Endoscopic therapy of weight regain after bariatric surgery

Figure 1 Suturing transoral outlet reduction. A: Dilated gastrojejunal anastomosis (GJA); B: Argon plasma coagulation (APC) before endoscopic suturing; C: Interrupt suturing technique of GJA; D: Extension of suturing technique to the gastric pouch; E: Final appearance of Roux-en-Y gastric bypass (RYGB) revision.

Figure 2 Revision obesity surgery endoscopic (Courtesy of Dr. Roman Turró). A: Positioning of the modified tissue approximator and helix close to the gastrojejunal anastomosis (GJA); B: Full thickness plication; C: Deployed tissue anchors; D: Follow up after 6 mo with sutures and tissue anchors in place.