scholarly journals The First Endoscopic Sleeve Gastroplasty and Transoral Outlet Reduction in Thailand: Case Report and Literature Review

2021 ◽  
Vol 73 (4) ◽  
pp. 282-288
Author(s):  
Nonthalee Pausawasdi
Keyword(s):  
Bariatric Surgery ◽  
Treatment Options ◽  
Revision Procedure ◽  
Universal Healthcare ◽  
Endoscopic Sleeve Gastroplasty ◽  
Endoscopic Bariatric Therapy ◽  
Diet And Exercise ◽  
Prevalence Of Obesity ◽  
Sleeve Gastroplasty

Obesity is becoming a universal healthcare problem. The role of endoscopic bariatric and metabolic therapies is emerging in the management of obesity and its related conditions. The endoscopic treatment can be used as a primary weight loss procedure and a revision procedure after bariatric surgery. While the prevalence of obesity has been rising over the past two decades in Thailand, the treatment options have been limited to diet and exercise, pharmacological treatment, and bariatric surgery until recently. In 2020, an endoscopic full-thickness suturing device was introduced to Thailand, leading to successful endoscopic bariatric therapy using a suturing device in Thai patients. This article intends to report the first successful endoscopic sleeve gastroplasty and transoral outlet reduction in Thailand with a mini-review focusing on these two procedures' outcomes.

scholarly journals Endoscopic sleeve gastroplasty by use of a novel suturing pattern, which allays concerns for revisional bariatric surgery

VideoGIE ◽  
2020 ◽  
Vol 5 (4) ◽  
pp. 133-134 ◽  
Author(s):  
Mohamad Kareem Marrache ◽  
Abdulhameed Al-Sabban ◽  
Mohamad I. Itani ◽  
Adrian Sartoretto ◽  
Vivek Kumbhari
Keyword(s):  
Bariatric Surgery ◽  
Revisional Bariatric Surgery ◽  
Endoscopic Sleeve Gastroplasty ◽  
Sleeve Gastroplasty

scholarly journals Iron deficiency after bariatric surgery: what is the real problem?

2018 ◽  
Vol 77 (4) ◽  
pp. 445-455 ◽  
Author(s):  
Nele Steenackers ◽  
Bart Van der Schueren ◽  
Ann Mertens ◽  
Matthias Lannoo ◽  
Tara Grauwet ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Iron Deficiency ◽  
Iron Status ◽  
Treatment Options ◽  
Nutritional Deficiencies ◽  
Real Problem ◽  
Contributing Factors ◽  
Nutritional Recommendations ◽  
Prevalence Of Obesity ◽  
Evidence Based Guidelines

The growing prevalence of obesity explains the rising interest in bariatric surgery. Compared with non-surgical treatment options, bariatric surgery results in greater and sustained improvements in weight loss, obesity associated complications, all-cause mortality and quality of life. These encouraging metabolic and weight effects come with a downside, namely the risk of nutritional deficiencies. Particularly striking is the risk to develop iron deficiency. Postoperatively, the prevalence of iron deficiency varies between 18 and 53 % after Roux-en-Y gastric bypass and between 1 and 54 % after sleeve gastrectomy. Therefore, preventive strategies and effective treatment options for iron deficiency are crucial to successfully manage the iron status of patients after bariatric surgery. With this review, we discuss the risks and the contributing factors of developing iron deficiency after bariatric surgery. Furthermore, we highlight the discrepancy in the diagnosis of iron deficiency, iron deficiency anaemia and anaemia and highlight the evidence supporting the current nutritional recommendations in the field of bariatric research. In conclusion, we advocate for more nutrition-related research in patient populations in order to provide strong evidence-based guidelines after bariatric surgery.

An alternative method of surgical treatment of refractory GERD following laparoscopic sleeve gastrectomy

2019 ◽  
Vol 98 (5) ◽  
pp. 214-218
Keyword(s):  
Bariatric Surgery ◽  
Sleeve Gastrectomy ◽  
Laparoscopic Sleeve Gastrectomy ◽  
Postoperative Period ◽  
Close Association ◽  
Treatment Options ◽  
Alternative Method ◽  
Refractory Gerd ◽  
Prevalence Of Obesity ◽  
The Relationship

Obesity has become a global problem with increasing prevalence. Undoubtedly, bariatric surgery is the most effective way to treat morbid obesity. Laparoscopic sleeve gastrectomy (LSG) is currently the most commonly performed bariatric procedure worldwide. The prevalence of gastroesopha- geal reflux disease (GERD) is also increasing, a close association with increasing prevalence of obesity being regarded as the main cause of this trend. The relationship between LSG and GERD is still unclear, at least controversial. If GERD occurs in the postoperative period, the first therapeutic intervention is initiation of proton pump inhibitors (PPI) treatment, which is effective in the vast majority of patients. In patients resistant to this treatment, conversion to laparoscopic Roux en Y gastric bypass (LRYGB) is usually necessary. The authors present the case report of a patient who developed GERD in the longer postoperative period and conversion to LRYGB was not appropriate due to previous complications and surgical procedures. Therefore, this patient was managed operatively by an alternative method – hiatoplasty with partial posterior fundoplication. The success of the treatment was confirmed clinically by disappearance of GERD symptomatology postoperatively even after PPI discontinuation. LRYGB is the method of choice for GERD after restrictive bariatric procedures. However, some patients are not suitable for conversion to LRYGB, and alternative treatment options are therefore needed.

