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Create a Free AccountProcedures - Bariatrics
Endoscopic sleeve gastroplasty by use of a novel suturing pattern, which allays concerns for revisional bariatric surgery
Endoscopic sleeve gastroplasty (ESG) is a safe and effective minimally invasive procedure that has been gaining traction to treat patients with obesity.1-3 Because obesity is a chronic disease, revisional bariatric surgery may be beneficial if adverse events, inadequate weight loss, or weight regain have occurred.4Demonstration of transoral gastric outlet reduction: 2-fold running suture technique
Weight regain after Roux-en-Y gastric bypass (RYGB) is common. This is partially attributable to dilatation of the gastrojejunostomy (GJ), which diminishes the restrictive capacity of the RYGB. Endoscopic revision of a dilatated GJ, called transoral outlet reduction (TORe), has been proved effective and allows patients to avoid reoperation. A 43-year-old woman who had undergone gastric bypass 3 years previously regained 40% of her lost weight, lost postprandial satiety, and had symptoms of dumping syndrome.
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