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Laparoscopic revision of transoral endoscopic vertical gastroplasty to Roux-en-Y gastric bypass

      There are a number of endoscopic bariatric therapies, which have been proven to be safe and effective in the treatment of obesity [
      • Kumar N.
      Weight loss endoscopy: Development, applications, and current status.
      ]. The transoral endoscopic vertical gastroplasty (TOGA) is an endoscopic procedure in which flexible instruments are introduced through the mouth, passed to the stomach, and used to acquire tissue along the anterior and posterior stomach walls, fold the tissue, and staple it to create a restrictive pouch [
      • Familiari P.
      • Constamagna G.
      • Bléro D.
      • et al.
      Transoral gastroplasty for morbid obesity: a multicenter trial with a 1-year outcome.
      ]. This procedure has been shown to be safe and produce up to 44.8% excess weight loss at one year [
      • Familiari P.
      • Constamagna G.
      • Bléro D.
      • et al.
      Transoral gastroplasty for morbid obesity: a multicenter trial with a 1-year outcome.
      ,
      • Nanni G.
      • Familiari P.
      • Mor A.
      • et al.
      Effectiveness of the transoral endoscopic vertical gastroplasty (TOGA): A good balance between weight loss and complications, if compared with gastric bypass and biliopancreatic diversion.
      ]. However, weight regain requiring laparoscopic conversion to Roux-en-Y gastric bypass (RYGB) after TOGA has been reported [
      • Closset J.
      • Germanova D.
      • Loi P.
      • et al.
      Laparoscopic gastric bypass as a revision procedure after transoral gastroplasty.
      ].

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      References

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        Weight loss endoscopy: Development, applications, and current status.
        World J Gastroenterol. 2016; 22: 7069-7079
        • Familiari P.
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        • et al.
        Transoral gastroplasty for morbid obesity: a multicenter trial with a 1-year outcome.
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        • et al.
        Laparoscopic gastric bypass as a revision procedure after transoral gastroplasty.
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