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

Review Gastroenterology & Hepatology

Choosing the best endoscopic approach for post-bariatric surgical leaks and fistulas: Basic principles and recommendations

Victor Lira de Oliveira et al.

Summary: Post-surgical leaks and fistulas are common and difficult to treat complications of bariatric surgery. Endoscopic therapy plays an increasingly important role in managing these conditions, with early diagnosis and initiation of treatment being crucial for success. Different endoscopic techniques with various mechanisms of action are available, and treatment should be individualized based on patient and defect characteristics. Although standardized treatment algorithms are lacking, this narrative review aims to provide a summary of current scientific evidence and make recommendations for the best endoscopic approach.

WORLD JOURNAL OF GASTROENTEROLOGY (2023)

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Article Gastroenterology & Hepatology

Homemade endoscopic vacuum therapy device for the management of transmural gastrointestinal defects

Diogo Turiani Hourneaux de Moura et al.

Summary: This study evaluated the efficacy and safety of a novel homemade endoscopic vacuum therapy for the treatment of transmural gastrointestinal defects. A total of 144 patients were included, with a technical success rate of 100% and a clinical success rate of 88.89%. The use of this homemade EVT was found to be feasible, safe, and effective for the management of TGID.

DIGESTIVE ENDOSCOPY (2023)

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Review Gastroenterology & Hepatology

Status of bariatric endoscopy-what does the surgeon need to know? A review

Diogo Turiani Hourneaux de Moura et al.

Summary: Obesity is a chronic disease with various treatment options. Bariatric endoscopy, as a multidisciplinary approach, has shown impressive results in the treatment of obesity and management of surgical complications. Different devices can be tailored to individual patients, but further research is needed to validate the long-term efficacy of endoscopic therapies. Local experience should be considered when making decisions.

WORLD JOURNAL OF GASTROINTESTINAL SURGERY (2022)

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Editorial Material Gastroenterology & Hepatology

Low-cost modified endoscopic vacuum therapy using a triple-lumen tube allows nutrition and drainage for treatment of an early post-bariatric surgery leak

Diogo Turiani Hourneaux de Moura et al.

ENDOSCOPY (2022)

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Editorial Material Gastroenterology & Hepatology

Endoscopic management of acute leak after sleeve gastrectomy: principles and techniques

Diogo Turiani Hourneaux de Moura et al.

ENDOSCOPY (2022)

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Article Surgery

Multiple Endoscopic Therapies for Treatment of Chronic Post-bariatric Surgery Gastropleural Fistula

Alexandre Moraes Bestetti et al.

OBESITY SURGERY (2022)

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Review Surgery

Endoscopic Vacuum Therapy (EVT) for the Treatment of Post-Bariatric Surgery Leaks and Fistulas: a Systematic Review and Meta-analysis

Josselyn Mariana Vera Intriago et al.

Summary: In this first systematic review and meta-analysis, endoscopic vacuum therapy (EVT) emerged as a promising and feasible tool for the treatment of post-surgical leaks and fistulas, showing high rates of clinical success and relatively low rates of adverse events, although caution should be exercised due to limited data availability.

OBESITY SURGERY (2022)

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Article Surgery

Sequential Endoscopic Therapies for Treatment of Complex Gastrointestinal Transmural Leak Following Bariatric Surgery

Alexandre Moraes Bestetti et al.

OBESITY SURGERY (2022)

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Review Surgery

Multidisciplinary Approach for Weight Regain-how to Manage this Challenging Condition: an Expert Review

Maria Paula Carlin Cambi et al.

Summary: The paper highlights the importance of a multidisciplinary approach with periodic monitoring in preventing or treating weight regain after bariatric surgery, emphasizing the need for tailored therapeutic options based on patients' anatomy, lifestyle behavior, and compliance. Specialized multidisciplinary care plays a key role in achieving optimal long-term weight loss and maintenance goals.

OBESITY SURGERY (2021)

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Article Endocrinology & Metabolism

Approach to the Patient: Management of the Post-Bariatric Surgery Patient With Weight Regain

Nawfal W. Istfan et al.

Summary: This study presents a practical approach for early recognition of weight regain after bariatric surgery, including classification and treatment options. Emphasizing the importance of regular long-term follow-up for all bariatric surgery patients.

JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM (2021)

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Article Surgery