Endolumenal revision @entity28 surgery results in XXXX and closure of @entity356 .

@entity1 @entity353 @entity356 @entity28
BACKGROUND: Approximately 20-50% of @entity1 regain weight 3-5 years after Roux-en-Y gastric bypass (RYGB) surgery. @entity356 and dilation of the gastrojejunostomy and gastric pouch have been reported in these @entity1 . Traditional revision surgery after RYGB has greater morbidity and mortality compared with the index bariatric procedure. We studied our initial results with revision of @entity28 surgery using an endoscopic platform in a community hospital setting. METHODS: A retrospective review was performed of @entity1 who had undergone this endoscopic revisional procedure secondary to significant weight regain with or without @entity356 . All @entity1 underwent revision of the gastrojejunostomy and/or closure of the @entity356 using this minimally invasive approach. RESULTS: A total of 37 consecutive @entity1 (36 @entity1 ) with a mean age of 45 years and mean weight regain of 15.1    10.0 kg were included in the present study. The mean interval between RYGB and revision was 5.2 years (range 1-11). The mean preoperative and postoperative stomal size was 21.5 and 10 mm, respectively. Anchors were successfully placed in all @entity1 . The mean follow-up period was 4.69 months (range 2-10). The mean percentage of excess body @entity353 was 23.5%    66.4%. No immediate complications developed. Two @entity1 underwent endoscopic dilation of the stoma because of persistent meal intolerance. Three @entity356 were successfully closed. CONCLUSION: Revision of gastrojejunostomy after RYGB can be safely undertaken using this endoscopic platform. The short-term follow-up results showed clinically significant @entity353 . Long-term follow-up is needed. Closure of @entity356 can also be achieved using this procedure.
