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Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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ENDOSCOPIC SLEEVE GASTROPLASTY FOR OBESITY TREATMENT: TWO YEARS OF EXPERIENCE.

Gontrand Lopez-Nava1, M P Galvão1, I Bautista-Castaño1

  • 1Bariatric Endoscopy Unit, Madrid Sanchinarro University Hospital, Madrid, Spain.

Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery
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Endoscopic sleeve gastroplasty is a safe and effective bariatric procedure for weight loss. This study shows significant weight reduction and BMI decrease over two years with minimal adverse events.

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Area of Science:

  • Bariatric Endoscopic Techniques
  • Obesity Treatment
  • Minimally Invasive Surgery

Background:

  • Bariatric endoscopic techniques offer minimally invasive options for obesity management by reducing gastric volume.
  • The Apollo method of endoscopic sleeve gastroplasty utilizes a greater curvature suturing technique.

Purpose of the Study:

  • To evaluate the safety and efficacy of endoscopic sleeve gastroplasty (Apollo method) for obesity treatment.
  • To assess perioperative care, two-year weight loss, and adverse events associated with the procedure.

Main Methods:

  • Prospective single-center study of 154 patients undergoing endoscopic sleeve gastroplasty.
  • Follow-up included BMI and weight change assessments (%TBWL, %EWL) over 24 months by a multidisciplinary team.
  • Radiological examinations were used to assess gastroplasty integrity post-procedure.

Main Results:

  • Mean BMI decreased from 38.3 to 30.8 kg/m² at 24 months.
  • Total body weight loss (%TBWL) was 19.5%, and excess weight loss (%EWL) was 60.4%, with 85.7% achieving >25% EWL.
  • No major intraprocedure or 24-month follow-up adverse events were reported.

Conclusions:

  • Endoscopic sleeve gastroplasty is an effective and well-tolerated procedure for obesity treatment.
  • Regular monitoring by a multidisciplinary team enhances the outcomes of endoscopic sleeve gastroplasty.
  • The procedure demonstrates a favorable safety profile over a two-year follow-up period.