Endoscopic Treatment of Weight Regain After Gastric Bypass
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According to the IFSO report issued in 2015, approximately 86 thousand bariatric surgeries have been performed in Brazil, the second most frequent of which is gastric bypass. The most common late-onset complication is the return of obesity, with weight regain and the recurrence of previously controlled comorbidities. As a consequence of weight regain, abnormal anatomic findings are encountered in 71.2% of patients: 58.9% with dilation of the gastrojejunal anastomosis, 28.8% with dilation of the pouch, and 12.3% with both types of dilation. Endoscopic methods for the treatment of the anastomosis and pouch are performed to exert an influence on weight regain.
KeywordsGastric bypass Gastrojejunal anastomosis Pouch Argon plasma Suturing Surgery
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