Endoscopic Sleeve Gastroplasty

Endoscopic Sleeve Gastroplasty

Definition of the Endosleeve or Gastric Plication

The Endosleeve, also known as the Endoscopic Sleeve or gastric plication, is a non-surgical endoscopic procedure that reduces the size of the stomach by forming internal folds using special sutures, reducing the size of the stomach without removal. The reduction in stomach size promotes weight loss by reducing caloric intake - much like a sleeve gastrectomy.

A gastroscope is used for this procedure on the abdominal wall. It effectively and safely reduces the volume of the stomach. By reducing its volume, the stomach can no longer absorb as much food, leading to the loss of excess weight.

The Endosleeve is an endoscopic procedure that avoids the need to remove part of the stomach, make intestinal anastomoses, or incise the abdominal wall. Compared to sleeve surgery, this method has fewer risks. Generally, any post-procedure adjustment is done by endoscopy and very rarely by surgery. Patient safety remains a top concern for both doctors and the patients themselves.

Procedure Flow

The Endosleeve is performed using a flexible endoscope that is inserted through the mouth and guided to the stomach. Once in place, special sutures are used to reduce the size of the stomach by forming internal folds and pleats. This creates a sensation of fullness faster and reduces caloric intake.