ASGE DDW Videos from Around the World | 2026-CONVENTIONAL VERSUS. ROBOTIC ENDOSCOPIC SLEEVE GASTROPLASTY 4491096

CONVENTIONAL VERSUS. ROBOTIC ENDOSCOPIC SLEEVE GASTROPLASTY 4491096

Video Transcription

Video Summary

This study compared conventional and robotic endoscopic sleeve gastroplasty (ESG) in ex vivo porcine stomachs. ESG is effective for weight loss but technically demanding and limited by flexible endoscope dexterity. A robotic platform with a simulator and multi-articulating instruments was used to improve control and suturing precision. Both methods successfully reduced gastric volume, with robotic ESG showing slightly greater reduction and similar workload, though not statistically significant. The robotic system may improve visualization, dexterity, and training, potentially shortening the learning curve and expanding endoscopic bariatric therapy. Further studies are needed to confirm safety and efficacy.

Asset Subtitle

Video Plenary II
Submitted by Christopher Thompson

Keywords

endoscopic sleeve gastroplasty

robotic endoscopy

bariatric therapy

gastric volume reduction

suturing precision