{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T08:03:56Z","timestamp":1784189036755,"version":"3.55.0"},"reference-count":85,"publisher":"MDPI AG","issue":"14","license":[{"start":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T00:00:00Z","timestamp":1784160000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>The prevalence of obesity across the world, especially in the United States, remains at epidemic proportions, creating significant health complications in these patients and posing challenges for overcoming numerous related conditions. Over the years, the surgical approach to the management and treatment of obesity and associated morbidities has continued to increase in use and has been an effective treatment method. Various approaches to surgical management include Roux-en-Y gastric bypass (RYGB), sleeve gastrectomy (SG), adjustable gastric banding, biliopancreatic diversion with duodenal switch (DS), and endoscopic intragastric balloons. Endoscopy has remained a mainstay approach to evaluating post-operative changes and complications following these procedures. In this scoping review, we discuss the indications and optimal timing for endoscopic evaluation post-bariatric surgical intervention, common endoscopic findings, endoscopic therapeutic techniques and challenges, as well as future directions in the field of post-operative endoscopy. We conclude that while some complications require immediate surgical or radiologic intervention prior to endoscopy, other complications may be evaluated with endoscopy.<\/jats:p>","DOI":"10.3390\/diagnostics16142220","type":"journal-article","created":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T06:49:36Z","timestamp":1784184576000},"page":"2220","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Post-Bariatric Surgery Complications and the Role of Endoscopic Intervention"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-3199-9368","authenticated-orcid":false,"given":"Giuliana","family":"Mertz","sequence":"first","affiliation":[{"name":"Albany Medical Center, 43 New Scotland Avenue, Albany, NY 12208, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7609-3560","authenticated-orcid":false,"given":"Brandon","family":"Stahl","sequence":"additional","affiliation":[{"name":"Albany Medical Center, 43 New Scotland Avenue, Albany, NY 12208, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Schu","sequence":"additional","affiliation":[{"name":"Albany Medical Center, 43 New Scotland Avenue, Albany, NY 12208, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kumael","family":"Jafri","sequence":"additional","affiliation":[{"name":"Albany Medical Center, 43 New Scotland Avenue, Albany, NY 12208, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Zaman","sequence":"additional","affiliation":[{"name":"Albany Medical Center, 43 New Scotland Avenue, Albany, NY 12208, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,7,16]]},"reference":[{"key":"ref_1","unstructured":"American Society for Metabolic and Bariatric Surgery (2025, September 01). Estimate of Bariatric Surgery Numbers, 2011\u20132023. Available online: https:\/\/asmbs.org\/resources\/estimate-of-bariatric-surgery-numbers\/."},{"key":"ref_2","unstructured":"Mitchell, B.G., Collier, S.A., and Gupta, N. (2025, September 01). Roux-en-Y Gastric Bypass, StatPearls, Available online: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK553157\/."},{"key":"ref_3","unstructured":"Seeras, K., Sankararaman, S., and Lopez, P.P. (2025, September 01). Sleeve Gastrectomy, StatPearls, Available online: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK519035\/."},{"key":"ref_4","unstructured":"Seeras, K., Acho, R.J., and Prakash, S. (2025, September 01). Laparoscopic Gastric Band Placement, StatPearls, Available online: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK526062\/."},{"key":"ref_5","unstructured":"American Society for Metabolic and Bariatric Surgery (2025, September 01). Biliopancreatic Diversion with Duodenal Switch. Available online: https:\/\/asmbs.org\/condition_procedures\/biliopancreatic-diversion-with-duodenal-switch\/."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"3775","DOI":"10.1007\/s11695-018-3409-3","article-title":"Not all leaks are created equal: A comparison between leaks after sleeve gastrectomy and Roux-en-Y gastric bypass","volume":"28","author":"Grinbaum","year":"2018","journal-title":"Obes. Surg."