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Gastrointestinal Interventional Endoscopy pp 193–197Cite as

Endoscopic Sleeve Gastroplasty (ESG)

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Abstract

Primary endoscopic weight loss therapies are of interest for access, simplicity, and economy. The objective of this chapter is to describe endoscopic sleeve gastroplasty (ESG) for the treatment of obesity. The goal of this procedure is to reduce the gastric lumen into a tubular configuration, with the greater curvature modified by line of sutured plications. General anesthesia with endotracheal intubation is needed. An endoscopic suturing system requiring a specific double-channel endoscope is used to deliver full-thickness sets of sutures from the antrum to the fundus. Patients are admitted and observed, with discharge planned within 24 hours. Post-procedure outpatient care with a nutritionist and psychologist is maintained initially to lose weight and in the long term for lifestyle modification necessary to maintain weight loss. Use of ESG with regular monitoring by a multidisciplinary team can be considered an effective, safe, and well-tolerated procedure for obesity treatment.

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Authors and Affiliations

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

    Gontrand Lopez-Nava & Inmaculada Bautista-Castaño

  2. Ciber of Obesity and Nutrition Pathophysiology (CIBEROBN), Instituto de Salud Carlos III, Madrid, Spain

    Inmaculada Bautista-Castaño

Authors
  1. Gontrand Lopez-Nava
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  2. Inmaculada Bautista-Castaño
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Editor information

Editors and Affiliations

  1. Interventional Endoscopy, Division of Gastroenterology, University of Colorado-Denver, Aurora, CO, USA

    Mihir S. Wagh

  2. Interventional Endoscopy, Division of Gastroenterology, University of Colorado-Denver, Aurora, CO, USA

    Sachin B. Wani

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Lopez-Nava, G., Bautista-Castaño, I. (2020). Endoscopic Sleeve Gastroplasty (ESG). In: Wagh, M., Wani, S. (eds) Gastrointestinal Interventional Endoscopy. Springer, Cham. https://doi.org/10.1007/978-3-030-21695-5_13

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  • DOI: https://doi.org/10.1007/978-3-030-21695-5_13

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-21694-8

  • Online ISBN: 978-3-030-21695-5

  • eBook Packages: MedicineMedicine (R0)

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