Endoscopic Sleeve Gastroplasty: How I Do It?

López-Nava, Gontrand; Galvão, Manoel; Bautista-Castaño, Inmaculada; Jimenez-Baños, A.; Fernández-Corbelle, Juan Pedro

doi:10.1007/s11695-015-1714-7

Cited by 84 publications

(60 citation statements)

References 8 publications

(5 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The procedure has been descripted previously 6 . The goal of the procedure is to reduce the gastric cavity to resemble a tubular lumen with the greater curvature modified by a line of cinched plications.…”

Section: Methodsmentioning

confidence: 99%

Endoscopic Sleeve Gastroplasty for Obesity Treatment: Two Years of Experience

López-Nava

Galvão

Bautista-Castaño

et al. 2017

ABCD, arq. bras. cir. dig.

View full text Add to dashboard Cite

Background:Bariatric endoscopic techniques are minimally invasive and induce gastric volume reduction to treat obesity. Aim: To evaluate endoscopic sleeve gastroplasty (Apollo method) using a suturing method directed at the greater curvature, as well as the perioperative care, two year safety and weight loss. Method:Prospective single-center study over 154 patients (108 females) using the endoscopic sleeve gastroplasty procedure under general anesthesia with overnight inpatient observation. Of the154 initial patients, 143 were available for 1-month of follow-up, 133 for 6-month, 64 for 12-month and 28 completed the 24 month assessment. Follow-up was carried out by a multidisciplinary team (nutritionist and psychologist). Outcomes evaluated were: change in BMI; change in body weight (TBWL); % of loss of initial body weight (%TBWL); % of excess body weight loss (%EWL) (segregated in > or <25% and adverse effects. Voluntary oral contrasted radiological examinations were scheduled to assess the gastroplasty at different times post-procedure. Results:Mean age was 44.9 (23-69) years. At 24 months after the procedure baseline mean BMI change from 38.3 to 30.8 kg/m2. TBWL, %TBWL and %EWL were of 21.3 kg, 19.5% and 60.4% respectively. 85.7% of patients achieve the goal of >25% %EWL. There were no mayor adverse events intraprocedure or during the 24 months of follow-up. Conclusion:Endoscopic sleeve gastroplasty with regular monitoring by a multidisciplinary team can be considered an effective, safe and well tolerated procedure for obesity treatment, at least for two years of follow-up.

show abstract

Section: Methodsmentioning

confidence: 99%

Endoscopic Sleeve Gastroplasty for Obesity Treatment: Two Years of Experience

López-Nava

Galvão

Bautista-Castaño

et al. 2017

ABCD, arq. bras. cir. dig.

View full text Add to dashboard Cite

show abstract

“…In the first series reported, using the older model, three isolated complications were encountered (perigastric collection, lung embolism, pneumothorax), which were solved with medical treatment (30). No other complications have been reported in the other series reported so far (31)(32)(33)(34)(35), nor regarding the initial experience of 55 cases in our series.…”

Section: Discussionmentioning

confidence: 57%

Multicenter study on the safety of bariatric endoscopy

Coll¹,

Durán²,

Breviere³

et al. 2017

Rev Esp Enferm Dig

View full text Add to dashboard Cite

“…Bariatric endoscopy has presently emerged as a therapeutic option for obesity in patients not eligible for surgery and failing to respond to conventional treatment, or who just refuse to undergo surgery (9).…”

Section: Discussionmentioning

confidence: 99%

“…Then, once the procedure's technical aspects were published (9), and following the first study by our team (10) Other bariatric endoscopy techniques are available, including intragastric balloons, which remain inplanted for 6 months. Several prospective studies with mid-term follow-up have shown that the Orbera intragastric balloon (IGB) is effective for losing weight (12); mean TWL at 3 and 6 months was 12.9 kg and 16.0 kg, respectively, which suggests that most weight loss (80% of that obtained at 6 months) occurs within the initial 3 months and is later maintained.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic sleeve gastroplasty (the Apollo method): a new approach to obesity management

López-Nava-Breviere¹,

Bautista-Castaño²,

Fernández-Corbelle³

et al. 2016

Rev Esp Enferm Dig

View full text Add to dashboard Cite

Background: Many obese patients cannot lose weight or reject conventional obesity management. Endoscopic sleeve gastroplasty (the Apollo method) is a pioneering coadjuvant, interventionist technique for the integral management of obesity.Objectives: The goals of this study were to report safety and efficacy results obtained at 6 months in patients undergoing endoscopic sleeve gastroplasty.Material and methods: A prospective study was performed in 55 patients (13 males, 42 females) who were subjected to the Apollo technique; mean age was 43.5 years (range 25-60) and mean BMI was 37.7 kg/m 2 (range 30-48). All received multidisciplinary follow-up for weight loss. Weight changes and presence of complications were assessed. Through the endoscope a triangular pattern suture is performed consisting of approximately 3-6 transmural (mucosa to serosa) stitches, using a cinch device to bring them nearer and form a plication.Results: A total of 6-8 plications are used to provide a tubular or sleeve-shaped restriction to the gastric cavity. No major complications developed and patients were discharged at 24 hours following the procedure. Endoscopic and radiographic follow-up at 6 months post-procedure showed a well preserved tubular form to the stomach. After 6 months patients had lost 18.9 kg and 55.3% of excess weight.Conclusions: Endoscopic sleeve gastroplasty, together with dietary and psycho-behavioral changes, is a safe, effective technique in the coadjuvant management of obese patients.

show abstract

Endoscopic Sleeve Gastroplasty: How I Do It?

Abstract: Endoscopic sleeve gastroplasty is a safe, effective, and reproducible primary weight loss technique.

Cited by 84 publications

References 8 publications

Endoscopic Sleeve Gastroplasty for Obesity Treatment: Two Years of Experience

Endoscopic Sleeve Gastroplasty for Obesity Treatment: Two Years of Experience

Multicenter study on the safety of bariatric endoscopy

Endoscopic sleeve gastroplasty (the Apollo method): a new approach to obesity management

Contact Info

Product

Resources

About