Trial reportObesity surgery2016
Endoluminal Revision (OverStitch (TM) , Apollo Endosurgery) of the Dilated Gastroenterostomy in Patients with Late Dumping Syndrome After Proximal Roux-en-Y Gastric Bypass.
Trial report in Obesity surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 50 citations in OpenAlex.
- Dumping Syndrome After One Anastomosis Gastric Bypass-A Systematic Review.Obesity surgery · 2025Pooled it
- Heterogeneity in the Definition and Clinical Characteristics of Dumping Syndrome: a Review of the Literature.Obesity surgery · 2019Pooled it
- Herbal Medicine for Dumping Syndrome: A Systematic Review and Meta-Analysis.Integrative cancer therapiesPooled it
- Use of transoral outlet reduction endoscopy (TORE) in the management of resistant dumping syndrome.Surgical endoscopy · 2026Article
- Clip-Based Endoscopic Anastomotic Reduction in Patients with Dumping Syndrome and Postbariatric Hypoglycemia after Roux-en-Y Gastric Bypass.Endoscopy international open · 2026Article
- Triangulation suturing platform for dumping syndrome after 1-anastomosis gastric bypass: a case report.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2025Article
- Endoscopic Management of Postsurgical Complications after Metabolic and Bariatric Surgery.Visceral medicine · 2025Review
- Postprandial Symptoms in a Mixed-Meal-Test after Bariatric Surgery: Clinical Experience and a Critical Review of Dumping Syndrome Definition and Management.Obesity facts · 2025Article
- Approach to Meal-Related Nausea and Vomiting.Gastroenterology & hepatology · 2025Article
- Endoscopic argon plasma coagulation treatment for late dumping syndrome in patients with Roux-en-Y gastric bypass.Frontiers in endocrinology · 2025Article
- Transoral gastric outlet reduction for post-prandial hypoglycemia after Roux-en-Y gastric bypass.Surgical endoscopy · 2023Article
- Analysis of Reported Adverse Events Associated with Over-the-Scope Endoscopic Suturing System: an FDA MAUDE Database Study.Obesity surgery · 2023Article
- Transoral Outlet Reduction (TORe) for the Treatment of Weight Regain and Dumping Syndrome after Roux-en-Y Gastric Bypass.Medicina (Kaunas, Lithuania) · 2023Review
- Weight Recidivism and Dumping Syndrome after Roux-En-Y Gastric Bypass: Exploring the Therapeutic Role of Transoral Outlet Reduction.Journal of personalized medicine · 2022Review
- Endoscopic trans-oral outlet reduction after bariatric surgery is safe and effective for dumping syndrome.Surgical endoscopy · 2021Article
- Endoscopic Management of Clinically Severe Obesity: Primary and Secondary Therapeutic Procedures.Current obesity reports · 2020Review
- Short-term outcomes of endoscopic gastro-jejunal revisions for treatment of dumping syndrome after Roux-En-Y gastric bypass.Surgical endoscopy · 2020Article
- Endoscopic Gastrojejunal Revision (Transoral Outlet Reduction) for Persistent Hypoglycemia After Gastric Bypass.Obesity surgery · 2019Article
- Endoscopic Gastrojejunal Revisions Following Gastric Bypass: Lessons Learned in More Than 100 Consecutive Patients.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2019Article
- Endoscopic gastrojejunostomy revision is more effective than medical management alone to address weight regain after RYGB.Surgical endoscopy · 2018Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Dumping syndrome is a long-term postoperative complication of Roux-en-Y gastric bypass procedures. Morphologically, dumping syndrome usually correlates with a dilatation of the gastroenterostomy with accelerated pouch emptying. Conservative therapy includes diet changes, complementary pharmacotherapy and, if symptoms persist, surgical revision. Surgical options include endoscopic, endoluminal surgery to constrict the gastrojejunostomy using a novel endoscopic suturing device (OverStitch(TM), Apollo). In our study, we aimed to assess the viability, safety and efficacy of this procedure in patients with late dumping; 14 patients who had developed late dumping syndrome underwent surgery using an endoscopic suturing technique (OverStitch(TM), Apollo). Late dumping was confirmed by Sigstad score and an oral glucose tolerance test (OGTT). Prior to surgery, objective analysis of pouch emptying speed was assessed by gastric scintigraphy. Surgery was performed under general anaesthesia. None of the 14 patients suffered intra- or postoperative complications. No postsurgical increase in inflammation parameters was observed. The postinterventional pain scale (visual analogue scale) showed a mean score of 0.5 (range 0-10). In 13 of the 14 patients, no dumping was observed 1-month postsurgery. The postoperative Sigstad score (3.07 ± 2.06; range 1-9) showed an impressive reduction compared with the preoperative score (12.71 ± 4.18; range 7-24) (p < 0.001). Postoperative upper gastrointestinal gastrografin swallow revealed regular emptying in all the patients. The endoluminal endoscopic suturing technique-applied here for surgical revision of gastroenterostomy following Roux-en-Y gastric bypass-represents a promising, novel therapeutic option in late dumping syndrome involving minimal trauma and offering rapid reconvalescence.
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