Endoscopic strategies for management weight regain after Roux-en-Y gastric bypass: a narrative review

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MetadadosDescriçãoIdioma
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorFederal University of Goias (UFG)-
Autor(es): dc.creatorde Moraes, Mariana Bordinhon-
Autor(es): dc.creatorPereira, Amanda Gomes-
Autor(es): dc.creatorCosta, Nara Aline-
Autor(es): dc.creatorPereira, Filipe Welson Leal-
Autor(es): dc.creatorde Oliveira, Cássio Vieira-
Autor(es): dc.creatorGaiolla, Paula Schmidt Azevedo-
Autor(es): dc.creatorde Paiva, Sergio Alberto Rupp-
Data de aceite: dc.date.accessioned2025-08-21T16:18:19Z-
Data de disponibilização: dc.date.available2025-08-21T16:18:19Z-
Data de envio: dc.date.issued2023-07-29-
Data de envio: dc.date.issued2023-07-29-
Data de envio: dc.date.issued2023-06-01-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1186/s41110-023-00195-x-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/248474-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/248474-
Descrição: dc.descriptionPurpose: Bariatric surgery is a surgical procedure and an effective option for the treatment of severe obesity. The Roux-en-Y gastric bypass is the second-most-performed gastric intervention worldwide. Despite the efficacy of Roux-en-Y gastric bypass for the treatment of obesity, weight regain is a common long-term complication of Roux-en-Y gastric bypass. Weight regain after Roux-en-Y gastric bypass can be managed by reintroducing the patient to a multidisciplinary team, behavioral changes, revisional surgery, and endoscopic procedures. Methods: This review will discuss the new effective methods, primarily endoscopic procedures, for weight regain post-Roux-en-Y gastric bypass. Results and conclusion: The etiology of weight regain tends to be multifactorial. Lifestyle behavior modification is an important target for post-bariatric surgery weight regain. Revisional surgery options include improvement of restriction or intensification of malabsorption. Endoscopic procedures have been designed to reduce the diameter of the gastrojejunal anastomosis (GJA). Endoluminal techniques for reducing pouch and stoma size to address weight regain have the potential to improve restriction with lower morbidity. Endoluminal revision procedures can be conducted in various forms, including sclerotherapy, endoluminal suturing, tissue plication, argon plasma coagulation, and mixed. It is necessary to consider the individuality of the patient to choose the best strategy and/or endoscopic procedure for the management of weight loss in patients with weight regain after Roux-en-Y gastric bypass. Studies are needed to monitor the performance of GJA diameter and long-term weight loss for an individualized treatment approach and cost-effectiveness.-
Descrição: dc.descriptionBotucatu Medical School Department of Internal Medicine São Paulo State University - UNESP Ave. Prof. Mário Rubens Guimarães Montenegro, SP-
Descrição: dc.descriptionFaculty of Nutrition Department of Nutrition Federal University of Goias (UFG), GO-
Descrição: dc.descriptionBotucatu Medical School Department of Internal Medicine São Paulo State University - UNESP Ave. Prof. Mário Rubens Guimarães Montenegro, SP-
Idioma: dc.languageen-
Relação: dc.relationNutrire-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectEndoscopic procedures-
Palavras-chave: dc.subjectGastric bypass-
Palavras-chave: dc.subjectObesity-
Palavras-chave: dc.subjectWeight loss-
Título: dc.titleEndoscopic strategies for management weight regain after Roux-en-Y gastric bypass: a narrative review-
Tipo de arquivo: dc.typevídeo-
Aparece nas coleções:Repositório Institucional - Unesp

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