{"title":"Endoscopic sleeve gastroplasty – Current status and future perspectives","authors":"Stephen Ka-Kei Ng, Anthony Yuen-Bun Teoh","doi":"10.1111/den.14994","DOIUrl":null,"url":null,"abstract":"<p>Obesity is a worldwide epidemic and present significant health-care burdens for individuals and health-care systems. Bariatric endoscopy is an evolving field known for benefits including being minimally invasive, reversible, and organ preserving, providing a promising alternative to traditional bariatric surgery. Various endoscopic procedures targeting on the stomach and small bowel have been developed. Amongst all, endoscopic sleeve gastroplasty (ESG) is shown to be more effective, durable, and safe. It utilizes endoscopic suturing device to perform full-thickness plication of gastric wall, thereby restricting stomach volume and altering gastric mobility to induce satiety. Its application was recently addressed by the National Institute for Health Care Excellence (NICE), the American Society for Gastrointestinal Endoscopy (ASGE), the European Society for Gastrointestinal Endoscopy (ESGE), the International Federation for the Surgery of Obesity and Metabolic Diseases (IFSO) and the World Gastroenterology Organization (WGO). This review aims to provide a comprehensive summary of ESG and discusses potential future developments.</p>","PeriodicalId":159,"journal":{"name":"Digestive Endoscopy","volume":"37 6","pages":"601-610"},"PeriodicalIF":5.0000,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/den.14994","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Digestive Endoscopy","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/den.14994","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"GASTROENTEROLOGY & HEPATOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Obesity is a worldwide epidemic and present significant health-care burdens for individuals and health-care systems. Bariatric endoscopy is an evolving field known for benefits including being minimally invasive, reversible, and organ preserving, providing a promising alternative to traditional bariatric surgery. Various endoscopic procedures targeting on the stomach and small bowel have been developed. Amongst all, endoscopic sleeve gastroplasty (ESG) is shown to be more effective, durable, and safe. It utilizes endoscopic suturing device to perform full-thickness plication of gastric wall, thereby restricting stomach volume and altering gastric mobility to induce satiety. Its application was recently addressed by the National Institute for Health Care Excellence (NICE), the American Society for Gastrointestinal Endoscopy (ASGE), the European Society for Gastrointestinal Endoscopy (ESGE), the International Federation for the Surgery of Obesity and Metabolic Diseases (IFSO) and the World Gastroenterology Organization (WGO). This review aims to provide a comprehensive summary of ESG and discusses potential future developments.
期刊介绍：
Digestive Endoscopy (DEN) is the official journal of the Japan Gastroenterological Endoscopy Society, the Asian Pacific Society for Digestive Endoscopy and the World Endoscopy Organization. Digestive Endoscopy serves as a medium for presenting original articles that offer significant contributions to knowledge in the broad field of endoscopy. The Journal also includes Reviews, Original Articles, How I Do It, Case Reports (only of exceptional interest and novelty are accepted), Letters, Techniques and Images, abstracts and news items that may be of interest to endoscopists.
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