Chris Thompson, MD, Director of Therapeutic Endoscopy at Brigham and Women’s Hospital (BWH), explains the endoscopic sleeve gastroplasty procedure, an option for patients who need to lose weight due to co-morbid conditions, but whose BMI does not qualify for them for standard bariatric weight loss procedures such as a sleeve gastrectomy or gastric bypass.
These procedures are very effective in treating obesity. However, bariatric surgery is limited to patients with body (BMI) greater than 40 or greater than 35 with weight-related conditions, such as diabetes or heart disease. For obese patients who don’t meet this criteria, the endoscopic sleeve gastroplasty may be an option. Eligible patients will have a BMI between 30-35 and have attempted and failed at previous weight loss efforts.
The endoscopic sleeve gastroplasty is a minimally invasive procedure in which an endoscope with a suturing device attached is inserted through the mouth to reach the stomach The stomach is then folded in on itself through suturing. The sutures make the stomach smaller.
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