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"396","DOI":"10.1016\/j.soard.2019.01.012","article-title":"Predictors and outcomes of leak after Roux-en-Y gastric bypass","volume":"15","author":"Mocanu","year":"2019","journal-title":"Surg. Obes. Relat. Dis."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"e000219","DOI":"10.1136\/tsaco-2018-000219","article-title":"Early and late complications of bariatric operation","volume":"3","author":"Lim","year":"2018","journal-title":"Trauma Surg. Acute Care Open"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1007\/s11695-010-0221-0","article-title":"Understanding the significance, reasons and patterns of abnormal vital signs after gastric bypass for morbid obesity","volume":"21","author":"Bellorin","year":"2011","journal-title":"Obes. Surg."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"22","DOI":"10.20517\/2574-1225.2021.135","article-title":"Management of gastrointestinal bleeding following bariatric surgery","volume":"6","author":"Giannopoulos","year":"2022","journal-title":"Mini-Invasive Surg."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"3232","DOI":"10.1007\/s11695-022-06173-y","article-title":"Early bleeding after laparoscopic Roux-en-Y gastric bypass","volume":"32","author":"Odovic","year":"2022","journal-title":"Obes. Surg."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"120","DOI":"10.2214\/AJR.09.2840","article-title":"Taxonomy and imaging spectrum of small bowel obstruction after Roux-en-Y gastric bypass surgery","volume":"194","author":"Sunnapwar","year":"2010","journal-title":"AJR Am. J. Roentgenol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1914","DOI":"10.1007\/s00464-007-9535-y","article-title":"Intestinal obstruction after Roux-en-Y gastric bypass","volume":"21","author":"Rogula","year":"2007","journal-title":"Surg. Endosc."},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Salame, M., Jawhar, N., Belluzzi, A., Al-Kordi, M., Storm, A.C., Abu Dayyeh, B.K., and Ghanem, O.M. (2023). Marginal ulcers after Roux-en-Y gastric bypass: Etiology, diagnosis, and management. J. Clin. Med., 12.","DOI":"10.3390\/jcm12134336"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1007\/s11695-021-05850-8","article-title":"Gastric pouch size and marginal ulceration","volume":"32","author":"Ayuso","year":"2022","journal-title":"Obes. Surg."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"6489","DOI":"10.1007\/s00464-020-08142-x","article-title":"Comparison of gastrojejunostomy techniques and anastomotic complications: A systematic literature review","volume":"35","author":"Fakas","year":"2021","journal-title":"Surg. Endosc."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"3011","DOI":"10.1007\/s00464-021-08597-6","article-title":"Linear or circular: Anastomotic ulcer after gastric bypass surgery","volume":"36","author":"Gehwolf","year":"2022","journal-title":"Surg. Endosc."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"494","DOI":"10.1016\/j.cgh.2016.10.015","article-title":"Opened proton pump inhibitor capsules reduce time to healing compared with intact capsules for marginal ulceration following Roux-en-Y gastric bypass","volume":"15","author":"Schulman","year":"2017","journal-title":"Clin. Gastroenterol. Hepatol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"460","DOI":"10.1016\/j.soard.2006.04.233","article-title":"Incidence and management of marginal ulceration after laparoscopic Roux-Y gastric bypass","volume":"2","author":"Gumbs","year":"2006","journal-title":"Surg. Obes. Relat. Dis."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"950","DOI":"10.1055\/s-0030-1256951","article-title":"Marginal ulceration after Roux-en-Y gastric bypass surgery: Characteristics, risk factors, treatment, and outcomes","volume":"43","author":"Azagury","year":"2011","journal-title":"Endoscopy"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"AB62","DOI":"10.1016\/j.gie.2024.04.770","article-title":"Endoscopic management of marginal ulcers after Roux-en-Y gastric bypass","volume":"99","author":"Baroud","year":"2024","journal-title":"Gastrointest. Endosc."