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OverStitch – Endoscopic Gastroplasty

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OverStitch

Endoscopic Gastroplasty (ESG) is a modern endoscopic bariatric procedure that allows for the reduction of stomach volume by up to 80%.

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Who is the OverStitch method for?

This method is primarily recommended for people with morbid obesity (BMI over 40), for whom a gastric balloon does not produce good results. The procedure is also indicated for people with a body mass index over 30 who, despite diet and lifestyle changes, have failed to maintain weight loss and are not eligible for or do not want to undergo traditional bariatric surgery.

What are the benefits of ESG (OverStitch)?

ESG is an endoscopic gastric reduction technique that offers several advantages over traditional gastric bypass surgery, including:

-Safety of the procedure and minimal risk of complications,
-Less pain,
-Minimal risk of infection,
-No scarring,
-Faster recovery,
-Shorter hospital stay,
The method is fully reversible because it does not affect the anatomy of the gastrointestinal tract.

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What does the OverStitch Endoscopic Gastroplasty procedure look like?

During the procedure, the doctor uses a gastroscope to insert the specialized OverStitch suturing system into the patient’s stomach through the mouth. It then reduces the stomach by approximately 60% without the need for removal.

OverStitch is a non-surgical, minimally invasive procedure that significantly reduces potential complications. It leads to significant weight loss by restricting food intake.

As with other bariatric procedures, Endoscopic Gastroplasty requires a commitment to a healthier lifestyle. Patients must make lasting, healthy changes to their diet and exercise regularly to achieve long-term success.

Why is ESG performed using the OverStitch method?

The procedure is performed to help the patient lose weight and potentially reduce the risk of serious health problems associated with excess body weight, including:

-Heart disease and stroke,

-High blood pressure,

-Sleep apnea,

-Type 2 diabetes,

-Non-alcoholic fatty liver disease.

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Qualification for the ESG treatment using the OverStitch method

Endoscopic Gastroplasty is intended for individuals with a body mass index (BMI) above 30, who have failed to maintain weight loss through lifestyle modifications alone, and who are either ineligible for or unwilling to undergo traditional bariatric surgery.

The physician who is treating the patient determines whether the ESG procedure is appropriate and beneficial for the patient. The patient must be willing to commit to a healthy lifestyle change, undergo regular medical examinations, and participate in behavioral therapy.

The interdisciplinary OverStitch team

ESG procedure is contraindicated in patients with:

  • Large hiatal hernia,
  • gastrointestinal bleeding,
  • gastritis,
  • peptic ulcer disease.

Contraindications also include structural anomalies of the esophagus or pharynx, as well as cancer.

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Preparation for the ESG (OverStitch) procedure

If you qualify for endoscopic gastroplasty, the clinic’s medical team will provide detailed preparation instructions. Various laboratory tests and examinations may be necessary before the procedure. Additionally, your doctor may impose restrictions on your eating, drinking, and medication. You may also be required to begin a physical activity program.

The course of the Endoscopic Gastroplasty procedure using the OverStitch method

Endoscopic Gastroplasty is performed under general anesthesia.

The procedure is performed using an endoscope with an attached OverStitch suturing system. The endoscope is inserted through the throat, and the doctor uses it to place sutures in the stomach.

The sutures alter the structure of the stomach, reducing its size. As a result, the patient’s ability to eat is significantly reduced.

The Endoscopic Gastroplasty procedure takes 60 to 90 minutes.

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What happens after the ESG (OverStitch) procedure?

After the procedure, the patient typically stays in the hospital for one day. In the first few days after the procedure, patients may experience nausea and abdominal pain, which will subside over time.

For several weeks, heavy lifting and strenuous activity should be avoided. It’s recommended to take time off work to allow the body to fully recover.

For at least two weeks after the procedure, the patient is on a liquid diet, then, as recommended by a dietitian, they are transitioned to semi-solid foods, before finally transitioning to a regular, healthy diet.

Final result of the Endoscopic Gastroplasty procedure (OverStitch)

As with any bariatric surgery, the patient’s commitment to proper nutrition, physical activity, and emotional health will play a significant role in weight loss. Typically, if a patient follows all of the guidelines provided by their healthcare professional, they can expect to lose approximately 18%* of their body weight within one year.

*) Lopez Nava et al., 2017