Procedure

Endoscopic Bariatric Surgery- Bariatric Surgery

What is Endoscopic Bariatric Surgery?

Like other bariatric procedures such as Roux-en-Y gastric bypass or sleeve gastrectomy and gastric banding, endoscopic methods diminish the volume of the stomach or potentially adjust some portion of the digestive tract to lessen the amount of calories that the body can absorb and digest.

In contrast to surgical choices, endoscopic bariatric procedures are performed using a small, flexible scope which is placed through the mouth. The methods are minimally invasive, lessening the risk for further complications.

Endoscopic bariatric treatment can be performed either as a first-line treatment for weight reduction or as a follow-up to past surgeries.

These endoscopic procedures are usually performed on an outpatient basis with patients having usual activities after the procedure.

Why Is Endoscopic Bariatric Surgery Required?

Adults having obesity or weight-related medical issues need alternatives for having long-term, significant weight reduction. Endoscopic bariatric treatment might be an amazing alternative for people who have chosen not to seek weight reduction surgery, and for individuals who had weight reduction surgery and are presently encountering side effects or weight gain.

Which Doctor to Consult?

Talk to a bariatric surgeon, gastro surgeon, gastroenterologist or general surgeon, who will explain to you about the procedure, the risks and after-care.

What to expect during the procedure?

At your first consultation, you will discuss with your doctor whether a weight reduction procedure is the right decision for you, and whether you are a good candidate for an endoscopic bariatric treatment. The doctor will likewise review any of the endoscopic methods with you in detail.

As part of the process, you will also meet with a nutritionist to know dietary prerequisites before and after the technique, and with a gastrointestinal psychologist to discuss changes to your lifestyle.

Endoscopic bariatric treatment is usually done as an optional or as corrective treatment to repair the side effects from past bariatric surgeries.

Post-operative care

After the surgical procedure, you may have liquids with no solid food, as your stomach and small intestines are recovering. You will then be advised to follow a diet that shifts from fluids to soft foods. After this, you can eat soft foods, and later on solid foods, if you are able to tolerate them.

Your doctor may recommend that you take vitamins and minerals after the procedure, including a multivitamin, calcium supplements and vitamin B12 tablets. These are important to avoid micronutrient deficiency.

You'll also have follow-up checkups to monitor your condition in the first few months after the procedure. You may require laboratory testing, and other tests.

Complications

Complications may include bleeding, infections, breathing issues and others. It is best that you talk about the complications with your doctor so that you can prepare well for your procedure.

References

  • UofHealth. https://www.uofmhealth.org/conditions-treatments/digestive-and-liver-health/endoscopic-bariatric-weight-management. Accessed January 17, 2019.
  • Endoscopic bariatric therapies. Asge.org. https://www.asge.org/docs/default-source/education/Technology_Reviews/doc-endoscopic_bariatric_therapies.pdf. Published 2019. Accessed January 25, 2019.

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