Letter to the Editor
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Jun 21, 2022; 28(23): 2633-2635
Published online Jun 21, 2022. doi: 10.3748/wjg.v28.i23.2633
Reconstructing the puzzle of the role of therapeutic endoscopy in the management of post-bariatric surgery complications
Konstantinos Argyriou, Adolfo Parra-Blanco
Konstantinos Argyriou, Department of Gastroenterology, University Hospital of Larisa, Larisa GR41110, Greece
Adolfo Parra-Blanco, Department of Gastroenterology, Nottingham University Hospitals NHS Trust, Nottingham NG5 1PB, United Kingdom
Author contributions: Argyriou K and Parra-Blanco A designed and performed the research; Argyriou K wrote this comment; Parra-Blanco A revised the manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Konstantinos Argyriou, MD, MSc, PhD, Academic Research, Consultant Physician-Scientist, Department of Gastroenterology, University Hospital of Larisa, P.O. box1425 Larissa Thessaly Greece, Larisa GR41110, Greece. kosnar2@yahoo.gr
Received: February 3, 2022
Peer-review started: February 3, 2022
First decision: April 10, 2022
Revised: May 2, 2022
Accepted: June 3, 2022
Article in press: June 3, 2022
Published online: June 21, 2022
Abstract

We have recently read with interest the mini-review article "Therapeutic endoscopy for the treatment of post-bariatric surgery complications". The abovementioned article is a brief overview of the different endoscopic modalities employed in the management of bariatric surgery complications and represents an important decision support tool for clinicians to improve their current practice. Although we appreciate the endeavor of Larsen and Kozarek, based on our in-depth analysis, we came across several minor issues in this article; thus, we present our comments in this letter. In case the authors contemplate these comments in their relevant research, we believe that their contribution would be considerable for future studies.

Keywords: Endoscopic treatment, Bariatric surgery, Complications, Obesity, Sleeve gastrectomy, Roux-en-Y gastric bypass

Core Tip: Over the last decade, the incidence of bariatric surgery has substantially increased. Despite advances in surgical techniques, postoperative complications emerge and require a multidisciplinary approach. Currently, there is no standardized guideline-based algorithm for managing bariatric complications (BC); however, minimally invasive treatments are generally preferred over reoperations. Endoscopic procedures provide minimally invasive options to manage BC. However, their exact role has not been completely delineated. The article by Larsen and Kozarek successfully addressed this issue; however, we identified several limitations that require further consideration. Therefore, we would like to share our views on this interesting review.