November 16, 2023

POSE Endoscopic Sleeve Gastroplasty in the Treatment of Obesity 

Are you struggling with obesity and looking for a less invasive weight loss solution? The POSE (Primary Obesity Surgery, Endoluminal) endoscopic sleeve gastroplasty might be the answer you’ve been searching for. In this detailed guide, we’ll explore the technique, success rates, differences from traditional bariatric surgery, and long-term results of POSE. Let’s dive in.

Obesity is a growing concern worldwide, with nearly 2 billion adults being overweight or obese¹. Obesity is a complex disease that can lead to various health problems such as diabetes, heart disease, and stroke. It can also cause psychological distress and social stigma. While lifestyle changes such as diet and exercise are the first line of treatment for obesity, they may not be effective for everyone. In such cases, bariatric surgery is an option. However, bariatric surgery is invasive and carries risks. Endoscopic sleeve gastroplasty (ESG) is a newer, less invasive procedure that has shown promising results in treating obesity.

Understanding POSE Endoscopic Sleeve Gastroplasty

POSE is a minimally invasive procedure designed to help individuals achieve weight loss without undergoing traditional bariatric surgery. Unlike gastric sleeve surgery, POSE is performed endoscopically, meaning it involves no external incisions.

What is POSE endoscopic sleeve gastroplasty?

POSE endoscopic sleeve gastroplasty is a type of ESG that uses a device called the Pose system. The Pose system is a set of specialized tools that are used to create a sleeve-like structure inside the stomach. The procedure is performed under general anesthesia and takes about 90 minutes to complete. During the procedure, a flexible endoscope is inserted through the mouth and into the stomach. The Pose system is then used to grasp and fold the stomach tissue, creating a sleeve-like structure. The folds are then sutured together to create a smaller stomach volume. The procedure is minimally invasive and does not require any incisions.

POSE endoscopic sleeve gastroplasty

How does POSE endoscopic sleeve gastroplasty work?

POSE endoscopic sleeve gastroplasty works by reducing the size of the stomach. By creating a smaller stomach volume, the amount of food that can be eaten before feeling full is reduced. This leads to a decrease in calorie intake and subsequent weight loss. The procedure also alters the hormones that regulate appetite, leading to a decrease in hunger and an increase in satiety.

How much weight do you lose with endoscopic sleeve gastroplasty?

The amount of weight loss varies from person to person and depends on several factors such as age, sex, initial weight, and adherence to diet and exercise. However, studies have shown that people can lose up to 20-25% of their excess weight within the first year after the procedure⁴. A research review including data on 1,542 people found that people had lost 31%, 44%, 53%, and 59% of their excess weight at 1, 3, 6, and 12 months after the procedure, respectively⁶.

Is the endoscopic sleeve gastroplasty painful?

The procedure is performed under general anesthesia, so you will not feel any pain during the procedure. After the procedure, you may experience some discomfort, nausea, and vomiting. However, these symptoms usually resolve within a few days.

Success Rates and Long-Term Results

Research suggests that POSE can yield significant weight loss results. Studies have shown that patients can experience substantial weight loss in the months following the procedure. However, individual results may vary, and it’s crucial to adopt a healthy lifestyle to maintain the weight loss over the long term.

Is endoscopic sleeve gastroplasty worth it?

Endoscopic sleeve gastroplasty is a safe and effective procedure for weight loss. It is less invasive than traditional bariatric surgery and has a lower risk of complications. The procedure is also reversible, which means that the stomach can be returned to its original size if necessary. However, like any medical procedure, there are risks involved. It is important to discuss the risks and benefits of the procedure with your doctor to determine if it is right for you.

What are the disadvantages of endoscopic sleeve gastroplasty?

Endoscopic sleeve gastroplasty is a relatively new procedure, and long-term data on its safety and efficacy are limited. The procedure is also not covered by all insurance plans, and the out-of-pocket cost can be high. Additionally, the procedure may not be suitable for people with certain medical conditions such as bleeding disorders, esophageal varices, or previous gastric surgery.

Endoscopic Sleeve Gastroplasty Complications and Side Effects

Like any medical procedure, endoscopic sleeve gastroplasty carries risks. The most common side effects include nausea, vomiting, and abdominal pain. Other potential complications include bleeding, infection, perforation, and gastric obstruction. However, the risk of complications is low, and most people recover without any problems.

Differences from Bariatric Surgery

POSE distinguishes itself from traditional bariatric surgeries, such as gastric sleeve or gastric bypass, by being less invasive. With no external incisions, patients typically experience a shorter recovery period and reduced risk of complications.

Is ESG better than gastric sleeve?

Endoscopic sleeve gastroplasty is a newer, less invasive procedure than gastric sleeve surgery. Both procedures are effective for weight loss, but ESG has a lower risk of complications and a shorter recovery time. ESG is also reversible, which means that the stomach can be returned to its original size if necessary. However, gastric sleeve surgery is more effective for weight loss and has a longer track record of safety and efficacy.

How long does endoscopic sleeve gastroplasty last?

Endoscopic sleeve gastroplasty is a relatively new procedure, and long-term data on its durability are limited. However, studies have shown that the procedure can lead to significant weight loss that is sustained over time⁶. The procedure is also reversible, which means that the stomach can be returned to its original size if necessary.

How much does the endoscopic sleeve gastroplasty cost in UK?

The cost of endoscopic sleeve gastroplasty in the UK varies depending on the hospital and the surgeon. The procedure is not covered by all insurance plans. As Istanbul Bariatric Center, we offer very affordable and high quality endoscopic solutions including POSE in Istanbul, TURKEY. If you want to get more information please contact us.

Logistics of POSE Endoscopic Sleeve Gastroplasty:

1.  Duration of the Procedure: POSE is typically a shorter procedure compared to traditional bariatric surgeries, taking around 60 to 90 minutes.
2.  Cost in the UK: The cost of POSE in the UK can vary. It’s advisable to consult with healthcare providers for accurate pricing information.
3.  Weight Loss Speed: While weight loss varies among individuals, many patients experience significant results in the first few months following POSE.
4.  Qualifications for ESG: Eligibility for POSE depends on various factors, including BMI and overall health. A thorough evaluation by a healthcare professional is necessary.

FAQs About POSE Endoscopic Sleeve Gastroplasty:

1.  Usage in Post-Bariatric Weight Regain: POSE may be considered for weight regain after bariatric surgery, offering a less invasive option to address the issue.
2.  Pain and Discomfort: While individual experiences vary, many patients report less pain and discomfort compared to traditional surgeries.
3.  Is POSE Worth It? For those seeking a less invasive weight loss option, POSE can be a worthwhile choice, especially for individuals who may not qualify for or prefer to avoid traditional surgeries.
4.  Disadvantages and Complications: Like any medical procedure, POSE comes with potential risks. Complications may include infection, bleeding, or perforation. It’s essential to discuss these risks thoroughly with your healthcare provider.
5.  Comparison with Gastric Sleeve: POSE offers a less invasive alternative to gastric sleeve surgery, with potential benefits in terms of recovery and reduced complications.
6.  Long-Term Outcomes: Studies have indicated positive outcomes in the years following POSE, emphasizing the importance of lifestyle changes for sustained results.

Disclaimer: This article is for informational purposes only and should not be considered medical advice. Always consult with a qualified healthcare professional for personalized guidance.

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