There are a number of endoscopic bariatric therapies, which have been proven to be
safe and effective in the treatment of obesity [
[1]
]. 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 [
[2]
]. This procedure has been shown to be safe and produce up to 44.8% excess weight loss
at one year [
2
,
3
]. However, weight regain requiring laparoscopic conversion to Roux-en-Y gastric bypass
(RYGB) after TOGA has been reported [
[4]
].Keywords
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References
- Weight loss endoscopy: Development, applications, and current status.World J Gastroenterol. 2016; 22: 7069-7079
- Transoral gastroplasty for morbid obesity: a multicenter trial with a 1-year outcome.Gastrointest Endosc. 2011; 74: 1248-1258
- Effectiveness of the transoral endoscopic vertical gastroplasty (TOGA): A good balance between weight loss and complications, if compared with gastric bypass and biliopancreatic diversion.Obes Surg. 2012; 22: 1897-1902
- Laparoscopic gastric bypass as a revision procedure after transoral gastroplasty.Obes Surg. 2011; 21: 1-4
- Revisional Bariatric Surgery.Surg Clin North Am. 2016; 96: 827-842
Article info
Publication history
Published online: March 10, 2017
Accepted:
February 28,
2017
Received:
February 16,
2017
Identification
Copyright
© 2017 American Society for Metabolic and Bariatric Surgery. Published by Elsevier Inc. All rights reserved.
