Article
Surgery
Karolina Bauraite, Deimante Mikuckyte, Rita Gudaityte, Ruta Petereit, Almantas Maleckas
Summary: After 12 years following RYGB surgery, the majority of patients reported good or very good quality of life despite some weight regain. Factors such as grazing habits and frequency of abdominal pain were found to be associated with weight regain and worse quality of life in this study.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Surgery
Manoel Galvao Neto, Vitor Ottoboni Brunaldi, Eduardo Grecco, Lyz Bezerra Silva, Luiz Gustavo de Quadros, Thiago Ferreira de Souza, Andre Teixeira, Helmut Wagner Poti de Morais, Joao Henrique Felicio de Lima, Admar Concon Filho, Artagnan Amorim, Marcelo Falcao de Santana, Newton Teixeira, Joao Caetano Marchesini
Summary: The study gathered nationally renowned experts for an online consensus voting, resulting in recommendations for APC treatment of weight regain following gastric bypass surgery, including defining dilated gastrojejunal anastomosis, optimal ablation session interval, and stopping treatment criteria.
Article
Medicine, General & Internal
Silvia Ferro, Viola Zulian, Massimiliano De Palma, Andrea Sartori, Anamaria Andreica, Marius Nedelcu, Sergio Carandina
Summary: This study retrospectively reviewed patients who underwent laparoscopic resizing of the gastric pouch (LPR) after weight regain (WR) following gastric bypass procedures. The results showed that LPR had good outcomes in terms of weight loss and improvement of comorbidities, with an acceptable rate of complications and operative time.
JOURNAL OF CLINICAL MEDICINE
(2022)
Review
Endocrinology & Metabolism
Rutger J. Franken, Josephine Franken, Nina R. Sluiter, Ralph de Vries, Sjoerd Euser, Victor E. A. Gerdes, Maurits de Brauw
Summary: A systematic review and meta-analysis were conducted to evaluate various revisional techniques for addressing weight regain and inadequate weight loss after Roux-en-Y gastric bypass. The results showed that endoscopic procedures resulted in short-term weight loss, while surgical revision techniques were more successful in achieving long-term weight loss, albeit with higher complication rates.
Article
Surgery
Bhavani Pokala, Edward Hernandez, Spyridon Giannopoulos, Dimitrios Athanasiadis, Lava Timsina, Nikki Sorg, Keith Makhecha, Sathvik Madduri, Dimitrios Stefanidis
Summary: The study found that patients with higher weight loss at 6 and 12 months after bariatric surgery may have a higher risk of weight regain at 4 years. Surgeons may need to closely monitor patients with significant early weight loss and offer additional treatment options to maximize their long-term success.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Rocio Avellana Moreno, Bibiana Lasses Martinez, Luis Miguel Estela Villa, Maria E. Perez Aguirre, Andres Sanchez-Pernaute, Antonio J. Torres Garcia
Summary: Revisional bariatric surgery is a challenge for surgeons, especially in cases of weight regain after RYGB. In this successful case study, a patient with initial weight loss following RYGB underwent a conversion to SADIS after regaining weight, with no intraoperative complications and a smooth postoperative recovery.
Article
Surgery
Kurt McInnis, Jennifer L. Brown, Graham Finlayson, Robert Dent, Eric Doucet
Summary: This study investigated the association between weight regain after Roux-en-Y gastric bypass (RYGB) surgery and appetite-related measures. The results suggest that appetite-related outcomes are similar across individuals who have maintained weight loss and experienced regain following RYGB.
Article
Surgery
Farah Abdul Razzak, Anthony Kerbage, Vitor O. Brunaldi, Rudy Mrad, Tala Mahmoud, Khushboo Gala, Eric J. Vargas, Andrew Storm, Omar Ghanem, Barham Abu Dayyeh
Summary: Gastrojejunal anastomosis (GJA) dilation is associated with weight regain after Roux-en-Y gastric bypass (RYGB). However, the role of planimetric measurements in this context is unclear.
Review
Surgery
Mohammad Kermansaravi, Amir Hossein Davarpanah Jazi, Shahab Shahabi Shahmiri, Foolad Eghbali, Rohollah Valizadeh, Masoud Rezvani
Summary: Morbid obesity is a global chronic disease, and bariatric procedures have been approved as the best method to control obesity. However, some patients may experience weight regain or weight loss failure after the initial surgery and require revisional or conversional interventions. In a systematic review of 41 studies involving 1403 patients, it was found that revision procedures can result in significant weight loss after the initial weight loss surgery, with different procedures showing varying effects at different follow-up times. The most effective procedure for long-term weight loss outcomes appeared to be DRGB or BPD-DS/SADI-S. More studies with larger sample sizes and longer follow-up periods are needed to confirm these findings.
