Bariatric Endoscopy-TECHNICAL ASPECTS OF PRIMARY ENDOSCOPIC SLEEVE GASTROPLASTY (ESG) AND REDO ESG FOR TREATMENT OF OBESITY

TECHNICAL ASPECTS OF PRIMARY ENDOSCOPIC SLEEVE GASTROPLASTY (ESG) AND REDO ESG FOR TREATMENT OF OBESITY

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Video Summary

Endoscopic sleeve gastroplasty (ESG) is a minimally invasive bariatric therapy for weight loss. It involves using an endoscopic suturing device to reduce the volume of the stomach and alter gastric motility. ESG is performed under general anesthesia and utilizes carbon dioxide for insufflation. The procedure involves mapping the stomach surfaces, taking full thickness bites with sutures, and cinching them tight. ESG results in a tubular or sleeve-like configuration in the gastric body. Long-term weight loss outcomes are promising, with a mean total body weight loss of 16% reported at 5 years follow up. Redo ESG can be performed in selected patients with weight loss failure or regain. Patient compliance with post-operative instructions and lifestyle modifications is crucial for optimal outcomes.

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Honorable Mention

Keywords

Endoscopic sleeve gastroplasty

Minimally invasive bariatric therapy

Weight loss

Gastric motility alteration

Carbon dioxide insufflation