Our Summary

This research paper is about different types of weight loss procedures that involve folding and stitching the stomach to make it smaller (gastric plication). These techniques are less invasive than traditional weight loss surgery and can be more effective than dieting or medication. Some of these procedures include endoscopic sleeve gastroplasty, primary obesity surgery endolumenal, transoral gastroplasty, and a technique using a special stapler. At the moment, one of these techniques (primary obesity surgery endolumenal) is being reviewed by the US Food and Drug Administration, while endoscopic sleeve gastroplasty is becoming more widely accepted. The paper emphasizes that these procedures should be part of a comprehensive weight management program with long-term monitoring.

FAQs

  1. What is endoscopic gastric plication and how effective is it for weight loss?
  2. What are the different types of gastric plication techniques?
  3. What is the status of primary obesity surgery endolumenal and endoscopic sleeve gastroplasty in the US?

Doctor’s Tip

One helpful tip that a doctor might tell a patient about gastric sleeve surgery is to make sure to follow a multidisciplinary weight management program with long-term follow-up. This can include regular check-ins with healthcare providers, support from a dietitian or nutritionist, and ongoing counseling to help maintain healthy habits post-surgery. This comprehensive approach can help ensure the best possible outcomes and long-term success with the gastric sleeve procedure.

Suitable For

Patients who are typically recommended for gastric sleeve surgery include those who have a body mass index (BMI) of 40 or higher, or a BMI of 35 or higher with obesity-related health conditions such as type 2 diabetes, high blood pressure, or sleep apnea. Candidates for gastric sleeve surgery should have tried and failed to lose weight through diet and exercise, and be committed to making long-term lifestyle changes to support their weight loss journey. It is important for patients to undergo a thorough evaluation by a multidisciplinary team, including a bariatric surgeon, nutritionist, psychologist, and other specialists, to determine if gastric sleeve surgery is the best option for their individual needs and goals.

Timeline

Before undergoing a gastric sleeve procedure, a patient typically goes through a series of steps including:

  1. Initial consultation with a bariatric surgeon or weight loss specialist to discuss options for weight loss surgery
  2. Pre-operative evaluations and tests to determine if the patient is a suitable candidate for gastric sleeve surgery
  3. Pre-surgery counseling and education to understand the risks, benefits, and expectations of the procedure
  4. Pre-surgery dietary and lifestyle changes to prepare the body for surgery

After undergoing a gastric sleeve procedure, a patient will experience the following timeline:

  1. Immediate post-operative recovery in the hospital, which may include pain management, monitoring for complications, and education on post-surgery care
  2. Transitioning to a liquid diet for a few weeks, followed by a gradual transition to solid foods over the next few months
  3. Regular follow-up appointments with the bariatric team to monitor weight loss progress, address any concerns, and make necessary adjustments to diet and exercise routines
  4. Long-term lifestyle changes, including healthy eating habits and regular physical activity, to maintain weight loss and avoid regaining weight
  5. Continued support from the bariatric team, including counseling, nutritional guidance, and support groups, to help the patient achieve long-term success with their gastric sleeve surgery.

What to Ask Your Doctor

  1. What is involved in the gastric sleeve procedure?
  2. What are the potential risks and complications associated with gastric sleeve surgery?
  3. How much weight can I expect to lose with gastric sleeve surgery?
  4. What dietary and lifestyle changes will I need to make after the surgery?
  5. How soon after the surgery can I resume normal activities?
  6. Will I need to take any supplements or medications after the surgery?
  7. What is the long-term success rate of gastric sleeve surgery?
  8. Will I need additional procedures or follow-up appointments after the surgery?
  9. How will gastric sleeve surgery affect any existing medical conditions I have?
  10. Are there any alternatives to gastric sleeve surgery that I should consider?

Reference

Authors: Kumar N. Journal: Gastrointest Endosc Clin N Am. 2017 Apr;27(2):257-265. doi: 10.1016/j.giec.2016.12.003. PMID: 28292404