ASGE Annual Postgraduate Course: Clinical Challenges and Real-Time Decision Making in GI Endoscopy (Live and Virtual) | May 2023-Endoscopic Management of Weight Gain After Bariatric Surgery

Video Transcription

Video Summary

Dr. Vivek Kumbhari, an adjunct associate professor at Johns Hopkins and the director of advanced endoscopy at Mayo Clinic in Florida, discussed the endoscopic management of weight gain after bariatric surgery. He highlighted the increasing number of bariatric surgeries performed in the US and the growing prevalence of weight regain after these procedures. Dr. Kumbhari emphasized that weight regain is a multifactorial problem and can be caused by factors such as anatomical changes, dietary non-compliance, and neurohormonal changes. He discussed various endoscopic options for managing weight regain, including the use of over-the-scope clips, radiofrequency ablation, placation, ablation using argon plasma coagulation or cryoablation, and endoscopic suturing. Dr. Kumbhari presented data on the effectiveness and safety of these techniques, as well as their potential limitations, such as stenosis and weight regain over time. He also discussed the application of these techniques in patients who have undergone sleeve gastrectomy. Overall, Dr. Kumbhari highlighted the need for further research in this field and emphasized that endoscopic management should be part of a comprehensive approach to weight regain after bariatric surgery.

Asset Subtitle

Vivek Kumbhari, MD, PhD

Keywords

endoscopic management

weight gain

bariatric surgery

neurohormonal changes

endoscopic options

sleeve gastrectomy