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The use of endoluminal techniques in the revision of primary bariatric surgery procedures: a systematic review.


ABSTRACT:

Background

Weight regain following primary bariatric surgery is attributed to anatomical, behavioural and hormonal factors. Dilation of the gastrojejunal anastomosis is a possible cause of weight regain after roux-en-Y gastric bypass (RYGB). However, surgical revision has significant risks with limited benefits. Endoluminal procedures have been suggested to manage weight regain post-surgery. This systematic review aims to assess efficacy of endoluminal procedures.

Methods

Studies where endoluminal procedures were performed following primary bariatric surgery were identified. Main outcome measures were mean weight loss pre- and post-procedure, excess weight loss, recurrence rates, success rates and post-procedure complications.

Results

Twenty-six studies were included

SUBMITTER: Goh YM 

PROVIDER: S-EPMC7214483 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature