Endoscopic sleeve gastroplasty is feasible after failed modified primary obesity surgery endoluminal procedure

Post written by Vincenzo Bove, MD, from the Digestive Endoscopy Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, and the Centre for Endoscopic Research Therapeutics and Training (CERTT), Catholic University of Rome, Rome, Italy. This video shows the first case of endoscopic sleeve gastroplasty (ESG) with Apollo Overstitch 2 years after a previous modified primary obesity …

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Perspectives toward minimizing the adverse events of endoscopic sleeve gastroplasty

Post written by Vivek Kumbhari, MD, PhD, from the Division of Gastroenterology and Hepatology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. This review focuses on the technical aspects required to perform an endoscopic sleeve gastroplasty (ESG). Though there is a growing body of literature on the clinical outcomes of ESG, there is little …

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Same-session endoscopic sleeve gastroplasty and transoral incisionless fundoplication

Post written by Reem Z. Sharaiha, MD, from the Division of Gastroenterology and Hepatology, New York-Presbyterian Hospital and Weill Cornell Medical Center, New York, New York. In this video we present a 63-year-old woman with class II obesity (BMI 36 kg/m 2 ), 236 lbs, proton-pump inhibitor (PPI)-responsive GERD, who was referred for further management …

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Endoscopic sleeve gastroplasty in peritoneal dialysis

Post written by Avik Sarkar, MD, from the Department of Gastroenterology, Robert Wood Johnson Medical Center, New Brunswick, New Jersey, USA. We describe the case of a 51-year-old woman with diabetes, uncontrolled hypertension, ESRD on PD for 3 years, and morbid obesity that failed to respond to lifestyle and dietary modification for weight loss. The …

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Endoscopic sleeve gastroplasty versus high-intensity diet and lifestyle therapy

Post written by Vivek Kumbhari, MD, PhD, from the Division of Gastroenterology and Hepatology, Department of Medicine, The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA. The goal of this study was to assess the potential value of endoscopic sleeve gastroplasty (ESG) as a treatment for obesity; this study aimed to compare weight loss outcomes of …

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The descending gastric fundus in endoscopic sleeve gastroplasty

Post written by Theodore W. James, MD, from the Division of Gastroenterology and Hepatology, University of North Carolina, Chapel Hill, North Carolina. We demonstrated that not only does the gastric body shorten during endoscopic sleeve gastroplasty, but the gastric fundus descends as well. This often brings the fundus below the GE junction and increases the …

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Short-term outcomes of endoscopic sleeve gastroplasty in 1000 consecutive patients

Post written by Aayed Alqahtani, MD, FRCSC, FACS, from the Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia. For many patients with obesity, bariatric surgery is not a suitable option. Some patients are not eligible for weight-loss surgery under current conventional criteria. Additionally, many patients who are eligible for bariatric surgery …

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Endoscopic sleeve gastroplasty versus laparoscopic sleeve gastrectomy

Post written by Vivek Kumbhari, MD, and Lea Fayad, MD, from the Division of Gastroenterology, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA. Our study compared 2 weight-loss procedures, the commonly performed laparoscopic sleeve gastrectomy (LSG) and the newly introduced, minimally invasive endoscopic sleeve gastroplasty (ESG). The LSG has excellent weight-loss outcomes but, as an elective …

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