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1181","DOI":"10.1016\/j.soard.2025.06.015","article-title":"Prevalence of dysphagia after Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy: A national propensity score study","volume":"21","author":"Saleh","year":"2025","journal-title":"Surg. Obes. Relat. Dis."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1669","DOI":"10.14309\/ajg.0000000000000733","article-title":"Postobesity surgery esophageal dysfunction: A combined cross-sectional prevalence study and retrospective analysis","volume":"115","author":"Miller","year":"2020","journal-title":"Am. J. Gastroenterol."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1007\/s11695-018-3500-9","article-title":"Anastomotic strictures after Roux-en-Y gastric bypass: A cohort study from the Scandinavian Obesity Surgery Registry","volume":"29","author":"Almby","year":"2019","journal-title":"Obes. Surg."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"997","DOI":"10.1016\/j.gassur.2003.09.016","article-title":"Incidence and outcome of anastomotic stricture after laparoscopic gastric bypass","volume":"7","author":"Nguyen","year":"2003","journal-title":"J. Gastrointest. Surg."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1089\/bari.2014.0048","article-title":"Stricture rate after laparoscopic Roux-en-Y gastric bypass with a 21-mm circular stapler versus a 25-mm linear stapler","volume":"10","author":"Baccaro","year":"2015","journal-title":"Bariatr. Surg. Pract. Patient Care"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1002\/aid2.13280","article-title":"Endoscopic balloon dilation for gastrojejunal anastomotic stricture after Roux-en-Y gastric bypass: A case series","volume":"9","author":"Chen","year":"2021","journal-title":"Adv. Dig. Med."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1007\/s11695-008-9625-5","article-title":"Incidence of anastomotic strictures after gastric bypass: A prospective consecutive routine endoscopic study 1 month and 17 months after surgery in 441 patients with morbid obesity","volume":"19","author":"Csendes","year":"2009","journal-title":"Obes. Surg."},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Dell\u2019Anna, G., Fanizza, J., Mandarino, F.V., Barchi, A., Fasulo, E., Vespa, E., Fanti, L., Azzolini, F., Battaglia, S., and Puccetti, F. (2025). The endoscopic management of anastomotic strictures after esophagogastric surgery: A comprehensive review of emerging approaches beyond endoscopic dilation. J. Pers. Med., 15.","DOI":"10.3390\/jpm15030111"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"e1509","DOI":"10.1590\/0102-672020190001e1509","article-title":"Gastrogastric fistula after Roux-en-Y gastric bypass: A case report and review of literature","volume":"33","author":"Alyaqout","year":"2020","journal-title":"ABCD Arq. Bras. Cir. Dig."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"2525","DOI":"10.1007\/s11695-022-06110-z","article-title":"Mechanism of staple line leak after sleeve gastrectomy via isobaric pressurisation concentrating stress forces at the proximal staple line","volume":"32","author":"Catchlove","year":"2022","journal-title":"Obes. Surg."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"1083","DOI":"10.1007\/s11695-008-9576-x","article-title":"Laparoscopic sleeve gastrectomy\u2014Volume and pressure assessment","volume":"18","author":"Yehoshua","year":"2008","journal-title":"Obes. Surg."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"101926","DOI":"10.1016\/j.bpg.2024.101926","article-title":"Management of leakage and fistulas after bariatric surgery","volume":"70","author":"Firkins","year":"2024","journal-title":"Best Pract. Res. Clin. Gastroenterol."},{"key":"ref_34","first-page":"326","article-title":"Gastrogastric fistula: A possible complication of Roux-en-Y gastric bypass","volume":"10","author":"Filho","year":"2006","journal-title":"JSLS"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"AB274","DOI":"10.1016\/j.gie.2017.03.624","article-title":"The use of stents for treatment of post-bariatric fistula: Systematic review and meta-analysis","volume":"85","author":"Okazaki","year":"2017","journal-title":"Gastrointest. Endosc."