Bariatric endoscopy: current primary therapies and endoscopic management of complications and other related conditions

Melissa Castro, Alfredo Daniel Guerron
2020 Mini-invasive Surgery  
How to cite this article: Castro M, Guerron AD. Bariatric endoscopy: current primary therapies and endoscopic management of complications and other related conditions. Mini-invasive Surg 2020;4:47. http://dx. Abstract The steady increase in bariatric surgery has led to room for innovation. Endoscopy has become an important tool for evaluation, diagnosis, management of complications, and even for primary bariatric interventions. Leaks are the most feared complication and new endoscopic therapies
more » ... ndoscopic therapies have been developed such as septotomy, doublepigtail stents, and endoscopic vacuum therapy. Additionally, primary bariatric endoscopic procedures are gaining popularity and the new procedures include intragastric balloons, stoma reduction, aspiration therapy, among others. The altered anatomy and reoperation increase the risk of complications after bariatric surgery, especially when managing conditions like achalasia, gastroparesis, and cholelithiasis. Per-oral endoscopic myotomy, per-oral pyloromyotomy, and endoscopic ultrasound-guided transgastric endoscopic retrograde cholangiopancreatography provide a less invasive approach to address these conditions. This narrative review article intends to expose current endoscopic therapies for the management of primary bariatric procedures, complications and related conditions.
doi:10.20517/2574-1225.2020.14 fatcat:n7kfjgedjrhffgnwt3julzhfqi