Endoscopic Sleeve Gastroplasty

Endoscopic Sleeve Gastroplasty

Endoscopic Sleeve Gastroplasty
Endoscopic sleeve gastroplasty is a newer type of minimally invasive weight-loss procedure. During this procedure, the surgeon uses an endoscope which is passed down the throat and into the stomach. As such, there are no incisions associated with this procedure.  The endoscope is used to place sutures along the inside of your stomach, which are then cinched down to make your stomach smaller, similar to the drawstring on a pair of pants. After the procedure, the stomach resembles the vertical sleeve gastrectomy, though nothing is actually removed.

An Endoscopic Sleeve may be an option for you if:

  • You’re ready and willing to commit to healthy lifestyle changes, get regular medical follow-ups and participate in behavioral lifestyle changes.

  • You haven’t had any previous stomach or esophageal surgery.
Endoscopic gastric sleeve surgery works because the sleeved stomach is smaller than before, which translates to fewer calories consumed.  leads to significant weight loss. It helps you lose weight by limiting how much you can eat. The procedure is incisionless, reducing the risk of operative complications and letting you return to daily activities more quickly.

ADVANTAGES

  • Low mortality rate
  • Preservation of normal continuity of GI tract
  • Lack of incisions translates to less operative pain, and a quicker return to normal activities
  • Reduced risk of nutritional deficiencies
  • No risk of marginal ulcer or intestinal obstruction
  • No risk of the band device malfunctioning
  • Possible in patients with contraindications to operative techniques.

DISADVANTAGES

  • Less weight loss is seen than with traditional operative techniques
  • Patients with high BMI may need an additional procedure to achieve adequate weight loss
  • Potential complications exist with sutures, including breaking of stitches or tearing of the stomach tissue
  • Potential for weight regain
  • Newer procedure, so limited data on long-term outcomes such as comorbidity resolution and weight regain
  • Puts you at a higher than normal risk of developing gallstones and gallbladder disease
  • The smaller portion of the stomach may stretch.
  • Foods that you eat now may cause discomfort, nausea, or vomiting after your surgery
  • Requires adherence to dietary recommendations, life-long vitamin/mineral supplementation, and follow-up compliance

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