{"id":1137,"date":"2019-09-10T12:53:15","date_gmt":"2019-09-10T10:53:15","guid":{"rendered":"https:\/\/www.ballon-gastrique.fr\/?p=1137"},"modified":"2019-09-27T09:40:53","modified_gmt":"2019-09-27T07:40:53","slug":"endoscopic-gastroplasty-sleeve","status":"publish","type":"post","link":"https:\/\/www.ballon-gastrique.fr\/en\/endoscopic-gastroplasty-sleeve\/","title":{"rendered":"Endoscopic gastroplasty sleeve"},"content":{"rendered":"\n<p class=\"chapo-parag mb-40\">Obesity is a global epidemic that is affecting more and more people and is becoming one of the major public health problems. In France, this concerns about 14% of the population. <br>In recent years new endoscopic procedures have been developed to complement the range of available treatments. <br>The Overstitch Endoscopic Suture System allows via the use of nonabsorbable sutures (Polypropylene 2-0) to reduce the size of the stomach.  <\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Goals<\/h2>\n\n\n\n<p class=\"mb-40\">This is a prospective study conducted at the Trocadero Clinic in Paris with multimodal management of obesity to determine the efficacy and safety of this procedure.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Material and methods<\/h2>\n\n\n\n<p>17 patients with a BMI of 33 (\u00b1 4) underwent Endoscopic Gastric Sleeve (ESG).<\/p>\n\n\n\n<p>Under general anesthesia, a dual channel endoscope rises with <a href=\"https:\/\/www.ballon-gastrique.fr\/en\/what-are-the-methods\/sleeve-gastroplasty\/what-is-sleeve-gastroplasty\/\">the Overstitch endoscopic suture<\/a> device was inserted into the stomach, where a row of 4 to 5 sutures was placed (from the pyloric portion to the cardia).<\/p>\n\n\n\n<p>Each of the sutures included between <strong>6 and 7 points of attachment <\/strong>to bring the gastric walls closer together and thus to <strong>reduce the gastric lumen<\/strong>.<\/p>\n\n\n\n<p>This technique is intended to <strong>limit the expansion of the stomach <\/strong>during meals and slow down the emptying of food. <\/p>\n\n\n\n<p class=\"mb-20\">The patients were followed post-procedure by a <a href=\"https:\/\/www.ballon-gastrique.fr\/en\/what-are-the-methods\/sleeve-gastroplasty\/steps-of-the-procedure\/#step-3\">multidisciplinary team<\/a>. <\/p>\n\n\n\n<div class=\"wp-block-columns has-4-columns mb-40 mt-40 is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"681\" src=\"https:\/\/www.ballon-gastrique.fr\/wp-content\/uploads\/overstitch-1.jpg\" alt=\"Appareil de suture endoscopique Overstitch\" class=\"wp-image-1085\" srcset=\"https:\/\/www.ballon-gastrique.fr\/wp-content\/uploads\/overstitch-1.jpg 800w, https:\/\/www.ballon-gastrique.fr\/wp-content\/uploads\/overstitch-1-300x255.jpg 300w, https:\/\/www.ballon-gastrique.fr\/wp-content\/uploads\/overstitch-1-768x654.jpg 768w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><figcaption>Overstitch endoscopic suture System<\/figcaption><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"677\" src=\"https:\/\/www.ballon-gastrique.fr\/wp-content\/uploads\/operation-sleeve.jpg\" alt=\"Sutures comprenant entre 6 et 7 points d'attache afin de rapprocher les parois gastriques \" class=\"wp-image-1089\" srcset=\"https:\/\/www.ballon-gastrique.fr\/wp-content\/uploads\/operation-sleeve.jpg 800w, https:\/\/www.ballon-gastrique.fr\/wp-content\/uploads\/operation-sleeve-300x254.jpg 300w, https:\/\/www.ballon-gastrique.fr\/wp-content\/uploads\/operation-sleeve-768x650.jpg 768w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><figcaption> Overstitch Endoscopic Suture System create sutures with 6 to 7 points of attachment to bring the gastric walls closer together <\/figcaption><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"677\" src=\"https:\/\/www.ballon-gastrique.fr\/wp-content\/uploads\/operation-sleeve-gastroplastie.jpg\" alt=\"Sutures - Sleeve gastroplastie endoscopique\" class=\"wp-image-1091\" srcset=\"https:\/\/www.ballon-gastrique.fr\/wp-content\/uploads\/operation-sleeve-gastroplastie.jpg 