Bariatric Surgery

Endoscopic Sleeve

The surgical team at Advanced Surgical & Bariatrics are pleased to be the first practice in New Jersey to have performed endoscopic sleeve gastroplasty. This procedure is a new and inventive non-surgical option for weight loss. The procedure utilizes endoscopic sutures to create a thin, sleeve-shaped stomach similar to the sleeve gastrectomy but without surgery and without cutting across or removing the stomach tissue.

Endoscopic Sleeve

What is Endoscopic Sleeve Gastroplasty?

The endoscopic sleeve gastroplasty is a new, minimally invasive non-surgical procedure. It is a weight loss procedure offered to patients who are not qualified candidates for bariatric surgery. The entire procedure is done through the mouth so there is no need for any incisions, and as a result, there is no scarring. The endoscopic sleeve procedure restricts the size of the stomach to significantlyless volume than its original capacity. One unique advantage of the endoscopic sleeve is its non-permanent nature. The procedure is both fully reversible as well as adjustable if further stomach size adjusting is necessary. The main component of this procedure requires an endoscopic suturing device. The patient is first placed under general anesthesia. The doctor then places a scope down the throat of the patient and into the stomach. The sutures are inserted endoscopically in a specific pattern from the bottom of the stomach (antrum) to the top of the stomach (fundus). The end result of this suturing is the creation of a newly shaped “sleeve” within the patients’ stomach.

Post-procedure Expectations

The non-invasive, non-surgical nature of this procedure allows for a pleasant post-procedure experience. Our patients generally spend two to three hours waking up in our recovery room before going home the same day. Generally, we recommend a soft liquid diet for a brief amount of time after the procedure, specific recommendations vary on a patient-by-patient basis. After the procedure patients can only consume a small amount of food and should be mindful of this. Overeating may cause discomfort. The endoscopic sleeve procedure is performed in conjunction with a diet and exercise plan that our nutritionist may customize with patients. Our team works closely to monitor the foot intake and metabolic health before and after the procedure in order to ultimately create the most effective plan possible for our patients.

Who Qualifies for an Endoscopic Sleeve Gastroplasty?

The endoscopic sleeve gastroplasty procedure is specifically designed for patients who are not morbidly obese, do not qualify for bariatric surgery, or who are unable to undergo bariatric surgery. This may include those with a body mass index of less than 40 with no comorbidities, those with a body mass index between 30 and 35, with serious comorbidities, or those who have large amounts of abdominal scarring from injuries or previous procedures. If these conditions apply to you, and you are interested in pursuing the endoscopic sleeve gastroplasty call us today at 732-640-5327!

What Results Can I Expect from Endoscopic Sleeve Gastroplasty?

Through the early trials of the endoscopic sleeve gastroplasty and published medical articles, the procedure has proven to yield great results for patients. A study published in the medical journal “Endoscopy” showed patients may expect to lose over 30% of their bodyweight within six months of the procedure and a drastic reduction in comorbidities. We have seen anywhere for 15-20% excess weight loss 3 months out from receiving the sleeve and 30-60% excess weight loss after six months. Comorbidity reduction has been seen in patients suffering from high blood pressure, diabetes, and sleep apnea.

This page was modified on May 13, 2021 by Dr. Sadek (Surgeon) of Advanced Surgical & Bariatrics
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