Anatomical Configuration of the Stomach Post-Endoscopic Sleeve Gastroplasty (ESG)—What Are the Sutures Doing?

Thomas M. Runge, Juliana Yang, Lea Fayad, Mohamad I. Itani, Margo Dunlap, Kristen Koller, Gerard E. Mullin, Cem Simsek, Dilhana Badurdeen, Anthony N. Kalloo, Mouen A. Khashab, Vivek Kumhbari

Research output: Contribution to journalArticlepeer-review


Introduction and Aim: Endoscopic sleeve gastroplasty (ESG) is a procedure in which endoscopically placed sutures involute the stomach and promote weight loss. There is limited data on the durability of these sutures. Patients and Methods: This was a single center series of 5 patients who underwent ESG performed by a single endoscopist. Patients underwent repeat endoscopy for different clinical indications. Results: ESGs were successfully reversed at 3 weeks and 1 month following index ESG without significant fibrosis or scaring. At 8 and 14 months, a few sutures had dehisced though there were extensive areas of fibrosis. By 2 years, most of the sutures had dehisced; however, the gastric volume remained reduced. Conclusion: This case series offers an intriguing evaluation of the anatomical changes induced by ESG.

Original languageEnglish (US)
Pages (from-to)2056-2060
Number of pages5
JournalObesity Surgery
Issue number5
StatePublished - May 1 2020
Externally publishedYes


  • Bariatric endoscopy
  • Endoscopic sleeve gastroplasty
  • Endoscopic suturing
  • Endoscopically placed sutures

ASJC Scopus subject areas

  • Surgery
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics


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