Abstract
Given the increasing number of bariatric procedures performed each year, the number of patients with unsatisfied weight loss and procedure intolerance will increase. Reoperation after bariatric surgery, especially Roux-en-Y Gastric Bypass (RYGB), can constitute a high perioperative morbidity and mortality risk and also exert a significant toll on health system resources. The recent advances in flexible technology have promoted endoscopic techniques and devices for the primary treatment of obesity. Those endoscopic procedures could also be implicated for revisions of failed bariatric surgery. With low complication rates, faster recovery, incisionless procedure, and reversibility, endoscopic revisions might offer an alternative solution for weight gain after bariatric surgery. Early experience with endoscopic revisions after RYGB is expected to increase and will play a more important role in the management of weight loss failure and complications following bariatric surgery.
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