Bulajic M, Vadalà di Prampero SF, Boškoski I, Costamagna G. Endoscopic therapy of weight regain after bariatric surgery. World J Gastrointest Surg 2021; 13(12): 1584-1596 [PMID: 35070065 DOI: 10.4240/wjgs.v13.i12.1584]
Corresponding Author of This Article
Milutin Bulajic, FACG, FASGE, MD, PhD, Chief Doctor, Department of Gastroenterology and Digestive Endoscopy, Mater Olbia Hospital, Strada Statale 125 Orientale Sarda, Olbia 07026, Italy. milutin.bulajic@materolbia.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Minireviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Dec 27, 2021; 13(12): 1584-1596 Published online Dec 27, 2021. doi: 10.4240/wjgs.v13.i12.1584
Endoscopic therapy of weight regain after bariatric surgery
Milutin Bulajic, Salvatore Francesco Vadalà di Prampero, Ivo Boškoski, Guido Costamagna
Milutin Bulajic, Salvatore Francesco Vadalà di Prampero, Department of Gastroenterology and Digestive Endoscopy, Mater Olbia Hospital, Olbia 07026, Italy
Ivo Boškoski, Guido Costamagna, Digestive Endoscopy Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome 00168, Italy
Author contributions: Bulajic M and Vadalà di Prampero SF performed the study conceptualized the study and wrote and edited the paper; Boškoski I and Costamagna G reviewed and edited the paper; All authors have read and approve the final manuscript.
Conflict-of-interest statement: Dr Ivo Boskoski is a consultant for Apollo Endosurgery, Boston Scientific, research grant holder from Apollo Endosurgery, Scientific Board member EndoTools. Dr Guido Costamagna is a consultant for Cook Medical, Boston Scientific and Olympus.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Milutin Bulajic, FACG, FASGE, MD, PhD, Chief Doctor, Department of Gastroenterology and Digestive Endoscopy, Mater Olbia Hospital, Strada Statale 125 Orientale Sarda, Olbia 07026, Italy. milutin.bulajic@materolbia.com
Received: February 9, 2021 Peer-review started: February 9, 2021 First decision: February 28, 2021 Revised: March 14, 2021 Accepted: August 2, 2021 Article in press: August 2, 2021 Published online: December 27, 2021 Processing time: 317 Days and 12.7 Hours
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.
Core Tip: 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 and less invasive 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.
