Endoluminal revision of gastric bypass for weight regain-a systematic review

被引:31
|
作者
Dakin, Gregory F. [1 ]
Eid, George [2 ]
Mikami, Dean [3 ]
Pryor, Aurora [4 ]
Chand, Bipan [5 ]
机构
[1] Weill Cornell Med Coll, New York, NY 10065 USA
[2] Univ Pittsburgh, Med Ctr, Pittsburgh, PA USA
[3] Ohio State Univ, Coll Med, Columbus, OH 43210 USA
[4] SUNY Stony Brook, Sch Med, Stony Brook, NY 11794 USA
[5] Loyola Univ, Stritch Sch Med, Chicago, IL 60611 USA
关键词
Weight regain; Recidivism; RYGB; Endoluminal therapy; DILATED GASTROJEJUNOSTOMY; BARIATRIC SURGERY; ENDOSCOPIC SCLEROTHERAPY; STOMA SIZE; POUCH; OUTCOMES; GAIN; PLICATION; OBESITY;
D O I
10.1016/j.soard.2013.03.001
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: Weight recidivism after Roux-en-Y gastric bypass (RYGB) is a challenging problem for patients and bariatric surgeons alike. Traditional operative strategies to combat weight regain are technically challenging and associated with a high morbidity rate. Endoluminal interventions are thus an attractive alternative that may offer a good combination of results coupled with lower periprocedure risk that might one day provide a solution to this increasingly prevalent problem. The purpose of this article is to systematically review the available literature on endoluminal procedures used to address weight regain after RYGB, with specific attention to the safety profile, efficacy, cost, and current availability. This review focuses only on endoluminal procedures that are performed for weight regain after RYGB, as opposed to primary endoluminal obesity procedures. Methods: This study was a retrospective review. Results: Several methods of endoluminal intervention for weight regain are reviewed, ranging from injection of inert substances to suturing and clipping devices. The literature review shows the procedures on the whole to be well tolerated with limited efficacy. The majority of the literature is limited to small case series. Most of the reviewed devices are no longer commercially available. Conclusions: Endoluminal therapy represents an intriguing strategy for weight regain after RYGB. However, the current and future technologies must be rigorously studied and improved such that they offer durable, repeatable, cost-effective solutions. (C) 2013 American Society for Metabolic, and Bariatric Surgery. All rights reserved.
引用
收藏
页码:335 / 342
页数:8
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