UPDATES IN SURGERY
(2021)
Article
Nutrition & Dietetics
Celine Drai, Andrea Chierici, Luigi Schiavo, Tagleb S. Mazahreh, Anne-Sophie Schneck, Antonio Iannelli
Summary: Pouch resizing after Roux-en-Y gastric bypass (RYGB) results in a failure rate of 47% at the 10-year follow-up, while the resolution of comorbidities is maintained over time despite significant weight regain.
Review
Medicine, Research & Experimental
Andreas Alexandrou, Panagiotis Sakarellos, Spyridon Davakis, Michail Vailas, Nikoletta Dimitriou, Alexandros Papalampros, Dimitrios Schizas, Alexandros Charalabopoulos, Evangelos Felekouras
Summary: Inadequate weight loss or weight regain after RYGBP is common, and there are various treatment options available. These options differ in terms of technical simplicity and effectiveness, but the limited number of studies makes it difficult to make meaningful comparisons.
Article
Surgery
Eileen Roach, Simon Laplante, Shannon Stogryn, Azusa Maeda, Timothy Jackson, Allan Okrainec
Summary: The study aimed to determine the weight-loss outcomes of patients who underwent laparoscopic Roux-en-Y gastric bypass (LRYGB) after laparoscopic sleeve gastrectomy (LSG) and whether outcomes differed according to indications for conversion. The study found that patients who underwent LRYGB after previous LSG had a consistent weight-loss outcome regardless of the reason for conversion.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Louis Vansteenbrugge, Sebastien Strypstein, Mehrdad Biglari, Isabelle Debergh, Bart Smet
Summary: This article describes a technique called transoral outlet reduction (TORe) to address weight regain after Roux-en-Y gastric bypass (RYGB). The procedure involves reducing the diameter of the gastro-jejunal anastomosis using endoscopic sutures. The study shows that TORe is a safe and effective option for managing weight regain after RYGB, with minimal adverse events.
Article
Surgery
Matyas Fehervari, Khaled Alyaqout, Ali Lairy, Haris Khwaja, Gianluca Bonanomi, Evangelos Efthimiou
Summary: In this study of 385 patients undergoing LRYGB, the choice of hand sewn, linear or circular stapler technique for gastrojejunostomy did not affect mid-term weight loss and weight regain outcomes. There was also no significant difference in operative time, although the circular stapler technique incurred higher material costs.
Article
Surgery
Michael O'Laughlin, Jorge Cornejo, Alba Zevallos, Alisa Coker, Michael Schweitzer, Gina Adrales, Christina Li, Raul Sebastian
Summary: Background: The rates of secondary bariatric surgery have increased, with sleeve gastrectomy to gastric bypass conversion being the most common. This study evaluates the outcomes of this conversion compared to primary Roux-en-Y gastric bypass (RYGB) surgery using MBSAQIP data. Methods: The study analyzed the data of patients who underwent sleeve gastrectomy to RYGB conversion and primary laparoscopic RYGB, matching them based on preoperative characteristics. Results: The analysis showed that the conversion from sleeve gastrectomy to RYGB was associated with higher readmissions, interventions, conversion to open surgery, longer hospital stay, and longer operative time compared to primary RYGB. However, there were no significant differences in mortality or rates of bariatric complications. Conclusion: The study concludes that conversion from sleeve gastrectomy to RYGB is a safe and feasible procedure with reasonable outcomes compared to primary RYGB.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Editorial Material
Gastroenterology & Hepatology
Marcos Eduardo Lera dos Santos, Igor Braga Ribeiro, Igor Mendonca Proenca, Gabriel Mayo Vieira de Souza, Diogo Turiani Hourneaux de Moura, Sergio Eiji Matuguma, Eduardo Guimaraes Hourneaux de Moura
Editorial Material
Gastroenterology & Hepatology
Diogo Turiani Hourneaux de Moura, Mateus Bond Boghossian, Bruno Salomao Hirsch, Thomas R. McCarty, Alberto Jose Baptista, Eduardo Guimaraes Hourneaux de Moura
Editorial Material
Gastroenterology & Hepatology
Diogo Turiani Hourneaux de Moura, Bruno Salomao Hirsch, Mateus Bond Boghossian, Flaubert Sena de Medeiros, Thomas R. McCarty, Christopher C. Thompson, Eduardo Guimaraes Hourneaux de Moura
Review
Gastroenterology & Hepatology
Fabio Catache Mancini, Diogo Turiani Hourneaux de Moura, Mateus Pereira Funari, Igor Braga Ribeiro, Fernando Lopes Ponte Neto, Pastor Joaquin Ortiz Mendieta, Thomas R. McCarty, Wanderley Marques Bernardo, Sergio Carlos Nahas, Eduardo Guimaraes Hourneaux de Moura
Summary: Based on a systematic review and meta-analysis of four randomized trials, electromagnetic-guided placement (EMGP) and endoscopic-guided placement (EGP) showed similar levels of technical success and safety, as well as procedure time. However, EMGP performed better in terms of time to initiation of nutrition and associated cost.
