proportionately. Bariatric surgery is the best treatment for advanced cases, but presents a relapse rate of around 20%. In cases of weight recidivism after gastric bypass, endolumenal treatments are important adjuvant therapies to reintegrate patients with the specialized multidisciplinary team. Therapies using endoscopic sutures with or without argon plasma coagulation are notable in the treatment of dilated gastrojejunal anastomosis and enlarged pouches. In conclusion, endolumenal procedures have been shown to be safe and effective for this purpose with high success rates.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Angrisani L, Santonicola A, Iovino P, Vitiello A, Zundel N, Buchwald H, et al. Bariatric surgery and endoluminal procedures: IFSO worldwide survey 2014. Obes Surg. 2017;27(9):2279–89. [Epub ahead of print]

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Angrisani L, Santonicola A, Iovino P, Formisano G, Buchwald H, Scopinaro N. Bariatric surgery worldwide 2013. Obes Surg. 2015;25(10):1822–32.

    Article  CAS  PubMed  Google Scholar 

  3. Malik VS, Willett WC, Hu FB. Global obesity: trends, risk factors and policy implications. Nat Rev Endocrinol. 2013;9(1):13–27.

    Article  PubMed  Google Scholar 

  4. Malick KJ. Clinical applications of argon plasma coagulation in endoscopy. Gastroenterol Nurs. 2006;29(5):386–91. quiz 92-3

    Article  PubMed  Google Scholar 

  5. Abu Dayyeh BK, Lautz DB, Thompson CC. Gastrojejunal stoma diameter predicts weight regain after Roux-en-Y gastric bypass. Clin Gastroenterol Hepatol. 2011;9(3):228–33.

    Article  PubMed  Google Scholar 

  6. De Quadros LG, Galvao Neto MD, Campos JM, Kaiser Junior RL, Grecco E, Flamini Junior M, et al. Validation of a new method for the endoscopic measurement of post-bariatric gastric outlet using a standard guidewire: an observer agreement study. BMC Res Notes. 2017;10(1):13.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Yimcharoen P, Heneghan HM, Singh M, Brethauer S, Schauer P, Rogula T, et al. Endoscopic findings and outcomes of revisional procedures for patients with weight recidivism after gastric bypass. Surg Endosc. 2011;25(10):3345–52.

    Article  PubMed  Google Scholar 

  8. Baretta GA, Alhinho HC, Matias JE, Marchesini JB, de Lima JH, Empinotti C, et al. Argon plasma coagulation of gastrojejunal anastomosis for weight regain after gastric bypass. Obes Surg. 2015;25(1):72–9.

    Article  PubMed  Google Scholar 

  9. Trindade EM, Gebara T, Cambi MPC, Baretta GAP. Nutritional aspects and the use of nutritional supplements by women who underwent gastric bypass. Arq Bras Cir Dig. 2017;30(1):11–3.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Bege T, Emungania O, Vitton V, Ah-Soune P, Nocca D, Noel P, et al. An endoscopic strategy for management of anastomotic complications from bariatric surgery: a prospective study. Gastrointest Endosc. 2011;73(2):238–44.

    Article  PubMed  Google Scholar 

  11. Boules M, Chang J, Haskins IN, Sharma G, Froylich D, El-Hayek K, et al. Endoscopic management of post-bariatric surgery complications. World J Gastrointest Endosc. 2016;8(17):591–9.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Dakin GF, Eid G, Mikami D, Pryor A, Chand B, American Society for M, et al. Endoluminal revision of gastric bypass for weight regain–a systematic review. Surg Obes Relat Dis. 2013;9(3):335–42.

    Article  PubMed  Google Scholar 

  13. Galvao Neto M, Marins Campos J. Therapeutic flexible endoscopy after bariatric surgery: a solution for complex clinical scenarios. Cir Esp. 2015;93(1):1–3.

    Article  PubMed  Google Scholar 

  14. Miranda da Rocha LC, Ayub Perez OA, Arantes V. Endoscopic management of bariatric surgery complications: what the gastroenterologist should know. Rev Gastroenterol Mex. 2016;81(1):35–47.

