Bariatric Endoscopy-MODIFIED ENDOSCOPIC SUBMUCOSAL DISSECTION – TRANSORAL OUTLET REDUCTION (ESD-TORE) FOR WEIGHT REGAIN

MODIFIED ENDOSCOPIC SUBMUCOSAL DISSECTION – TRANSORAL OUTLET REDUCTION (ESD-TORE) FOR WEIGHT REGAIN

Video Transcription

Video Summary

The video discusses the use of endoscopic submucosal dissection (ESD) combined with a modified transoral gastric outlet revision (TOR) technique for weight regain in patients who have undergone Roux-en-Y gastric bypass. Weight regain is a common issue after this surgery, and surgical revision procedures can be risky. Endoscopic treatments offer a less invasive alternative. The most common endoscopic gastric bypass revision procedure is TOR, which involves suturing around the gastrojejunal anastomosis. The video demonstrates a modified ESD TOR technique that involves lifting and dissecting the submucosa prior to suturing. A case study is presented, showing successful weight loss results. The procedure was accomplished in under 60 minutes and showed potential as a replacement for traditional TOR procedures.

Asset Subtitle

Video Plenary - Authors: Thomas R. McCarty, Russell D. Dolan, Pichamol Jirapinyo, Christopher C. Thompson

Keywords

endoscopic submucosal dissection

modified transoral gastric outlet revision

weight regain

Roux-en-Y gastric bypass

endoscopic treatments