Revision bariatric surgery after endoscopic sleeve gastroplasty

Endoscopic Sleeve Gastrectomy Conversion to Roux-en-Y Gastric Bypass

“…(10) ESG technique try to reduce the stomach's ability to store food, thus inducing early satiety, and delay gastric emptying by applying folds in the stomach wall. (11) Failure of this technique is related to placing sutures under tension and gastric peristalsis who may break the sutures. ( 12) Lax sutures on the other hand may not help maintain the sleeve configuration.…”

A commentary review on endoscopic sleeve gastroplasty: Indications, outcomes and future implications

“…Studies have reported the presence of additional adhesions outside the stomach, changes in the thickness of the stomach wall, and damage to blood supply in the gastric tissue when performing MBS as a conversion from ESG. 57,58 This is an area where further evidence is necessary to ascertain the demic medical centre and found that proficiency was achieved after an average of 55 procedures. 59 Thus, ESG has the potential to be rapidly scaled, allowing for its safe use in addressing the global obesity epidemic.…”

“…However, a recently published case report underscores the feasibility of such a conversion, provided that intraoperative endoscopy is carried out to ensure secure stapling during pouch formation after the removal of sutures and ESG‐related hardware. Studies have reported the presence of additional adhesions outside the stomach, changes in the thickness of the stomach wall, and damage to blood supply in the gastric tissue when performing MBS as a conversion from ESG 57,58 . This is an area where further evidence is necessary to ascertain the safety profile and weight loss outcomes associated with revisional surgery after ESG.…”

Bariatric Surgery Following Endoscopic Gastroplasty: Any Space for a Bridge?

“…First experience on LSG patients treated with ESG has been reported by Ferre-Marquez et al [25]. In both patients included in their series, pre-procedural radiological studies suggested normal anatomy.…”

“…Stapler misfire has been reported as a serious adverse event potentially leading to major morbidity [22]. Limited data is available so far on technical aspects and effectiveness of bariatric surgical procedures in patients previously subjected to bariatric endoscopy [23][24][25][26]. Initial data came from the authors describing laparoscopic RYGB after the transoral vertical gastroplasty (TOGA) [23][24].…”