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1007\/s00394-021-02619-8","article-title":"Micronutrient deficiencies in patients after bariatric surgery","volume":"61","author":"Gasmi","year":"2022","journal-title":"Eur. J. Nutr."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"213","DOI":"10.4103\/jmas.JMAS_12_20","article-title":"Complications after bariatric surgery: A multicentric study of 11,568 patients","volume":"17","author":"Goel","year":"2021","journal-title":"J. Minimal Access Surg."},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"ASGE Standards of Practice Committee, Evans, J.A., Muthusamy, V.R., Acosta, R.D., Bruining, D.H., Chandrasekhara, V., Chathadi, K.V., Eloubeidi, M.A., Fanelli, R.D., and Faulx, A.L. (2015). The role of endoscopy in the bariatric surgery patient. Surg. Obes. Relat. Dis., 11, 507\u2013517.","DOI":"10.1016\/j.soard.2015.02.015"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"1874","DOI":"10.1007\/s11695-024-07163-y","article-title":"Incidence of post-operative gastroesophageal reflux disorder in patients undergoing laparoscopic sleeve gastrectomy: A systematic review and meta-analysis","volume":"34","author":"Trujillo","year":"2024","journal-title":"Obes. Surg."},{"key":"ref_40","doi-asserted-by":"crossref","unstructured":"Dowgia\u0142\u0142o-Gornowicz, N., Proczko-Stepaniak, M., Kloczkowska, A., Jaworski, P., and Major, P. (2025). Gastroesophageal reflux disease 10 years after bariatric surgery\u2014Is it a problem?. J. Clin. Med., 14.","DOI":"10.3390\/jcm14155405"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"656","DOI":"10.1001\/jamasurg.2022.2229","article-title":"Effect of laparoscopic sleeve gastrectomy vs Roux-en-Y gastric bypass on weight loss, comorbidities, and reflux at 10 years: The SLEEVEPASS randomized clinical trial","volume":"157","author":"Salminen","year":"2022","journal-title":"JAMA Surg."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"1023","DOI":"10.1016\/j.soard.2023.02.008","article-title":"Reflux and Barrett\u2019s esophagus after sleeve gastrectomy: Analysis of a statewide database","volume":"19","author":"Swei","year":"2023","journal-title":"Surg. Obes. Relat. Dis."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"4069","DOI":"10.1007\/s00464-021-08329-w","article-title":"Factors associated with weight regain post-bariatric surgery: A systematic review","volume":"35","author":"Athanasiadis","year":"2021","journal-title":"Surg. Endosc."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"1534","DOI":"10.1177\/00031348251337161","article-title":"Weight recidivism after bariatric surgery: A narrative review","volume":"91","author":"Cao","year":"2025","journal-title":"Am. Surg."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"879","DOI":"10.1001\/jama.2020.12567","article-title":"Benefits and risks of bariatric surgery in adults: A review","volume":"324","author":"Arterburn","year":"2020","journal-title":"JAMA"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"1743","DOI":"10.1016\/j.soard.2017.05.027","article-title":"Unexplained abdominal pain in morbidly obese patients after bariatric surgery","volume":"13","author":"Pierik","year":"2017","journal-title":"Surg. Obes. Relat. Dis."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"1096","DOI":"10.1001\/jamasurg.2023.3211","article-title":"Abdominal pain after Roux-en-Y gastric bypass: A review","volume":"158","author":"Fry","year":"2023","journal-title":"JAMA Surg."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"1544","DOI":"10.1016\/j.soard.2018.06.004","article-title":"Diagnosis and treatment of chronic abdominal pain 5 years after Roux-en-Y gastric bypass","volume":"14","author":"Stubhaug","year":"2018","journal-title":"Surg. Obes. Relat. Dis."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/j.soard.2023.08.006","article-title":"The burden of abdominal pain after bariatric surgery in terms of diagnostic testing: The OPERATE study","volume":"20","author":"Vink","year":"2024","journal-title":"Surg. Obes. Relat. Dis."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1016\/j.cgh.2016.07.028","article-title":"Chronic diarrhea: Diagnosis and management","volume":"15","author":"Schiller","year":"2017","journal-title":"Clin. Gastroenterol. Hepatol."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"1102","DOI":"10.1007\/s11695-019-04253-0","article-title":"Diagnostic and therapeutic management of post-gastric bypass chronic diarrhea: A systematic review","volume":"30","author":"Sollier","year":"2020","journal-title":"Obes. Surg."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"1287","DOI":"10.1007\/s11695-008-9456-4","article-title":"Bowel habits after bariatric surgery","volume":"18","author":"Potoczna","year":"2008","journal-title":"Obes. Surg."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1001\/jamasurg.2014.3579","article-title":"Five-year outcomes after laparoscopic gastric bypass and laparoscopic duodenal switch in patients with body mass index of 50 to 60: A randomized clinical trial","volume":"150","author":"Risstad","year":"2015","journal-title":"JAMA Surg."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1002\/oby.20461","article-title":"Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient\u20142013 update","volume":"21","author":"Mechanick","year":"2013","journal-title":"Obesity"},{"key":"ref_55","unstructured":"Nathani, R.R., Sodhani, S., and El Abiad, R. (2026, April 16). Dumping syndrome, StatPearls, Available online: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK470542\/."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"1419","DOI":"10.1007\/s00464-025-11528-4","article-title":"Bariatric surgery and relevant comorbidities: A systematic review and meta-analysis","volume":"39","author":"Wunker","year":"2025","journal-title":"Surg. Endosc."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1111\/obr.12467","article-title":"Dumping syndrome after esophageal, gastric or bariatric surgery: Pathophysiology, diagnosis, and management","volume":"18","author":"Emous","year":"2017","journal-title":"Obes. Rev."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1016\/j.cgh.2024.06.041","article-title":"Risk of de novo Barrett\u2019s esophagus post sleeve gastrectomy: A systematic review and meta-analysis","volume":"23","author":"Chandan","year":"2025","journal-title":"Clin. Gastroenterol. Hepatol."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1007\/s11695-022-06403-3","article-title":"Endoscopic evaluation of de novo esophagitis and Barrett\u2019s esophagus, 5 years after sleeve gastrectomy","volume":"33","author":"Kermansaravi","year":"2023","journal-title":"Obes. Surg."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1016\/j.gie.2024.10.008","article-title":"American Society for Gastrointestinal Endoscopy guideline on the diagnosis and management of GERD: Summary and recommendations","volume":"101","author":"Desai","year":"2025","journal-title":"Gastrointest. Endosc."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"1876","DOI":"10.1007\/s11695-023-06567-6","article-title":"Gastric cancer after bariatric bypass surgery: Do they relate? A systematic review","volume":"33","author":"Doukas","year":"2023","journal-title":"Obes. Surg."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1016\/j.soard.2020.03.028","article-title":"Endoscopic internal drainage by double pigtail stents in the management of laparoscopic sleeve gastrectomy leaks","volume":"16","author":"Siddique","year":"2020","journal-title":"Surg. Obes. Relat. Dis."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"4620","DOI":"10.1007\/s11695-025-08275-9","article-title":"Transoral outlet reduction for dumping syndrome after Roux-en-Y gastric bypass: A comprehensive systematic review and meta-analysis","volume":"35","author":"Beran","year":"2025","journal-title":"Obes. Surg."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1007\/s00464-017-5671-1","article-title":"Transoral outlet reduction with full-thickness endoscopic suturing for weight regain after gastric bypass: A large multicenter international experience and meta-analysis","volume":"32","author":"Vargas","year":"2018","journal-title":"Surg. Endosc."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"4099","DOI":"10.1007\/s00464-021-08731-4","article-title":"Endoscopic revision of gastrojejunal anastomosis for the treatment of dumping syndrome in patients with Roux-en-Y gastric bypass: A systematic review and meta-analysis","volume":"36","author":"Bazarbashi","year":"2022","journal-title":"Surg. Endosc."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"602","DOI":"10.4253\/wjge.v15.i10.602","article-title":"Transoral outlet reduction: Outcomes of endoscopic Roux-en-Y gastric bypass revision in 284 patients at a community practice","volume":"15","author":"Maselli","year":"2023","journal-title":"World J. Gastrointest. Endosc."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"3495","DOI":"10.3748\/wjg.v26.i24.3495","article-title":"Clinical efficacy of the over-the-scope clip device: A systematic review","volume":"26","author":"Bartell","year":"2020","journal-title":"World J. Gastroenterol."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1016\/j.igie.2024.06.003","article-title":"Endoscopic vacuum therapy","volume":"3","author":"Han","year":"2024","journal-title":"iGIE"},{"key":"ref_69","doi-asserted-by":"crossref","unstructured":"Vargas, V.P.S., Thaher, O., Elshafei, M., Pouwels, S., and Pape-K\u00f6hler, C. (2025). Outcomes of endoscopic sleeve gastroplasty: A systematic review. Medicina, 61.","DOI":"10.3390\/medicina61101821"},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"1531","DOI":"10.1016\/j.cgh.2021.03.020","article-title":"AGA clinical practice update on evaluation and management of early complications after bariatric\/metabolic surgery: Expert review","volume":"19","author":"Kumbhari","year":"2021","journal-title":"Clin. Gastroenterol. Hepatol."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"1020","DOI":"10.1007\/s11605-012-2135-8","article-title":"The concept of laparoscopy-assisted pancreatobiliary EUS (LAP-EUS)","volume":"17","author":"Ramesh","year":"2013","journal-title":"J. Gastrointest. Surg."},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1097\/MCG.0000000000001037","article-title":"EUS-directed transgastric ERCP (EDGE) versus laparoscopy-assisted ERCP (LA-ERCP) for Roux-en-Y gastric bypass anatomy","volume":"53","author":"Kedia","year":"2019","journal-title":"J. Clin. Gastroenterol."},{"key":"ref_73","first-page":"1077","article-title":"Upper gastrointestinal endoscopy in the surgically altered patient","volume":"36","author":"Bhat","year":"2024","journal-title":"Dig. Endosc."},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1186\/s13017-022-00452-w","article-title":"Operative management of acute abdomen after bariatric surgery in the emergency setting: The OBA guidelines","volume":"17","author":"Chouillard","year":"2022","journal-title":"World J. Emerg. Surg."},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"3232","DOI":"10.1007\/s11695-019-03975-5","article-title":"How effective is the multidisciplinary team approach in bariatric surgery?","volume":"29","author":"Bullen","year":"2019","journal-title":"Obes. Surg."},{"key":"ref_76","doi-asserted-by":"crossref","first-page":"945","DOI":"10.1016\/j.gie.2021.06.009","article-title":"Endoscopic versus surgical gastrojejunal revision for weight regain in Roux-en-Y gastric bypass patients: 5-year safety and efficacy comparison","volume":"94","author":"Dolan","year":"2021","journal-title":"Gastrointest. Endosc."},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"1173","DOI":"10.1016\/j.gie.2025.11.004","article-title":"Endoscopic versus surgical management of recurrent weight gain following sleeve gastrectomy","volume":"103","author":"Jirapinyo","year":"2026","journal-title":"Gastrointest. Endosc."},{"key":"ref_78","doi-asserted-by":"crossref","first-page":"8464","DOI":"10.1007\/s00464-025-12165-7","article-title":"Is endoscopic sleeve gastroplasty as safe as laparoscopic sleeve gastrectomy? A propensity-matched analysis","volume":"39","author":"Ebadinejad","year":"2025","journal-title":"Surg. Endosc."},{"key":"ref_79","doi-asserted-by":"crossref","first-page":"2945","DOI":"10.1007\/s11695-023-06769-y","article-title":"Postoperative Follow-up Compliance: The Achilles\u2019 Heel of Bariatric Surgery","volume":"33","author":"Schlottmann","year":"2023","journal-title":"Obes. Surg."},{"key":"ref_80","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1016\/j.soard.2025.01.005","article-title":"American Society for Metabolic and Bariatric Surgery: Postoperative care pathway guidelines for Roux-en-Y gastric bypass","volume":"21","author":"Edwards","year":"2025","journal-title":"Surg. Obes. Relat. 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