Endoscopic Sleeve Gastroplasty

The Endoscopic Sleeve Gastroplasty (also known as an endoscopic gastric sleeve) is a new procedure in Australia, that was first pioneered at the Mayo Clinic, USA in 2012.

It is a non-surgical method of decreasing the capacity of the stomach without any incisions.  The stomach is stitched from the inside using a special device that will reduce the capacity of the stomach significantly by approximately 80%.


Key Benefits of the Endoscopic Gastric Sleeve

A principal benefit of this endoscopic treatment is that there are no incisions necessary for the patient, and in some cases, the patient can return home on the same day that they undergo the procedure.

Due to its minimally invasive nature, the endoscopic sleeve gastroplasty with OverStitch can be beneficial for a number of reasons:

  • Less chance of operative complications without incisions
  • Great option for patients who haven’t been a good candidate for bariatric surgery
  • Effective option for long-term weight loss and better overall health


How is the Endoscopic Sleeve Gastroplasty Performed?

The procedure involves a gastroscopy procedure where a flexible tube with a camera is passed through the mouth down to the stomach.  Using a special device attached to the gastroscope known as the Overstitch Endoscopic Suturing System, permanent stitches are placed into the stomach from the inside, without the need for surgery.  The result is the stomach is reduced in size and shortened in length.  Uses of this technology have been for revision of gastric sleeves as well as for primary gastric sleeve procedures.

The procedure does not involve any incisions and is performed under a general anaesthetic.


After the Procedure

Patients will often go home on the same day, although in some cases they may stay overnight.

After the procedure you won’t be allowed to eat for eight hours, then you will be placed on a restricted diet which you must follow to get the best possible results. We will speak with you more about what a post-operative diet will involve.


Risks of the Procedure

Some patients experience some pain and nausea after the procedure, in addition to a sore throat.  They will usually resolve after a few days and the symptoms can be managed with pain and/or nausea medication.


Is the Endoscopic Sleeve Gastroplasty Right For Me?

The Endoscopic Sleeve Gastroplasty is a relatively new procedure, therefore it’s long term effectiveness or risk profile is unknown.  Published data exists for up to 20 months of follow-up, with average Excess Weight Loss 54% at 12 months, and 45% at 20 months.

Although the sutures placed are not dissolvable, it is possible for the sutures to become loosened, and it is possible for the ESG procedure to be repeated.  The procedure is also reversible and can be converted to bariatric surgery.

The Endoscopic Sleeve Gastroplasty is certainly not a replacement for the sleeve gastrectomy or gastric bypass and by no means is it as effective long-term.  Its exact place is uncertain, but it may be suitable for obese patients who require assistance with weight loss, patients who are reluctant to have invasive surgery and patients who are not safe for surgery.


Weight & Metabolic Solutions Australia

We are proud to bring the latest in innovation and surgery to our patients at Weight and Metabolic Solutions Australia. With two surgeons and a caring multidisciplinary team to help you through your journey, we can perform the endoscopic sleeve gastroplasty for patients across Brisbane and Australia.  Dr Braun is the first bariatric surgeon in Queensland to offer this procedure.

Please don’t hesitate to contact Dr Braun or Dr Wong on (07) 3353 9694 for a confidential chat about your weight loss surgery needs.


Uses for the OverStitch After Previous Bariatric Surgery

The Overstitch system can also be used in patients who have previously had bariatric surgery, where restriction may be lost or where a complication such as a leak from the staple line has occurred.

  • Narrowing a pouch or outlet for patients of a gastric bypass who’ve lost restriction
  • Closing holes in the stomach which are causing leaks


Gastric Sleeve and Gastric Bypass Outlet Revision

It is part of the natural history of a sleeve gastrectomy or gastric bypass, that overtime the sleeve or gastric pouch may stretch and you may experience some loss in restriction, and possibly weight gain.

The Overstitch system allows for sutures to be placed inside the sleeve or gastric pouch to narrow the sleeve or the outlet of the pouch, and restore the restriction that you may require to maintain a lower weight.

If you are considering a revisional procedure with the OverStitch, you will need to work closely with our dedicated dietician and psychiatrist to ensure any other issues that may have contributed to weight regain are also addressed.

If you would like to discuss a revision procedure to your sleeve or gastric bypass, please don’t hesitate to contact Dr Braun or Dr Wong on (07) 3353 9694 for a confidential chat about your options.