ENDOSCOPIC SLEEVE GASTROPLASTY - MINIMALLY INVASIVE THERAPY FOR PRIMARY OBESITY TREATMENT.
Less invasive and complex procedures have been developed to treat obesity. The successful use of Endoscopic Sleeve Gastroplasty using OverStitch(r) (Apollo Endosurgery, Austin, Texas, USA) has been reported in the literature.



Present technical details of the procedure and its surgical/ endoscopic preliminary outcome.



The device was used to perform plications along the greater curvature of the stomach, creating a tubulization similar to a sleeve gastrectomy.



A male patient with a BMI of 35.17 kg/m2 underwent the procedure, with successful achievement of four plications, and preservation of gastric fundus. The procedure was successfully performed in 50 minutes, time without bleeding or other complications. The patient presented mild abdominal pain and good acceptance of liquid diet.



The endoscopic gastroplasty procedure was safe, with acceptable technical viability, short in duration and without early complications.
Mário Covas State Hospital, Digestive Endoscopy Department, ABC School of Medicine, Santo André, SP.
Manoel Dos Passos
MD
Galvão-Neto
Mário Covas State Hospital, Digestive Endoscopy Department, ABC School of Medicine, Santo André, SP.
Eduardo
E
Grecco
Mário Covas State Hospital, Digestive Endoscopy Department, ABC School of Medicine, Santo André, SP.
Thiago Ferreira de
TF
Souza
Mário Covas State Hospital, Digestive Endoscopy Department, ABC School of Medicine, Santo André, SP.|Hospital das Clínicas, Federal University of Pernambuco, Recife, PE, Brazil.
Luiz Gustavo de
LG
Quadros
Hospital das Clínicas, Federal University of Pernambuco, Recife, PE, Brazil.
Lyz Bezerra
LB
Silva
Hospital das Clínicas, Federal University of Pernambuco, Recife, PE, Brazil.
Josemberg Marins
JM
Campos
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