Nous utilisons des cookies afin de vous garantir une navigation optimale sur notre site. En poursuivant votre navigation sur ce site, vous acceptez de fait l'utilisation de cookies.

Vous devez être connecté pour voir la vidéo. Cliquez ici pour vous connecter, ou ici pour vous inscrire gratuitement !

  • 785
  • 20/04/2019

Endoscopic sleeve gastroplasty: live procedure

Epublication WebSurg.com, Apr 2019;19(04). URL:
Vous devez être connecté pour poser une question aux auteurs. Cliquez ici pour vous connecter, ou ici pour vous inscrire gratuitement !
Endoscopic sleeve gastroplasty is a novel endobariatric procedure with a mechanism of action totally different from the one used for a standard sleeve gastrectomy. An over-the-scope suturing system mounted on a dual-channel Olympus® scope allowed to place full-thickness sutures in order to reduce the volume and the size of the stomach. The procedure was performed with the patient under general anesthesia and carbon dioxide insufflation. Once the Overtube™ was placed, the scope equipped with the OverStitch™ (Apollo Endosurgery®, Austin, Tex) suturing device was inserted through the stomach, and the suturing was initiated at the level of the incisura. The tissue-retracting helix device was used to grab the stomach wall, allowing for full-thickness bites. Each suture consisted of multiple sequential U-shaped bites along the anterior wall, the greater curvature, the posterior wall, and then in the opposite direction. Once completed, the suture was tied and knotted using a cinching device. Three sutures were applied in order to obtain gastric tubulization, and to spare the fundus.