Current Status of Endoluminal Bariatric Procedures for Primary and Revision Indications

Ryou, Marvin; Ryan, Michele B.; Thompson, Christopher C.

doi:10.1016/j.giec.2011.02.004

Cited by 44 publications

(19 citation statements)

References 45 publications

(42 reference statements)

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“…3 Conventional surgical treatment for these types of complications carry significant conversion rate to open surgery (48%), leading to morbidity (up to 50%) and mortality (2%-10%). [3][4][5][6][7] New endoscopic techniques have been used successfully to manage these complications. Endoscopic clips-both Through the Scope Clip (TTSC) and Over the Scope Clip (OTSC) can be used to treat fistulae and leaks.…”

Section: Endoscopic Clipsmentioning

confidence: 99%

“…[27][28][29] Leaks can occur at any site after bariatric surgery 30 and although it occurs in only 5% at the jejuno-jejunal anastomosis, mortality rate can be as high as 40% which is substantially more compared to other sites. 31,32 Due to increased morbidity and mortality and high conversion rate to open surgery with surgical management of complications, [3][4][5][6][7] endoscopic management has continued to expand and endoscopic clips play an important part in management of postoperative leaks associated with bariatric surgery. Leak site may be localized prior to endoscopic therapy using a bubble test and confirmed with methylene blue injection.…”

Section: Endoscopic Clipsmentioning

confidence: 99%

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Endoscopic management of postoperative fistulas and leaks

Devaraj

Gavini

2017

Int J Gastrointest Interv

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Postoperative complications from gastrointestinal surgery can be associated with significant morbidity, and mortality especially if repeat surgery is needed to address these complications. There are wide array of endoscopic interventions and tools available for management of these complications using minimally invasive methods thus decreasing length of hospitalization, morbidity and leading to better patient outcomes. With the advent new tools like Overstitch device, Over the Scope Clip, fibrin glue, etc., these complications can be managed successfully with minimal morbidity. We provide an indepth discussion about available endoscopic options and their application in various scenarios in our article. Endoscopist should be familiar with these complications and endoscopic tools to promote use of these tools and techniques to achieve successful management of these complex conditions.

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Section: Endoscopic Clipsmentioning

confidence: 99%

Section: Endoscopic Clipsmentioning

confidence: 99%

Endoscopic management of postoperative fistulas and leaks

Devaraj

Gavini

2017

Int J Gastrointest Interv

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“…As new and existing technologies are developed for endoluminal bariatric surgery, the question arises regarding the specific indications for each type of procedure [7]. Specific devices may apply to one or more procedure categories.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic Approaches to Obesity

Štimac

Majanović²

2012

Dig Dis

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Given the emerging role of endoscopic procedures in the treatment of obesity and rapid changes in endoscopic technologies and techniques, this review considers the current state of endoscopic management of obesity. Endoluminal interventions performed entirely through the GI tract by using flexible endoscopy offer the potential for an ambulatory weight loss procedure that may be safer and more cost- effective compared with current surgical approaches. Endoscopic techniques attempt to mimic the anatomic features of bariatric surgery. Accordingly, there are two main endoscopic weight loss modalities – restrictive and malabsorptive. Restrictive procedures act to decrease gastric volume by space-occupying prosthesis and/or by suturing or stapling devices, while malabsorptive procedures tend to create malabsorption by preventing food contact with the duodenum and proximal jejunum. The former include intragastric balloon treatment, endoluminal vertical gastroplasty, transoral gastroplasty and transoral endoscopic restrictive implant system, while the latter include duodenojejunal bypass sleeve. Gastroduodenojejunal bypass sleeve is a combination of both procedures. Except for intragastric balloon, all mentioned procedures are rather new, tested on a small number of human subjects, with a high rate of success, but with limited knowledge on safety and long-term efficacy. The role of gastric electrical stimulation and intragastric injections of botulinum toxin in obesity treatment is also considered as is the role of minimally invasive bariatric endoscopic interventions.

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“…In attempts to lower the morbidities of bariatric surgery, alternative treatment options, including the use of an endoscopic approach have been developed to improve bariatric surgical outcomes [5][6][7][8][9]. We have previously demonstrated the safety and efficacy of a novel, endoluminal gastro-duodeno-jejunal bypass sleeve (ValenTx, Inc. Carpinteria, CA, USA) and the short-term weight loss results seen with this device [10].…”

mentioning

confidence: 99%