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

• Published in: Obesity surgery Vol. 30; no. 5; pp. 2056 - 2060
• Main Authors: Runge, Thomas M., Yang, Juliana, Fayad, Lea, Itani, Mohamad I., Dunlap, Margo, Koller, Kristen, Mullin, Gerard E., Simsek, Cem, Badurdeen, Dilhana, Kalloo, Anthony N., Khashab, Mouen A., Kumhbari, Vivek
• Format: Journal Article
• Language: English
• Published: New York Springer US 01.05.2020; Springer Nature B.V
• Subjects: Brief Communication; Endoscopy; Gastroplasty - adverse effects; Humans; Medicine; Medicine & Public Health; Obesity - surgery; Obesity, Morbid - surgery; Stomach - surgery; Surgery; Sutures; Treatment Outcome; Endoscopic suturing; Endoscopic sleeve gastroplasty; Bariatric endoscopy; Endoscopically placed sutures
• ISSN: 0960-8923; 1708-0428
• DOI: 10.1007/s11695-019-04311-7

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.