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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