Endoscopic Sleeve Gastroplasty ESG using APOLLO OVERSTICH®- A new procedure for endoluminal bariatric surgery- preliminary experience

Introduction: Gastric bypass for morbid obesity can induce important excess weight loss (EWL) during 2 years after surgery, and co-morbidities often improve or resolve. A weight plateau typically occurs as equilibrium in energy balance is reached after one year after surgery. Weight regain may be induced, among others, by anatomical factors as increased size of the anastomosis or gastric pouch, causing loss of restriction. We describe our clinical experience with endoscopic outlet repair to reduce the gastric pouch and anastomosis, and also a new primary endoscopic procedure-ESG. Methods: Primary endoscopic slee…