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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 whom 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 much less than its original capacity. One unique advantage to this procedure is the non-permanent nature of the endoscopic sleeve. The procedure is both fully reversible, and also adjustable if further stomach size adjusting is preferred. The main component of this procedure is an endoscopic suturing device. The patient is first placed under general anesthesia. Once the patient has gone under, the doctor places a scope down the throat of the patient, and the sutures are inserted 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.


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