Obesity is the biggest epidemic in healthcare globally. As described earlier under the obesity section, weight loss has to be undertaken by a dedicated unit comprising of bariatric surgeon, dietician and physio and yoga therapist. The team will formulate a plan to achieve a sustainable weight loss, and is guided by the patient’s health and their choice.
Endoscopically, there are two options that are used worldwide to aid weight loss. It has to be emphasised that any interventions planned are in conjunction with the lifestyle modification advice that the patient has to follow.
In this procedure, the surgeon will place a balloon in the stomach in a desired location, and then fill up the balloon with blue colored solution. Approximately, 450- 650 mls of solution is put into the balloon. The patient goes home usally the same day. The intragstric balloon works by reducing the appetite as the patient will constanty feell full/ satiety. This in conjuction with lifestyle and dietic advice can enable pateint to lose around 3-7 kg per month. The balloon is usally left in place for 6-12 months and then removed. This therapy is adviced based on the patient’s BMI, personal choice and determined by the amount of excess weigth loss desired. The side effects include sensation of nausea
This is realtively new procedure in the last few years, and has good outcomes from the intial trials. This involves suturing the stomach using a endoscope and special kit called ENDOSTITCH, that enables the bariatric endoscopist to place precise sutures in the stomach to narrow it, similar to a laparosscopic procedure. This reduces the intake of food, and also acts via hormonal mechanisms to aid weight loss. This mimics the laparoscopic sleeve gastrectomy procedure, and is recommended based on patient’s BMI and choice.
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