ASGE Annual Postgraduate Course: Clinical Challenges and Real-Time Decision Making in GI Endoscopy (On-demand) | May 2023-Gastric Plication Procedures: Endoscopic Sleeve Gastroplasty and Primary Endoluminal Surgery

Video Transcription

Video Summary

In this video, Dr. Christopher Thompson, a professor of medicine at Harvard, discusses gastric placation procedures, endoscopic sleeve gastroplasty, and primary endoluminal surgery. He explains that bariatric surgeries such as sleeve gastrectomy and gastric bypass involve gastric partitioning or partial gastric resection, which results in weight loss due to a restriction in food intake. However, these surgeries also have metabolic impacts, such as changes in gastric emptying and gut hormones, which can lead to metabolic benefits. Dr. Thompson discusses various endoscopic suturing and placating procedures that aim to mimic surgical analogs and achieve similar weight loss and metabolic effects. He explains the different suturing patterns and number of sutures used in these procedures, and highlights the importance of durability in achieving long-term weight loss. Dr. Thompson presents data from studies and clinical trials on the efficacy and safety of these procedures, showing promising results in terms of weight loss and resolution of comorbidities. He also mentions emerging devices that aim to simplify these procedures and increase their adoption. Dr. Thompson concludes by emphasizing the need for further research to better understand the mechanisms of action of these procedures and personalize treatment algorithms for specific patients. This video provides a comprehensive overview of gastric placation procedures and endoscopic sleeve gastroplasty, highlighting their potential as effective alternatives to surgical weight loss interventions. No credits are mentioned in the transcript.

Asset Subtitle

Christopher Thompson, MD, MHES MSc, FASGE

Keywords

gastric placation procedures

endoscopic sleeve gastroplasty

bariatric surgeries

metabolic impacts

weight loss

clinical trials

emerging devices