ASGE DDW Videos from Around the World | 2024-GASTROPLASTY WITH ENDOSCOPIC MYOTOMY AS A REVISION PROCEDURE AFTER WEIGHT REGAIN FOLLOWING REMOTE ENDOSCOPIC SLEEVE GASTROPLASTY

GASTROPLASTY WITH ENDOSCOPIC MYOTOMY AS A REVISION PROCEDURE AFTER WEIGHT REGAIN FOLLOWING REMOTE ENDOSCOPIC SLEEVE GASTROPLASTY

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Video Summary

Gastroplasty with Endoscopic Myotomy (GEM) is performed as a revision procedure post-weight regain following Endoscopic Sleeve Gastroplasty (ESG). The rise of obesity led to the popularity of endovariatric procedures like ESG. Weight regain post-ESG can result from lifestyle issues or stomach changes. GEM involves a unique suture pattern called Modify U and a pylorus-bearing antramyotomy. A case study details a 52-year-old male with obesity who underwent ESG in 2016, with subsequent weight regain. GEM was chosen over other revision options due to stomach size and prior suture sites. The procedure involves myotomy, gastric volume reduction, and specific stitching patterns.

Asset Subtitle

Jeong Hoon Kim

Keywords

Gastroplasty with Endoscopic Myotomy

GEM procedure

Endoscopic Sleeve Gastroplasty revision

Modify U suture pattern

Pylorus-bearing antramyotomy