Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Obesity Surgery
Published in: Obesity Surgery 5/2020

01-05-2020 | Endoscopy | Brief Communication

Anatomical Configuration of the Stomach Post-Endoscopic Sleeve Gastroplasty (ESG)—What Are the Sutures Doing?

Authors: Thomas M. Runge, Juliana Yang, Lea Fayad, Mohamad I. Itani, Margo Dunlap, Kristen Koller, Gerard E. Mullin, Cem Simsek, Dilhana Badurdeen, Anthony N. Kalloo, Mouen A. Khashab, Vivek Kumhbari

Published in: Obesity Surgery | Issue 5/2020

Login to get access

Abstract

Introduction and Aim

Endoscopic sleeve gastroplasty (ESG) is a procedure in which endoscopically placed sutures involute the stomach and promote weight loss. There is limited data on the durability of these sutures.

Patients and Methods

This was a single center series of 5 patients who underwent ESG performed by a single endoscopist. Patients underwent repeat endoscopy for different clinical indications.

Results

ESGs were successfully reversed at 3 weeks and 1 month following index ESG without significant fibrosis or scaring. At 8 and 14 months, a few sutures had dehisced though there were extensive areas of fibrosis. By 2 years, most of the sutures had dehisced; however, the gastric volume remained reduced.

Conclusion

This case series offers an intriguing evaluation of the anatomical changes induced by ESG.
Appendix
Available only for authorised users
Literature
1.
Klein S, Wadden T, Sugerman HJ. AGA technical review on obesity. Gastroenterology. 2002;123(3):882–932.CrossRef
2.
Sullivan S et al. ASGE position statement on endoscopic bariatric therapies in clinical practice. Gastrointest Endosc. 2015;82(5):767–72.CrossRef
3.
Yanovski SZ, Yanovski JA. Long-term drug treatment for obesity: a systematic and clinical review. Jama. 2014;311(1):74–86.CrossRef
4.
Webb VL, Wadden TA. Intensive lifestyle intervention for obesity: principles, practices, and results. Gastroenterology. 2017;152(7):1752–64.CrossRef
5.
Sartoretto A, Sui Z, Hill C, et al. Endoscopic sleeve gastroplasty (ESG) is a reproducible and effective endoscopic bariatric therapy suitable for widespread clinical adoption: a large, international multicenter study. Obes Surg. 2018;28(7):1812–21.CrossRef
6.
Pories WJ. Bariatric surgery: risks and rewards. J Clin Endocrinol Metab. 2008;93(11_supplement_1):–s89, s96.CrossRef
7.
Buchwald H, Oien DM. Metabolic/bariatric surgery worldwide 2011. Obes Surg. 2013;23(4):427–36.CrossRef
8.
Jirapinyo P, Thompson CC. Endoscopic bariatric and metabolic therapies: surgical analogues and mechanisms of action. Clin Gastroenterol Hepatol. 2017;15(5):619–30.CrossRef
9.
Dakin GF, Eid G, Mikami D, et al. Endoluminal revision of gastric bypass for weight regain—a systematic review. Surg Obes Relat Dis. 2013;9(3):335–42.CrossRef
10.
Bellentani S. The epidemiology of non-alcoholic fatty liver disease. Liver Int. 2017;37:81–4.CrossRef
11.
Finkelstein EA et al. Annual medical spending attributable to obesity: payer-and service-specific estimates. Health Aff. 2009;28(5):w822–31.CrossRef
12.
Fayad L, Adam A, Schweitzer M, et al. Endoscopic sleeve gastroplasty versus laparoscopic sleeve gastrectomy: a case-matched study. Gastrointest Endosc. 2019;89(4):782–8.CrossRef
13.
Fayad L et al. Endoscopic sleeve gastroplasty versus intragastric balloon insertion: efficacy, durability, and safety. Endoscopy. 2019;51(6):532–9.CrossRef
14.
Sharaiha RZ, Kumta NA, Saumoy M, et al. Endoscopic sleeve gastroplasty significantly reduces body mass index and metabolic complications in obese patients. Clin Gastroenterol Hepatol. 2017;15(4):504–10.CrossRef
15.
Novikov AA et al. Endoscopic sleeve gastroplasty, laparoscopic sleeve gastroplasty, and laparoscopic band for weight loss, how do they compare? Gastroenterology. 2017;152(5):S1209.CrossRef
16.
Cotton PB, Eisen GM, Aabakken L, et al. A lexicon for endoscopic adverse events: report of an ASGE workshop. Gastrointest Endosc. 2010;71(3):446–54.CrossRef
17.
Hill, C., Khashab M.A., Kalloo A.N., Kumbhari V., Endoluminal weight loss and metabolic therapies: current and future techniques. Ann N Y Acad Sci, 2018. 1411(1): p. 36–52.CrossRef
18.
Badurdeen DS, Kumbhari V. Endoscopic sleeve gastroplasty and its application to China. J Dig Dis. 2017;18(10):551–5.CrossRef
19.
Lopez-Nava G et al. Endoscopic sleeve gastroplasty for obesity: a multicenter study of 248 patients with 24 months follow-up. Obes Surg. 2017;27(10):2649–55.CrossRef
20.
Khan Z, Khan MA, Hajifathalian K, et al. Efficacy of endoscopic interventions for the management of obesity: a meta-analysis to compare endoscopic sleeve gastroplasty, AspireAssist, and primary obesity surgery endolumenal. Obes Surg. 2019;29(7):2287–98.CrossRef
21.
Hajifathlian, K., et al., Long-term follow up and outcomes after endoscopic sleeve gastroplasty for treatment of obesity (5 year data) Presented at DDW 2019, San Diego, CA, 2019.
Metadata
Title
Anatomical Configuration of the Stomach Post-Endoscopic Sleeve Gastroplasty (ESG)—What Are the Sutures Doing?
Authors
Thomas M. Runge
Juliana Yang
Lea Fayad
Mohamad I. Itani
Margo Dunlap
Kristen Koller
Gerard E. Mullin
Cem Simsek
Dilhana Badurdeen
Anthony N. Kalloo
Mouen A. Khashab
Vivek Kumhbari
Publication date
01-05-2020
Publisher
Springer US
Keyword
Endoscopy
Published in
Obesity Surgery / Issue 5/2020
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-019-04311-7

Other articles of this Issue 5/2020

Obesity Surgery 5/2020 Go to the issue

Original Contributions

The Relationship Between Bariatric Surgery and Diet Quality: a Systematic Review

Letter to the Editor

RYGB in Treating Patients with Obesity, Hypertriglyceridemia-Induced Acute Pancreatitis, and Diabetes: Kill Three Birds with One Stone?

New Concept

HIDA and Seek: Challenges of Scintigraphy to Diagnose Bile Reflux Post-Bariatric Surgery

Correction

Correction to: Anatomical Configuration of the Stomach Post-Endoscopic Sleeve Gastroplasty (ESG)—What Are the Sutures Doing?

Brief Communication

Experience of King Abdullah Medical City in Placement of Inferior Vena Cava Filter Prior to Bariatric Surgery in Extremely High-Risk Patients for Thromboembolic Events

Brief Communication

Fighting Weight Bias and Obesity Stigma: a Call for Action