Gastroscopic Bariatric Procedures

Abstract

Gastroscopic Bariatric Procedure is a combination of surgical and endoscopic skills. Surgical skill and surgical set
up are critical elements of this procedure.
The key difference is that there is no requirement of incision or scars, facilitating fast recovery and healing.
Gastroscopic procedure reduces the size of the stomach similar to a Laparoscopic Sleeve Gastrectomy, but does
not involve removal of any portion of the stomach.
The procedure takes approximately 70 minutes. The patient is able to walk 3-4 hours later and mostly gets
discharged same day to resume their regular routine. The best part is that no bed rest is required.
Overweight/Obese individuals with a BMI (Body Mass Index) between 25 and 35 kg/m.2 are ideal but those with
BMI upto 40 kg/m.2 and inability to control weight through diet and exercise or those who are afraid of surgery and
young ladies who are averse to scars can undergo the procedure. Patients with co-morbidity/metabolic
complications and lesser BMI are good candidates.
A large number of patients suffering from diabetes, hypertension, sleep apnea, fatty liver and dyslipidemia etc. are
leading a disease free life or are managing with much reduced medications and support for the same problem,
once they have achieved the desired weight loss.
In India, obesity affects >135 million and leads to nearly 5.8 million deaths per year. Some of the unmet need in the
management of obesity can be fulfilled by endoscopic therapies such as Endoscopic Sleeve Gastroplasty (ESG) &
Primary Obesity Surgery Endoluminal (POSE-2).