800w, https:\/\/www.ballon-gastrique.fr\/wp-content\/uploads\/operation-sleeve-gastroplastie-300x254.jpg 300w, https:\/\/www.ballon-gastrique.fr\/wp-content\/uploads\/operation-sleeve-gastroplastie-768x650.jpg 768w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><figcaption>Sutures &#8211; Endoscopic gastroplasty sleeve<\/figcaption><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"677\" src=\"https:\/\/www.ballon-gastrique.fr\/wp-content\/uploads\/reduction-estomac-sleeve.jpg\" alt=\"R\u00e9duction de l'estomac\" class=\"wp-image-1087\" srcset=\"https:\/\/www.ballon-gastrique.fr\/wp-content\/uploads\/reduction-estomac-sleeve.jpg 800w, https:\/\/www.ballon-gastrique.fr\/wp-content\/uploads\/reduction-estomac-sleeve-300x254.jpg 300w, https:\/\/www.ballon-gastrique.fr\/wp-content\/uploads\/reduction-estomac-sleeve-768x650.jpg 768w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><figcaption>Reduction of the stomach <\/figcaption><\/figure>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns has-2-columns align-center mb-40 is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h2 class=\"wp-block-heading\">Results <\/h2>\n\n\n\n<p>A safe procedure with few side effects.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>abdominal pain<\/li><li>nausea and vomiting<\/li><\/ul>\n\n\n\n<p>No severe complications were observed in this prospective study. <\/p>\n\n\n\n<p class=\"focus\">In a publication of Dr. Lopez-Nava of 2017 titled &#8220;Endoscopic Sleeve Gastroplasty for Obesity: A Multicenter Study of 248 Patients with 24 Months Follow-Up&#8221; a rate of 2% of complications was observed (4 out of 248 patients). <br>\nSleeve gastroplasty, a safe procedure with few side effects.<\/p>\n\n\n\n<p><a class=\"yt-video\" data-fancybox=\"\" href=\"https:\/\/www.youtube.com\/embed\/RmDOs560r_8?start=14&amp;autoplay=1&amp;autohide=1&amp;border=0&amp;egm=0&amp;showinfo=0&amp;showsearch=0\">See the video<\/a><\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"1000\" height=\"480\" src=\"https:\/\/www.ballon-gastrique.fr\/wp-content\/uploads\/tbwl-sleeve.jpg\" alt=\"La sleeve gastroplastie, une proc\u00e9dure s\u00fbre avec peu d'effets secondaire\" class=\"wp-image-1081\" srcset=\"https:\/\/www.ballon-gastrique.fr\/wp-content\/uploads\/tbwl-sleeve.jpg 1000w, https:\/\/www.ballon-gastrique.fr\/wp-content\/uploads\/tbwl-sleeve-300x144.jpg 300w, https:\/\/www.ballon-gastrique.fr\/wp-content\/uploads\/tbwl-sleeve-768x369.jpg 768w\" sizes=\"auto, (max-width: 1000px) 100vw, 1000px\" \/><\/figure>\n<\/div>\n<\/div>\n\n\n\n<p><a class=\"btn_default\" rel=\"noopener noreferrer\" href=\"https:\/\/www.ballon-gastrique.fr\/wp-content\/uploads\/la-sleeve-gastroplastie-endoscopique.pdf\" target=\"_blank\">Download the PDF<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Obesity is a global epidemic that is affecting more and more people and is becoming one of the major public health problems. In France, this concerns about 14% of the population. <\/p>\n","protected":false},"author":1,"featured_media":1110,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[37,2,41],"tags":[],"class_list":["post-1137","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\/1137","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=1137"}],"version-history":[{"count":3,"href":"https:\/\/www.ballon-gastrique.fr\/en\/wp-json\/wp\/v2\/posts\/1137\/revisions"}],"predecessor-version":[{"id":1259,"href":"https:\/\/www.ballon-gastrique.fr\/en\/wp-json\/wp\/v2\/posts\/1137\/revisions\/1259"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.ballon-gastrique.fr\/en\/wp-json\/wp\/v2\/media\/1110"}],"wp:attachment":[{"href":"https:\/\/www.ballon-gastrique.fr\/en\/wp-json\/wp\/v2\/media?parent=1137"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.ballon-gastrique.fr\/en\/wp-json\/wp\/v2\/categories?post=1137"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.ballon-gastrique.fr\/en\/wp-json\/wp\/v2\/tags?post=1137"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}