Transoral Outlet Reduction: Expert Tips, Tricks, and Troubleshooting.
Am J Gastroenterol
; 119(6): 1047-1055, 2024 06 01.
Article
em En
| MEDLINE
| ID: mdl-38634547
ABSTRACT
Transoral outlet reduction (TORe) is an incisionless, endoscopic procedure to address weight recurrence after Roux-en-Y gastric bypass. Given the chronic, progressive nature of obesity and the minimally invasive, anatomy preserving technique of TORe, the procedure is expected to be met with high patient acceptance and widening clinical adoption. Nevertheless, the approach to TORe has been heterogeneous. As endoscopic bariatric therapies are increasingly incorporated into the multidisciplinary management of obesity, it is crucial to have a standardized, evidence-based framework for their implementation. In this review, based on the available literature and the authors' combined experience of over 1,000 TORe procedures, we present our approach to patient selection, procedural technique, troubleshooting, and patient aftercare unique to TORe.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Derivação Gástrica
/
Cirurgia Endoscópica por Orifício Natural
Limite:
Humans
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article