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EndoSleeve: Endoscopic Weight-Loss Surgery

Bariatric Surgery

The UT MIST Center for Bariatric and Metabolic Surgery is on the leading edge of bariatric surgery, performing endoscopic weight-loss surgery (gastric bypass revision surgery) as well as EndoSleeve (endoscopic sleeve gastroplasty)—without creating a single incision. Instead, the surgeon carefully places a small, flexible endoscope tube through the mouth and into the stomach. Specially designed devices are threaded through the endoscope, enabling excellent visualization and suturing capabilities. The surgeon then carefully places stitches to reduce the size of the stomach pouch or its opening, performing the entire procedure from within the stomach.

Figure 1 - The EndoSleeve, technically known as endoscopic sleeve gastroplasty, is an incision-free weight-loss surgery method that makes the stomach opening or pouch smaller so patients feel full sooner. With less space to fill and without a driving hunger, patients eat less, lowering their weight via reduced calorie intake. For this procedure, which is ideal for patients looking to lose 30 to 50 pounds, the doctor places all of the sutures internally, working through an endoscope fed into the stomach through the mouth. The lack of incisions reduces risk of infection and other related complications. UT MIST aims to stay at the forefront of weight-loss surgeries that safely and effectively benefit patients.

Endoscopic weight-loss surgery helps patients who are 30 to 50 pounds overweight to lose weight. These procedures reduce the size of their stomach or the outlet into their stomach so they eat slowly and feel full after consuming only a small amount of food. Because they eat less, they lose weight over time.

Only a select number of bariatric surgery practices in the country perform endoscopic weight-loss surgery. At UT MIST, we offer the most advanced techniques and technologies currently available, and our surgeons are highly trained in all areas of minimally invasive bariatric and gastrointestinal surgery. During your consultation, they will help you determine whether you are a good candidate for an incisionless procedure, and they will fully explain the benefits and potential risks. Certain patients may require a different bariatric procedure such as gastric bypass, adjustable gastric banding (LAP-BAND® System), sleeve gastrectomy surgery, or duodenal switch.

To find out if you're a good candidate for endoscopic weight loss surgery, phone our Houston office at (713) 892-5500, or request your consultation online.

What Is Endoscopic Gastric Sleeve and Gastric Bypass Revision at Houston UT MIST?

Many people who have had weight-loss surgery enjoy active, healthy lives. Some, however, experience weight gain for a variety of reasons. Sometimes the small stomach pouch or outlet created during a gastric bypass or gastric sleeve procedure stretches over time, so patients must eat more in order to feel full. At UT MIST, we offer an incision-free solution to this problem, called endoscopic gastric suturing. During this revision procedure (to correct a prior surgery), the surgeon carefully places a small, flexible endoscope through the mouth and into the area of the stomach where the opening has stretched. Your surgeon then uses specially designed tools to place stitches in the stretched opening, reducing it to its original, post-operative size.

A similar primary (first-time) procedure is called the EndoSleeve, or endoscopic sleeve gastroplasty. This endoscopic weight loss procedure enables the surgeon to reduce the size of the stomach entirely through an endoscope in the stomach. The surgeon carefully places a series of stitches along the greater curve of the stomach and then pulls the stitches taut. This creates a smaller, sleeve-shaped stomach, which enables patients to feel full after eating small amounts of food. In both types of endoscopic weight loss surgery, revision or primary, the goal is to reduce the size of the stomach and/or stomach opening so patients eat less and lose weight as a result.

Benefits of Incision-Free Bariatric Surgery

Most of our patients who elect to have endoscopic weight loss surgery do so because they understand its potential advantages over more traditional bariatric procedures:

  • Lowered risk of infection
  • Shorter hospital stay, or none at all
  • Reduced post-operative pain
  • No visible scars
  • Faster recovery times

Like our other bariatric procedures, endoscopic weight-loss surgery will help you lose weight by eating less, but this is only one component of your successful long-term weight loss. In order to maintain your weight, you will need to make important lifestyle changes, including eating well, exercising regularly, and managing stress.

The benefits of taking control of your health and your life are undeniable, but most people are not sure where to start. The surgeons and staff at MIST are here to guide you through this life altering process and ultimately help you to achieve your weight loss goals.

Recovery from Endoscopic Surgery

Following endoscopic weight-loss surgery, most of our Houston patients are able to return home the same day of surgery, and they resume their normal activities within 48 hours.

For endoscopic gastric bypass or gastric sleeve revision, patients are advised to follow the same diet and exercise regimen they did after their initial weight loss surgery.

Side Effects of Incisionless Bariatric Surgery

Following incisionless primary or revision procedures, most of our patients feel little or no discomfort. Side effects are typically minor and may include nausea, sore throat, gas pains in the abdomen, swollen tongue or lips, and mouth discomfort from the endoscope's insertion into the mouth.

UT MIST's minimally invasive weight loss procedures help obese or overweight patients lose weight and regain their health and wellness. If you would like more information about how you can get started, request a consultation online, or call our office at (713) 892-5500.

Meet the Physicians
of UT MIST Center for Bariatric and Metabolic Surgery and UT COMMP!

The UT MIST/UT COMMP team includes board-certified surgeons and obesity medicine specialists who are among the most highly trained in the country. They offer the most advanced minimally invasive technologies and techniques available for weight loss surgery, and will work with you to provide the best possible care.