THE ROLE OF MULTIDISCIPLINARY APPROACH IN ENDOSCOPIC SLEEVE GASTROPLASTY

2019 ◽  
Author(s):  
I Boškoski ◽  
V Bove ◽  
R Landi ◽  
L Laterza ◽  
F Mangiola ◽  
...  
Keyword(s):  
Multidisciplinary Approach ◽  
Endoscopic Sleeve Gastroplasty ◽  
Sleeve Gastroplasty

Sa1994 THE ROLE OF MULTIDISCIPLINARY APPROACH IN ENDOSCOPIC SLEEVE GASTROPLASTY

2019 ◽  
Vol 89 (6) ◽  
pp. AB276
Author(s):  
Ivo Boskoski ◽  
Vincenzo Bove ◽  
Rosario Landi ◽  
Lucrezia Laterza ◽  
Francesca Mangiola ◽  
...  
Keyword(s):  
Multidisciplinary Approach ◽  
Endoscopic Sleeve Gastroplasty ◽  
Sleeve Gastroplasty

Article Commentary: Complications of Bariatric Surgery: Implications for the Covering Physician

2009 ◽  
Vol 75 (2) ◽  
pp. 103-112 ◽  
Author(s):  
Benjamin D. Tanner ◽  
Jeffrey W. Allen
Keyword(s):  
Bariatric Surgery ◽  
Treatment Options ◽  
Laparoscopic Approach ◽  
Morbidly Obese ◽  
Sustained Weight Loss ◽  
Number Of Patients ◽  
Effective Option ◽  
Prevalence Of Obesity ◽  
General Surgeons ◽  
Outpatient Settings

Bariatric surgery is the only effective option for sustained weight loss for morbidly obese patients. The increasing prevalence of obesity in America and the application of a laparoscopic approach to bariatric surgery have combined to dramatically increase the number of patients undergoing these types of operations. The number of bariatric surgeons and centers devoted to surgery of the morbidly obese is also rising. These facts lead to the assumption that there will be more patients with complications specific to bariatric surgery that must be cared for by general surgeons in the immediate future. Covering surgeons and those without expertise in bariatric surgery need to know how to diagnose and manage these potential complications in emergent and outpatient settings. This paper reviews some of the more common bariatric operations, complications, and conservative treatment options.

scholarly journals Revision bariatric surgery after endoscopic sleeve gastroplasty

2017 ◽  
Vol 85 (5) ◽  
pp. 428-431 ◽  
Author(s):  
Manuel Ferrer-Márquez ◽  
Manuel Ferrer-Ayza ◽  
Francisco Rubio-Gil ◽  
María José Torrente-Sánchez ◽  
Antonio Martínez Amo-Gámez
Keyword(s):  
Bariatric Surgery ◽  
Endoscopic Sleeve Gastroplasty ◽  
Revision Bariatric Surgery ◽  
Sleeve Gastroplasty

scholarly journals Endoscopic Sleeve Gastroplasty in the Armamentarium of Bariatric Treatment in Thailand: A TAGE-TSMBS Joint Addendum Statement to TSMBS Consensus Guideline

2021 ◽  
Vol 73 (5) ◽  
Author(s):  
Pradermchai Kongkam ◽  
Parit Mekaroonkamol ◽  
Nonthalee Pausawasdi ◽  
Thawee Ratanachu-ek ◽  
Rungsun Rerknimitr ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Gastrointestinal Endoscopy ◽  
Data Monitoring ◽  
Consensus Guideline ◽  
Health Crisis ◽  
Endoscopic Sleeve Gastroplasty ◽  
Sleeve Gastroplasty ◽  
Selection Protocol ◽  
Treatment Of Obesity ◽  
Metabolic And Bariatric Surgery

The Thai bariatric surgery Society of Metabolic and Bariatric Surgery (TSMBS) has recently published a consensus guideline for the treatment of obesity, which has become an emerging health crisis in Thailand. As endoscopic sleeve gastroplasty (ESG) lately became available in the country, the TSMBS and the Thai Association for Gastrointestinal Endoscopy (TAGE) then agreed to propose this addendum statement that aims to standardize the patient selection protocol, physician credentialing, and procedural data monitoring in order to safely and effectively incorporate ESG into the armamentarium of bariatric treatment of Thailand.

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