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

Endoscopic Management of Weight Gain After Bariatric Surgery

Video Transcription

Video Summary

In this video, Dr. Vivek Kumbhari discusses the endoscopic management of weight gain after bariatric surgery. He begins by discussing the increase in the number of bariatric surgeries performed in the U.S. and the prevalence of weight regain after these surgeries. Dr. Kumbhari explains that weight regain can be multifactorial and may be due to anatomical factors, such as changes in the stomach or gastrointestinal tract, as well as neurohormonal changes. He emphasizes the importance of setting realistic expectations with patients and discusses different endoscopic techniques used to manage weight regain, including over-the-scope clips, radiofrequency ablation, placation, and ablation using argon plasma coagulation or cryoablation. He also discusses the use of suturing techniques and the efficacy of these procedures for different types of bariatric surgeries. Dr. Kumbhari concludes by highlighting the need for further studies to optimize endoscopic management of weight regain after bariatric surgery.

Asset Subtitle

Vivek Kumbhari, MD, PhD

Keywords

endoscopic management

weight gain

bariatric surgery

anatomical factors

neurohormonal changes

realistic expectations