ENDOSCOPY INTERNATIONAL OPEN
(2022)
Review
Gastroenterology & Hepatology
Joao Guilherme Ribeiro Jordao Sasso, Diogo Turiani Hourneaux de Moura, Igor Mendonca Proenca, Epifanio Silvino do Monte Junior, Igor Braga Ribeiro, Sergio A. Sanchez-Luna, Spencer Cheng, Alexandre Moraes Bestetti, Angelo So Taa Kum, Wanderley Marques Bernardo, Eduardo Guimaraes Hourneaux de Moura
Summary: Both SEMS-V and SEMS-NV are safe and effective in the palliation of esophageal cancer with similar rates of GERD, dysphagia relief, technical success, adverse events, stent migration, stent obstruction, bleeding, and improvement of the quality of life.
ENDOSCOPY INTERNATIONAL OPEN
(2022)
Review
Surgery
Matheus Candido Hemerly, Diogo Turiani Hourneaux de Moura, Epifanio Silvino do Monte Junior, Igor Mendonca Proenca, Igor Braga Ribeiro, Erika Yuki Yvamoto, Pedro Henrique Boraschi Vieira Ribas, Sergio A. Sanchez-Luna, Wanderley Marques Bernardo, Eduardo Guimaraes Hourneaux de Moura
Summary: This study aimed to compare endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) and percutaneous gallbladder drainage (PT-GBD) as less invasive treatment strategies for patients with acute cholecystitis who are unfit for surgical cholecystectomy. The results showed that EUS-GBD using cautery-enhanced lumen-apposing metal stents (LAMS) is superior to PT-GBD in terms of safety profile, recurrent cholecystitis, and hospital readmission rates. However, when cautery-enhanced LAMS are not used, the outcomes of EUS-GBD and PT-GBD are similar. Thus, EUS-GBD with cautery-enhanced LAMS should be considered the preferable approach for gallbladder drainage for this challenging population.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Review
Medicine, General & Internal
Caroline Flaksbaum Moll, Diogo Turiani Hourneaux de Moura, Igor Braga Ribeiro, Igor Mendoca Proenca, Epifanio Silvino do Monte Junior, Sergio A. Sanchez-Luna, Maria Fernanda Shinin Merchan, Josselyn Mariana Vera Intriago, Wanderley Marques Bernardo, Eduardo Guimaraes Hourneaux de Moura
Summary: Biliary drainage for PCCA can be done through endoscopic retrograde chol-angiopancreatography or Percutaneous Transhepatic Biliary Drainage (PTBD), but the preferred method remains unclear. This study compared Endoscopic Biliary Drainage (EBD) and PTBD in PCCA patients through a systematic review and meta-analysis. Results showed that PTBD had lower crossover rates, post-drainage complications, and post-drainage pancreatitis in resectable PCCA, while EBD had a shorter hospital stay. In palliative PCCA, PTBD had higher clinical success and fewer post-drainage cholangitis cases compared to EBD. There were no statistical differences regarding technical success, post-drainage bleeding, major complications, and seeding metastases.
Article
Gastroenterology & Hepatology
Diogo Turiani Hourneaux de Moura, Bruno Salomao Hirsch, Thomas R. McCarty, Marcos Eduardo dos Santos, Hugo Goncalo Guedes, Guilherme Francisco Gomes, Flaubert Sena de Medeiros, Eduardo Guimaraes Hourneaux de Moura
Summary: This study evaluated the efficacy and safety of a novel homemade endoscopic vacuum therapy for the treatment of transmural gastrointestinal defects. A total of 144 patients were included, with a technical success rate of 100% and a clinical success rate of 88.89%. The use of this homemade EVT was found to be feasible, safe, and effective for the management of TGID.
