OUTLET REPAIR using APOLLO OVERSTICH®- A new endoluminal procedure for WEIGHT REGAIN AFTER bariatric surgery (VIDEO)

Introduction: Gastric bypass for morbid obesity can induce important excess weight loss (EWL) during 2 years after surgery, and co-morbidities often improve or resolve. A weight plateau typically occurs as equilibrium in energy balance is reached after one year after surgery. Weight regain may be induced, among others, by anatomical factors as increased size of the anastomosis or gastric pouch, causing loss of restriction. We propose a new endoscopic procedure to reduce the gastric pouch and anastomosis, potentially reversing the typical plateau after gastric bypass and applied in a pilot clinical series. Method…