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Create a Free AccountProcedures - Bariatrics
Modified primary obesity surgery endoluminal (POSE-2) procedure for the treatment of obesity
The minimally invasive endoluminal approach has evolved to become a mainstream treatment option for obesity.1 Particularly, endoscopic remodeling of the stomach and restricting the gastric lumen by placing multiple, internal, full-thickness suture plication has been shown to affect hunger and appetite and to induce effective and sustained weight loss.2Step-by-step approach to endoscopic gastroplasty by a novel single-channel endoscopic suturing system
Endoscopic gastroplasty (EG) reduces gastric volume by use of a series of full-thickness internal plications and mimics the surgical sleeve gastrectomy.1 EG with use of the Overstitch device (Apollo Endosurgery, Austin, Tex, USA) is shown to be safe and effective in achieving weight loss.2,3 However, the device has certain limitations: (1) it requires a dual-channel endoscope, which is not widely available; (2) the endoscope is stiff and less maneuverable; (3) the field of vision gets impaired when the device is mounted; and (4) the suction ability decreases with the accessories in the working channel.
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