ASGE DDW Videos from Around the World | 2023-PLEDGET REINFORCEMENT OF ENDOSCOPIC SLEEVE GASTROPLASTY

Video Transcription

Video Summary

In this video, the speaker discusses the issue of endoscopic suture failure in bariatric procedures and its association with weight regain. They demonstrate the use of pledget reinforcement in endoscopic sleeve gastroplasty to improve suture durability and tissue remodeling. The procedure involves placing Teflon pledgets on the sutures to spread tension and preserve gastric tissue. The speaker showcases examples of previous procedures that resulted in suture failure and subsequent weight regain. They then demonstrate the technique of using pledgets in endoscopic sleeve gastroplasty, with the patient experiencing successful weight loss in the follow-up. The potential benefits of using pledgets in endoscopic procedures include improved weight loss and durability. However, more research is needed to determine the optimal placement, pledget size, and long-term outcomes. The use of pledgets in endoscopic suturing is seen as feasible and has the potential to enhance the effectiveness of endoscopic bariatric and metabolic therapies.

Asset Subtitle

Best of the Best
Authors: Roberto Trasolini, João Guilherme Ribeiro Jordão Sasso, Diogo T. De Moura, Pichamol Jirapinyo, Christopher C. Thompson

Keywords

endoscopic suture failure

bariatric procedures

weight regain

pledget reinforcement

endoscopic sleeve gastroplasty