Traditionally weight loss procedures have many risks. Some of them are: Internal bleeding, Severe acid reflux, Gallstones, Hernia, perforation of stomach/intestine among others.

An endoscopic minimally invasive weight loss procedure, where-in a suturing device (FDA approved) is used to reduce the volume of the stomach by up to 80% depending on case to case. This is a new age technique where stiches to the stomach wall are done endoscopically without the need of a conventional surgery.

Reduction of up to 80% of stomach capacity from its original volume is done non surgically. In doing so, the shape of the stomach represents a banana. It has no serious complication and is a day care procedure.

• As the stomach volume is reduced by 80%, it automatically helps in reducing consumption of calories.
• Helps in eating less and feeling satiated early
• The patient feels fuller for long period as there is delayed emptying of the food.
• since there is no removal of stomach (as is the case in surgical removal of stomach), there are no surgical risks, no major complications like stomach volvulus on remaining stomach, no high risk of acid reflux traditionally associated with post-surgical sleeve procedures.

• Anyone who is overweight and has a BMI above 28.
• Patients who have tried out diet and exercise to lose weight but haven’t seen results.
• Patient who are averse to get a surgical option done and prefer minimally invasive procedures.

Like other weight loss procedures, endoscopic sleeve gastroplasty helps in improving a lot of other conditions which are tradionally associated with Obesity like: Heart diseases, Diabeties, Fatty Liver, Sleep Apnoea, Arthritis and stroke among others.

As explained earlier, since endoscopic sleeve gastroplasty involves non-surgical approach of using an endoscope to reduce stomach, it has many advantages. Notable among those are:

• Less pain.
• Lesser risk of infections.
• Safer technique as it is minimally invasive.
• No presence of external scars.
• Very short stay in hospital
• Faster recovery for going back to normal life

Since endoscopic sleeve gastroplasty involves non-surgical approach, the risks are lesser. Some of the common conditions associated are: Nausea, slight abdominal pain for a day or so, bleeding after procedure. All these are controlled by medications.

Unlike surgical weight loss procedures, it can be reversed as it involves removal of stiches.

This type of procedure creates a barrier between food and the mucosal lining thus avoiding absorption of food in the proximal small intestine.

This procedure which mimics the excluded biliopancreatic limb of a Roux-en-Y gastric bypass (RYGB).

Due to advances in the Technical skills of Endoscopy, and vast overseas experience, Dr P. Chandra Sekhar FRCP Edin, MRCP Gastro UK, MRCP(Oxford) MBBS, able to deliver very advanced minimally invasive attractive alternative techniques to address the management of Obesity in the Bariatric world.

• BMI >28 and unable to manage to lose weight either by Diet or Exercise.

• Uncontrolled Diabetic Patients.

The procedure does not involve any major alterations in the anatomy or surgeries, it creates a barrier between food and small bowel lining, so the absorption is avoided, thus controlling the variations in the absorption.

The procedure is reversible at any time, generally the liner is removed after 12 months.

They reported a 19.9% ± 1.8% reduction of total body weight loss and the EWL was 47.0% ± 4.4%

Good Blood sugar control, patient does not need to use the Diabetic medication.