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Endoscopic Approaches for Post Roux-en-Y Gastric Bypass Leaks: How to Choose the Best Tool for Each Task

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References

  1. Christou NV, Look D, Maclean LD. Weight gain after short- and long-limb gastric bypass in patients followed for longer than 10 years. Ann Surg. 2006;244(5):734–40. https://doi.org/10.1097/01.sla.0000217592.04061.d5.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Istfan NW, Lipartia M, Anderson WA, et al. Approach to the patient: management of the post-bariatric surgery patient with weight regain. J Clin Endocrinol Metab. 2021;106(1):251–63. https://doi.org/10.1210/clinem/dgaa702.

    Article  PubMed  Google Scholar 

  3. Cambi MPC, Baretta GAP, Magro DO, et al. Multidisciplinary approach for weight regain-how to manage this challenging condition: an expert review. Obes Surg. 2021;31(3):1290–303. https://doi.org/10.1007/s11695-020-05164-1.

    Article  PubMed  Google Scholar 

  4. Kuzminov A, Palmer AJ, Wilkinson S, et al. Re-operations after secondary bariatric surgery: a systematic review. Obes Surg. 2016;26(9):2237–47. https://doi.org/10.1007/s11695-016-2252-7.

    Article  PubMed  Google Scholar 

  5. Gray KD, Moore MD, Elmously A, et al. Perioperative outcomes of laparoscopic and robotic revisional bariatric surgery in a complex patient population. Obes Surg. 2018;28(7):1852–9. https://doi.org/10.1007/s11695-018-3119-x.

    Article  PubMed  Google Scholar 

  6. Oliveira VL, Bestetti AM, Trasolini RP, et al. Choosing the best endoscopic approach for post-bariatric surgical leaks and fistulas: Basic principles and recommendations. World J Gastroenterol. 2023;29(7):1173–93. https://doi.org/10.3748/wjg.v29.i7.1173.

    Article  PubMed  PubMed Central  Google Scholar 

  7. de Moura DTH, Dantas ACB, Ribeiro IB, et al. Status of bariatric endoscopy-what does the surgeon need to know? Rev World J Gastrointest Surg. 2022;14(2):185–99. https://doi.org/10.4240/wjgs.v14.i2.185.

    Article  Google Scholar 

  8. Bestetti AM, Boghossian MB, Hirsch BS, et al. Multiple endoscopic therapies for treatment of chronic post-bariatric surgery gastropleural fistula. Obes Surg. 2022;32(9):3206–7. https://doi.org/10.1007/s11695-022-06186-7.

    Article  PubMed  Google Scholar 

  9. Bestetti AM, Santo MA, Trasolini RP, et al. Sequential endoscopic therapies for treatment of complex gastrointestinal transmural leak following bariatric surgery. Obes Surg. 2022. https://doi.org/10.1007/s11695-022-06311-6.

    Article  PubMed  Google Scholar 

  10. de Moura DTH, de Freitas Júnior JR, de Souza GMV, et al. Endoscopic management of acute leak after sleeve gastrectomy: principles and techniques. Endoscopy. 2022;54(7):E327–8. https://doi.org/10.1055/a-1525-1661.

    Article  PubMed  Google Scholar 

  11. Intriago JMV, de Moura DTH, do Monte Junior ES, et al. Endoscopic vacuum therapy (EVT) for the treatment of post-bariatric surgery leaks and fistulas: a systematic review and meta-analysis. Obes Surg. 2022;32(10):3435–51. https://doi.org/10.1007/s11695-022-06228-0.

    Article  PubMed  Google Scholar 

  12. de Moura DTH, Hirsch BS, McCarty TR, et al. Homemade endoscopic vacuum therapy device for the management of transmural gastrointestinal defects [published online ahead of print, 2023 Jan 18]. Dig Endosc. 2023. https://doi.org/10.1111/den.14518.

    Article  PubMed  Google Scholar 

  13. de Moura DTH, Hirsch BS, Boghossian MB, et al. Low-cost modified endoscopic vacuum therapy using a triple-lumen tube allows nutrition and drainage for treatment of an early post-bariatric surgery leak. Endoscopy. 2022;54(7):E376–7. https://doi.org/10.1055/a-1540-5870.

    Article  PubMed  Google Scholar 

  14. Boghossian MB, Funari MP, do Monte Junior ES, et al. Endoscopic septotomy for fistula after bariatric surgery. Endoscopy. 2022;54(1):E38–9. https://doi.org/10.1055/a-1375-0159.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Gastrointestinal Endoscopy Unit - Gastroenterology Department, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil

    Alexandre Moraes Bestetti, Victor Lira de Oliveira, Eduardo Guimarães Hourneaux de Moura & Diogo Turiani Hourneaux de Moura

  2. Anesthesiology Unit– Instituto de Ensino e Pesquisa Rede D´or (IDOR) – Hospital Vila Nova Star, São Paulo, SP, Brazil

    Saullo Queiros Silveira

  3. Endoscopy Unit – Instituto de Ensino e Pesquisa Rede D´or (IDOR) – Hospital Vila Nova Star, R. Dr. Alceu de Campos Rodrigues, 126 - Vila Nova Conceição, São Paulo, SP, 04544-000, Brazil

    Eduardo Guimarães Hourneaux de Moura & Diogo Turiani Hourneaux de Moura

Authors
  1. Alexandre Moraes Bestetti
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  2. Victor Lira de Oliveira
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  3. Saullo Queiros Silveira
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  4. Eduardo Guimarães Hourneaux de Moura
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  5. Diogo Turiani Hourneaux de Moura
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Corresponding author

Correspondence to Diogo Turiani Hourneaux de Moura.

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Ethics Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Conflict of Interest

Eduardo Guimarães Hourneaux de Moura receives sponsorship for consultancy from Boston Scientific and Olympus. Diogo Turiani Hourneaux de Moura receives sponsorship for consultancy from BariaTek Advanced Bariatric Solutions. All the other authors declare no conflict of interest.

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Bestetti, A.M., de Oliveira, V.L., Silveira, S.Q. et al. Endoscopic Approaches for Post Roux-en-Y Gastric Bypass Leaks: How to Choose the Best Tool for Each Task. OBES SURG 33, 2266–2267 (2023). https://doi.org/10.1007/s11695-023-06658-4

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  • DOI: https://doi.org/10.1007/s11695-023-06658-4

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