Format

Send to

Choose Destination
Rev Esp Enferm Dig. 2016 Apr;108(4):201-6. doi: 10.17235/reed.2016.3988/2015.

Endoscopic sleeve gastroplasty (the Apollo method): a new approach to obesity management.

Author information

1
Endoscopia Bariátrica, Hospital Universitario Madrid Sanchinarro, España.
2
Unidad de Endoscopia Bariátrica, Hospital Universitario Madrid Sanchinarro, España.
3
Departamento de Endoscopia Bariátrica, Hospital Universitario Madrid Sanchinarro, España.

Abstract

BACKGROUND:

Many obese patients cannot lose weight or reject conventional obesity management. Endoscopic sleeve gastroplasty (the Apollo method) is a pioneering coadjuvant, interventionist technique for the integral management of obesity.

OBJECTIVES:

The goals of this study were to report safety and efficacy results obtained at 6 months in patients undergoing endoscopic sleeve gastroplasty.

MATERIAL AND METHODS:

A prospective study was performed in 55 patients (13 males, 42 females) who were subjected to the Apollo technique; mean age was 43.5 years (range 25-60) and mean BMI was 37.7 kg/m2 (range 30-48). All received multidisciplinary follow-up for weight loss. Weight changes and presence of complications were assessed. Through the endoscope a triangular pattern suture is performed consisting of approximately 3-6 transmural (mucosa to serosa) stitches, using a cinch device to bring them nearer and form a plication.

RESULTS:

A total of 6-8 plications are used to provide a tubular or sleeve-shaped restriction to the gastric cavity. No major complications developed and patients were discharged at 24 hours following the procedure. Endoscopic and radiographic follow-up at 6 months post-procedure showed a well preserved tubular form to the stomach. After 6 months patients had lost 18.9 kg and 55.3% of excess weight.

CONCLUSIONS:

Endoscopic sleeve gastroplasty, together with dietary and psycho-behavioral changes, is a safe, effective technique in the coadjuvant management of obese patients.

PMID:
26900986
DOI:
10.17235/reed.2016.3988/2015
[Indexed for MEDLINE]
Free full text

Supplemental Content

Full text links

Icon for Aran ediciones, S.L.
Loading ...
Support Center