ENDOSCOPIC SLEEVE GASTROPLASTY - MINIMALLY INVASIVE THERAPY FOR PRIMARY OBESITY TREATMENT

Author:

GALVÃO-NETO Manoel dos Passos1,GRECCO Eduardo1,SOUZA Thiago Ferreira de1,QUADROS Luiz Gustavo de2,SILVA Lyz Bezerra3,CAMPOS Josemberg Marins3

Affiliation:

1. ABC School of Medicine, SP

2. ABC School of Medicine, SP; Federal University of Pernambuco, Brazil

3. Federal University of Pernambuco, Brazil

Abstract

ABSTRACT Background: Less invasive and complex procedures have been developed to treat obesity. The successful use of Endoscopic Sleeve Gastroplasty using OverStitch(r) (Apollo Endosurgery, Austin, Texas, USA) has been reported in the literature. Aim: Present technical details of the procedure and its surgical/ endoscopic preliminary outcome. Method: The device was used to perform plications along the greater curvature of the stomach, creating a tubulization similar to a sleeve gastrectomy. Result: A male patient with a BMI of 35.17 kg/m2 underwent the procedure, with successful achievement of four plications, and preservation of gastric fundus. The procedure was successfully performed in 50 minutes, time without bleeding or other complications. The patient presented mild abdominal pain and good acceptance of liquid diet. Conclusions: The endoscopic gastroplasty procedure was safe, with acceptable technical viability, short in duration and without early complications.

Publisher

FapUNIFESP (SciELO)

Subject

General Medicine

Reference15 articles.

1. Endoscopic Sleeve Gastroplasty Alters Gastric Physiology and Induces Loss of Body Weight in Obese Individuals;Abu Dayyeh BK;Clin Gastroenterol Hepatol,2015

2. Endoscopic sleeve gastroplasty: a potential endoscopic alternative to surgical sleeve gastrectomy for treatment of obesity;Abu Dayyeh BK;Gastrointest Endosc,2013

3. Outcomes on quality of life, weight loss, and comorbidities after Roux-en-Y gastric bypass;Costa RC;Arq Gastroenterol,2014

4. Antireflux operations at flexible endoscopy using endoluminal stitching techniques: an experimental study;Kadirkamanathan SS;Gastrointest Endosc,1996

5. Endoscopic therapy for weight loss: Gastroplasty, duodenal sleeves, intragastric balloons, and aspiration;Kumar N;World J Gastrointest Endosc,2015

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