Anatomical Configuration of the Stomach Post-Endoscopic Sleeve Gastroplasty (ESG)-What Are the Sutures Doing?

Runge T. M. , Yang J., Fayad L., Itani M. I. , Dunlap M., Koller K., ...More

OBESITY SURGERY, vol.30, no.5, pp.2056-2060, 2020 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 30 Issue: 5
  • Publication Date: 2020
  • Doi Number: 10.1007/s11695-019-04311-7
  • Title of Journal : OBESITY SURGERY
  • Page Numbers: pp.2056-2060


Introduction and Aim Endoscopic sleeve gastroplasty (ESG) is a procedure in which endoscopically placed sutures involute the stomach and promote weight loss. There is limited data on the durability of these sutures. Patients and Methods This was a single center series of 5 patients who underwent ESG performed by a single endoscopist. Patients underwent repeat endoscopy for different clinical indications. Results ESGs were successfully reversed at 3 weeks and 1 month following index ESG without significant fibrosis or scaring. At 8 and 14 months, a few sutures had dehisced though there were extensive areas of fibrosis. By 2 years, most of the sutures had dehisced; however, the gastric volume remained reduced. Conclusion This case series offers an intriguing evaluation of the anatomical changes induced by ESG.