    CAS  PubMed  Google Scholar 

  15. Jirapinyo P, Slattery J, Ryan MB, Abu Dayyeh BK, Lautz DB, Thompson CC. Evaluation of an endoscopic suturing device for transoral outlet reduction in patients with weight regain following Roux-en-Y gastric bypass. Endoscopy. 2013;45(7):532–6.

    Article  CAS  PubMed  Google Scholar 

  16. Thompson CC, Chand B, Chen YK, Demarco DC, Miller L, Schweitzer M, et al. Endoscopic suturing for transoral outlet reduction increases weight loss after Roux-en-Y gastric bypass surgery. Gastroenterology. 2013;145(1):129–37. e3

    Article  PubMed  Google Scholar 

  17. Heneghan HM, Yimcharoen P, Brethauer SA, Kroh M, Chand B. Influence of pouch and stoma size on weight loss after gastric bypass. Surg Obes Relat Dis. 2012;8(4):408–15.

    Article  PubMed  Google Scholar 

  18. Ramos AC, Marchesini JC, de Souza Bastos EL, Ramos MG, de Souza MDG, Campos JM, et al. The role of gastrojejunostomy size on gastric bypass weight loss. Obes Surg. 2017;27(9):2317–23.

    Article  PubMed  Google Scholar 

  19. Thompson CC, Slattery J, Bundga ME, Lautz DB. Peroral endoscopic reduction of dilated gastrojejunal anastomosis after Roux-en-Y gastric bypass: a possible new option for patients with weight regain. Surg Endosc. 2006;20(11):1744–8.

    Article  CAS  PubMed  Google Scholar 

  20. Aly A. Argon plasma coagulation and gastric bypass–a novel solution to stomal dilation. Obes Surg. 2009;19(6):788–90.

    Article  PubMed  Google Scholar 

  21. Kumar N, Thompson CC. Transoral outlet reduction for weight regain after gastric bypass: long-term follow-up. Gastrointest Endosc. 2016;83(4):776–9.

    Article  PubMed  Google Scholar 

  22. Heylen AM, Jacobs A, Lybeer M, Prosst RL. The OTSC(R)-clip in revisional endoscopy against weight gain after bariatric gastric bypass surgery. Obes Surg. 2011;21(10):1629–33.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Surgery, Florida International University, Herbert Wertheim College of Medicine at Florida International University, Miami, FL, USA

    Natan Zundel & Manoel Galvão Neto

  2. Department of Surgery, ABC Medical School and Federal University of Pernambuco (UFPE), Clinical Hospital, Sao Jose do Rio Preto, Sao Paulo, Brazil

    Luiz Gustavo de Quadros

  3. Department of Surgery, Clinical Hospital, Department of Surgery, Federal University of Pernambuco (UFPE), Recife, Pernambuco, Brazil

    Josemberg Marins Campos

Authors
  1. Natan Zundel
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Manoel Galvão Neto
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Luiz Gustavo de Quadros
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Josemberg Marins Campos
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Natan Zundel .

Editor information

Editors and Affiliations

  1. Foregut and Bariatric Surgeon, Division of Gastrointestinal and Minimally Invasive Surgery, The Oregon Clinic, Portland, Oregon, USA

    Kevin M. Reavis

  2. Long Island Jewish Forest Hills Hospital, Department of Surgery, Hofstra-Northwell School of Medicine, Forest Hills, New York, USA

    Allison M. Barrett

  3. Institute Chief, Digestive Disease Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates

    Matthew D. Kroh

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Zundel, N., Neto, M.G., de Quadros, L.G., Campos, J.M. (2018). Revision Endolumenal Therapies for Weight Recidivism. In: Reavis, K., Barrett, A., Kroh, M. (eds) The SAGES Manual of Bariatric Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-71282-6_36

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-71282-6_36

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-71281-9

  • Online ISBN: 978-3-319-71282-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation