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Advanced endoscopy to treat weight regain after Roux-en-Y Gastric Bypass: Stoma dilation is the most cited cause of insufficient weight loss or weight regain after a Roux-en-Y Gastric Bypass (RYGB). Surgical revision to restore its baseline restriction characteristic may be technically demanding and associated with increased morbidity. Stoma remodeling by means of advanced endoscopic instruments represents a valid and less aggressive option. Gloria Fernandez and Oriol Sendino, from Hospital Clinic of Barcelona, were proctored by Matthew Kroh, from Cleveland Clinic Ohio, during the endoscopic revision of a dilated stoma.
