{"id":1127,"date":"2019-06-11T12:35:11","date_gmt":"2019-06-11T10:35:11","guid":{"rendered":"https:\/\/www.ballon-gastrique.fr\/?p=1127"},"modified":"2019-09-26T16:03:21","modified_gmt":"2019-09-26T14:03:21","slug":"the-sleeve-gastroplasty-an-alternative-for-obese-patients-not-eligible-for-surgery","status":"publish","type":"post","link":"https:\/\/www.ballon-gastrique.fr\/en\/the-sleeve-gastroplasty-an-alternative-for-obese-patients-not-eligible-for-surgery\/","title":{"rendered":"The sleeve gastroplasty: an alternative for obese patients not eligible for surgery?"},"content":{"rendered":"<p><a href=\"\/en\/what-are-the-methods\/sleeve-gastroplasty\/what-is-sleeve-gastroplasty\/\">Sleeve gastroplasty, an innovative endoscopic technique to reduce the size of the stomach<\/a> is proposed to patients not eligible for bariatric surgery, either because they have a BMI between 30 and 40., or because they have a contraindication procedure. It has been developing for several years abroad and has been marketed in France for 2 years.<\/p>\n<p><span style=\"font-style: italic;\">Article written by Dr. Vianna Costil, published on the website of the&nbsp; <a href=\"https:\/\/www.cregg.org\/\" target=\"_blank\" rel=\"noopener noreferrer\">CREGG<\/a>, \u201cClub of Reflexion of the Cabinets and Groups of Hepato-Gastroenterology \u201c<\/span><\/p>\n<h2>How it works?<\/h2>\n<p><a href=\"https:\/\/www.ballon-gastrique.fr\/en\/what-are-the-methods\/sleeve-gastroplasty\/\">Sleeve gastroplasty<\/a> can <strong>reduce the volume of the stomach using non-resorbable sutures made by natural means, without incision (and therefore without scarring),<\/strong> thanks to the technique of Overstitch.<\/p>\n<p>The procedure is performed by a gastroenterologist, during a gastroscopy and under general anesthesia. These sutures help to limit the expansion of the stomach during the meal and slow down the emptying of food.<\/p>\n<p>Thus, the patient regains a feeling of satiety, with smaller amounts of food.<\/p>\n<h2>Balance sheets<\/h2>\n<ul>\n<li><a href=\"\/en\/what-are-the-methods\/sleeve-gastroplasty\/steps-of-the-procedure\/\">A consultation with the doctor<\/a>, who validates the indication and checks the absence of absence of contraindication,<\/li>\n<li>A complete nutritional and behavioral report,<\/li>\n<li>A biological assessment,<\/li>\n<li>A gastroscopy.<\/li>\n<\/ul>\n<h2>Profits<\/h2>\n<p>The advantage of sleeve gastroplasty is to have <strong>simple consequences (less pain and quick recovery) and fewer complications<\/strong> than the gastric balloon.<\/p>\n<p>The effectiveness of this technique has been demonstrated by published results 1-2-3. % TBWL (weight loss percentage) is 15% at 6 months and 17.8% at 1 year.<\/p>\n<p>Weight loss and its maintenance over time depend on the patient&#8217;s adherence to the multidisciplinary follow-up program (behavioral, psychological dietary) and the resumption of regular physical activity.<\/p>\n<h2>Information and bibliography<\/h2>\n<p style=\"padding-left: 30px;\">1. Endoscopic Sleeve Gastroplasty Alters Gastric Physiology and Induces The Weight of Obese Individuals by Barbara K. Abu Dayyeh, et al; Clinical Gastroenterology and Hepatology 2017; 15: 37-43<\/p>\n<p style=\"padding-left: 30px;\">2. Endoscopic Sleeve Gastroplasty for Obesity: a MulticenterStudy of 248 Patients with 24 MonthsFollow-Up. Gontrand Lopez-Nava et al. Obesity Surgery October 2017, Volume 27, Issue 10, 2649-2655<\/p>\n<p style=\"padding-left: 30px;\">3. Endoscopic Sleeve Gastroplasty Significantly Reduces Body Mass Index and Metabolic Complications in Obese Patients Reem Z. Sharaiha, et al Clinical Gastroenterology and Hepatology 2017; 15: 504-510<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Sleeve gastroplasty, an innovative endoscopic technique to reduce the size of the stomach is proposed to patients not eligible for bariatric surgery, either because they [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":535,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[37,2,41],"tags":[],"class_list":["post-1127","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-home","category-news","category-sleeve-gastroplasty"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.ballon-gastrique.fr\/en\/wp-json\/wp\/v2\/posts\/1127","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ballon-gastrique.fr\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.ballon-gastrique.fr\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.ballon-gastrique.fr\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.ballon-gastrique.fr\/en\/wp-json\/wp\/v2\/comments?post=1127"}],"version-history":[{"count":5,"href":"https:\/\/www.ballon-gastrique.fr\/en\/wp-json\/wp\/v2\/posts\/1127\/revisions"}],"predecessor-version":[{"id":1142,"href":"https:\/\/www.ballon-gastrique.fr\/en\/wp-json\/wp\/v2\/posts\/1127\/revisions\/1142"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.ballon-gastrique.fr\/en\/wp-json\/wp\/v2\/media\/535"}],"wp:attachment":[{"href":"https:\/\/www.ballon-gastrique.fr\/en\/wp-json\/wp\/v2\/media?parent=1127"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.ballon-gastrique.fr\/en\/wp-json\/wp\/v2\/categories?post=1127"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.ballon-gastrique.fr\/en\/wp-json\/wp\/v2\/tags?post=1127"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}