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Published: 28-02-2024

Effectiveness of argon plasma coagulation in the treatment of weight regain after roux-y gastric bypass: a cross-sectional prospective observational study

São Domingos Hospital. Av. Jeronimo de Albuquerque s/n Bequimao. São Luis, Maranhão, Brazil
UNDB - Dom Bosco University, São luis, Maranhão, Brazil
Unisul - University of Southern Santa Catarina. Av Pedra Branca 25, Palhoça, Santa Catarina, Brazil
Vinhedo Integrated Health Clinic. Street: Manoel Matheus,1331, Jardim Itália, Vinhedo, São Paulo, Brazil
Cancer Institute of the State of São Paulo (ICESP). Av. Dr Arnaldo, 251. Pacaembu. São Paulo, Brazil
UNIRV- University of Rio Verde, Rio Verde, Goiás, Brazil
Medicar Clinic. Av. Pontes Vieira, 2340, Fortaleza, Ceará, Brazil
Haute Clinic. Street: Joaquim Floriano, 533 - 14º andar - Itaim Bibi, São Paulo, Brazil
UFMG – Federal University of Minas Gerais. Av. Pres. Antônio Carlos, 6627 - Pampulha, Belo Horizonte, Minas Gerais, Brazil
See Clinic. Street: dr José Machado de Souza 120, Aracajú, Sergipe, Brazil
Obesity surgery Bariatric surgery Gastric bypass Weight regain Bariatric Endoscopy Argon plasma coagulation Enlargement anastomosis

Abstract

Introduction: Roux-en-Y Gastric Bypass (RYGB) is one of the most commonly performed surgeries to treat obesity worldwide. However, approximately 20% of patients have a recurrence of obesity, and enlargement of the gastrojejunal anastomosis is one of the associated factors. Endoscopic treatment of anastomosis has been proposed for further weight loss. One of the most commonly used techniques for anastomotic narrowing is argon plasma coagulation (APC). However, no randomized controlled trials have proven that this technique is superior to multidisciplinary follow-up. Objective: To evaluate and investigate the efficacy and safety of the application of argon plasma in the gastrojejunal anastomosis in the relapse of obesity after Gastric Bypass. Methods: Transversal study. Thirty-two patients were selected. More than 50% of The excess body weight regained was lost. Ranging from 6 to 25 kg. Results: A loss of more than 50% of the excess weight regained was observed in 30 % patients. Ranging from 6 to 25 kg. Conclusion: The application of argon plasma coagulation was safe and effective in the treatment of obesity recurrence after gastric bypass.

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How to Cite

Cantanhede, K. R. M., Cantanhede, R. M., Souza, P. F. D. de, Abbas, O. A. A., Medeiros, I. A. de O., Domingos, K. T. P. e S., Martins, D. S. L., Cordeiro, N. G., Gomes, M. L. S., & Borges, C. O. C. (2024). Effectiveness of argon plasma coagulation in the treatment of weight regain after roux-y gastric bypass: a cross-sectional prospective observational study. International Journal of Nutrology, 17(1). https://doi.org/10.54448/ijn24111