Adelaide Bariatric Centre

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Endoscopic Obesity Treatments - OverStitch

Endoscopy allows physicians to provide minimally intrusive surgical treatments for obesity. No abdominal incisions are necessary in endoscopic procedures, and patients are typically able to return home the same day of the procedure.

During an endoscopic procedure, a surgeon inserts a flexible hose with an OverStitch suturing device and camera through the patient’s throat in order to see and operate inside the patient’s stomach without making any incisions.

The Benefits of Endoscopy

As a minimally invasive procedure, endoscopy can have many benefits.

Because no incisions are necessary, endoscopy reduces the risks of operative complications.

Endoscopy is generally performed as an outpatient procedure. Not only is it quicker than surgery, but most patients are able to be discharged and return home the same day.

For patients who aren’t good candidates for bariatric surgery, but who have a BMI of 30 or higher, endoscopy makes long-term weight loss and improved health outcomes more achievable.

Adelaide Bariatric Centre currently offers two endoscopic procedures using the OverStitch device.

Endoscopic Sleeve Gastroplasty

The Endoscopic Sleeve Gastroplasty (ESG) is a non-invasive procedure that reduces the size of your stomach without the need for surgery.

ESG is ideal for patients with a BMI over 30 and who aren’t good candidates for bariatric surgery.

HOW THE PROCEDURE WORKS

The ESG procedure is designed to reduce the total volume of the stomach by creating sutures with the endoscopic OverStitch device to ‘cinch’ the outer curve of the stomach.

Performed under a general anaesthetic, the procedure takes about 90 minutes and most patients are able to return home the same day.

Watch the video below to learn more about how the ESG is performed.

AFTER THE PROCEDURE

Patients are generally discharged and allowed to return home on the same day as their procedure.

Pain and side effects are very minimal following the ESG. You may experience some pain and nausea in addition to a sore throat for a couple of up to a couple of days, but you should expect these symptoms to abate on their own.

Symptoms can be relieved with over-the-counter pain and nausea medication.

Patients will be placed on a restricted diet immediately following the procedure. Over the following weeks, your Adelaide Bariatric Centre doctors and dieticians will help you progress to a liquid diet, semi-solid foods and to a regular diet.

Gastric Sleeve Revision

A small number of patients who have had a Gastric Sleeve procedure may find that they are still struggling with weight loss, or that their appetite increases again following the surgery.

One potential cause for the decrease in effectiveness of their weight loss is that the opening of the patient’s stomach has gradually stretched since it was reduced with by the gastric sleeve procedure.

The Gastric Sleeve Revision corrects this by returning the stomach opening to the size it was immediately following the original gastric sleeve surgery, restoring the optimal weight loss rate for the patient.

HOW THE PROCEDURE WORKS

During the non-invasive endoscopic gastric sleeve revision, the OverStitch device is inserted through the patient’s mouth to the stomach.

The operating physician then uses the device to place sutures around the stomach outlet and cinches it to reduce the diameter to the ideal post-surgery size.

Performed under a general anaesthetic, the revision takes about 90 minutes and most patients are able to return home the same day.

AFTER THE PROCEDURE

Patients are generally discharged and allowed to return home on the same day as their procedure.

Pain and side effects are very minimal following the Gastric Sleeve Revision. You may experience some pain and nausea in addition to a sore throat for a couple of up to a couple of days, but you should expect these symptoms to abate on their own.

Symptoms can be relieved with over-the-counter pain and nausea medication.*

The best long term weight loss outcomes are usually achieved through a holistic, multidisciplinary approach, of which a procedure is just one part.

Adelaide Bariatric Centre’s patients have proven success in the management and treatment of obesity through a method that involves our physicians, dieticians, clinical psychologists, bariatric nurses and exercise physiologists all working towards the best outcome for the patient.

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