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A SUCCESFUL REVISION OF ENDOSCOPIC SLEEVE GASTROPLASTY: A NOVEL APPROACH
Anusha Agarwal
*, Stephen A. Firkins, Varun Aitharaju, Arjun Chatterjee, Akash T. Khurana, Roma Patel, Bailey Flora, Erika Staneff, Roberto Simons-Linares
Internal Medicine, Cleveland Clinic, Cleveland, OH
Two patients with class I-II obesity and prior endoscopic sleeve gastroplasty (ESG) presented with weight regain. We proceeded with revision ESG (Re-ESG) using a novel endoscopic plication platform. After prior ESG sutures were cut, the endoscopic plication device was introduced and used to create large full thickness plications from the incisura to the proximal body to invaginate the lumen and tubularize the stomach. Despite mild fibrosis from prior ESG, the re-ESG was completed without technical difficulty using this novel system. Diagnostic endoscopy revealed Re-ESG with 80% reduction in lumen volume, precipitating 7-11% total body weight loss (TBWL) within one-month post-ESG.
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