DIGESTIVE ENDOSCOPY
(2023)
Review
Surgery
Erika Yuki Yvamoto, Diogo Turiani Hourneaux de Moura, Igor Mendonca Proenca, Epifanio Silvino do Monte Junior, Igor Braga Ribeiro, Pedro Henrique Boraschi Vieira Ribas, Matheus Candido Hemerly, Victor Lira de Oliveira, Sergio A. Sanchez-Luna, Wanderley Marques Bernardo, Eduardo Guimaraes Hourneaux de Moura
Summary: This study evaluated the effectiveness and safety of duodenal-jejunal bypass liner (DJBL). The results showed that DJBL can effectively reduce excess weight and have a positive effect on blood glucose control. However, there is a certain occurrence rate of side effects, so cautious use is needed.
Editorial Material
Gastroenterology & Hepatology
Bruno Salomao Hirsch, Silvia R. Cardoso, Elisa R. Baba, Diogo T. H. de Moura, Manoel Ernesto P. Goncalves, Rodrigo S. de P. Rocha, Eduardo G. H. de Moura
CLINICAL ENDOSCOPY
(2023)
Editorial Material
Surgery
Alexandre Moraes Bestetti, Victor Lira de Oliveira, Saullo Queiros Silveira, Eduardo Guimaraes Hourneaux de Moura, Diogo Turiani Hourneaux de Moura
Review
Gastroenterology & Hepatology
Victor Lira de Oliveira, Alexandre Moraes Bestetti, Roberto Paolo Trasolini, Eduardo Guimaraes Hourneaux de Moura, Diogo Turiani Hourneaux de Moura
Summary: Post-surgical leaks and fistulas are common and difficult to treat complications of bariatric surgery. Endoscopic therapy plays an increasingly important role in managing these conditions, with early diagnosis and initiation of treatment being crucial for success. Different endoscopic techniques with various mechanisms of action are available, and treatment should be individualized based on patient and defect characteristics. Although standardized treatment algorithms are lacking, this narrative review aims to provide a summary of current scientific evidence and make recommendations for the best endoscopic approach.
WORLD JOURNAL OF GASTROENTEROLOGY
(2023)
Article
Anesthesiology
Saullo Queiroz Silveira, Leopoldo Muniz da Silva, Arthur de Campos Vieira Abib, Diogo Turiani Hourneaux de Moura, Eduardo Guimaraes Hourneaux de Moura, Leonardo Barbosa Santos, Anthony M. -H. Ho, Rafael Souza Fava Nersessian, Filipe Lugon Moulin Lima, Marcela Viana Silva, Glenio B. Mizubuti
Summary: The study aimed to investigate whether perioperative use of semaglutide is associated with delayed gastric emptying and increased residual gastric content. The results showed that patients who used semaglutide had a higher incidence of increased residual gastric content compared to those who did not use semaglutide. Additionally, preoperative digestive symptoms were predictive of increased residual gastric content.
JOURNAL OF CLINICAL ANESTHESIA
(2023)
Letter
Gastroenterology & Hepatology
Sergio A. Sanchez-Luna, Eduardo Guimaraes Hourneaux de Moura, Flaubert Sena de Medeiros, Diogo Turiani Hourneaux de Moura
REVISTA ESPANOLA DE ENFERMEDADES DIGESTIVAS
(2022)
Review
Medicine, General & Internal
Victor L. de Oliveira, Diogo Turiani H. de Moura, Epifanio S. do Monte Junior, Igor M. Proenca, Igor B. Ribeiro, Sergio A. Sanchez-Luna, Pedro Henrique Boraschi V. Ribas, Matheus C. Hemerly, Wanderley M. Bernardo, Eduardo Guimaraes H. de Moura
Summary: This study aimed to compare the feasibility, efficacy, and safety of laparoscopic-assisted ERCP (LA-ERCP) and endoscopic ultrasound (EUS)-directed transgastric ERCP (EDGE) in patients who underwent RYGB surgery. The results showed that both methods had comparable technical success and adverse events rate, but EDGE was associated with shorter hospital stay and procedural time.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2022)
