Modern Endoscopic Suturing Bariatric Technology & Procedures

Modern Bariatric Technology & Procedures

There is a constant evolution in the field of bariatrics, and a lot of that development is in the form of non-surgical procedures. This is especially true as we discover new methods that offer the same advantages of old processes but with less invasiveness and more safety for patients.

Many of the new procedures are endoscopic bariatric therapies (EBT) because they are done with an endoscope and unique specialized instruments that attach to it. This can all be inserted and passed down the throat for no need of surgical incision. This makes the recovery period shorter and the procedure more suitable for a large number of patients.

Intragastric Balloons

The balloon procedures (endoscopic intragastric balloon) involve placing a silicone balloon in the stomach for a period of six months. As such, there is less room for food in the stomach. This procedure allows patients to feel full faster, so they eat less overall. It also can provide up to a 25% loss of excess weight over twelve months. In addition to that, it may offer an improvement to health conditions like diabetes and liver disease.

Endoscopic Sleeve Gastroplasty

The endoscopic sleeve gastroplasty (ESG) is another procedure that is often used for weight loss. This procedure is recommended for people who have a body mass index (BMI) between 30 and 40 but do not fit the requirements for bariatric surgery.

The procedure itself takes about two hours and is done under general anesthesia. An endoscope is inserted into the mouth and to the stomach where sutures will be placed in a pattern from the bottom to the top. The sutures are then tightened in a specific way, which constricts the size of the stomach. After the procedure, patients are often on a liquid diet for a certain amount of days but may go home the same day as the procedure is completed. Patients may lose up to 50% of excess weight at 12-18 months after the procedure.

Endoscopic GJ outlet reduction

Another option that is often used for weight loss, in those who previously have had gastric bypass surgery and have started to regain their weight, is the endoscopic GJ outlet reduction procedure. Endoscopic suturing involves inserting an endoscope into the mouth and down to the stomach, where the intestines and stomach can be assessed. If the gastric pouch or GJ anastomosis created by the previous surgery has stretched out since surgery, then the endoscopists can manipulate the tissue with suturing to make the size and opening smaller. This helps retighten the stomach to curb intake of food, thus inducing weight loss.

Modern Bariatric Procedures in Dallas, Tx

Are you interested in learning more about endobariatric procedures, or other treatment options? We invite you to contact us to learn more. Dr. Prashant Kedia is a therapeutic endoscopist and gastroenterologist serving patients in the Dallas-Fort Worth area and beyond. Call today to schedule an appointment at (214) 941-6891.

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