Endoluminal bariatric techniques

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Presentation transcript:

Endoluminal bariatric techniques Sripathi R. Kethu, MD, Subbhas Banerjee, MD, Bradley A. Barth, MD, David J. Desilets, MD, Vivek Kaul, MD, Marcos C. Pedrosa, MD, Patrick R. Pfau, MD, Douglas K. Pleskow, MD, Jeffery L. Tokar, MD, Amy Wang, MD, Louis-Michel Wong Kee Song, MD, Sarah A. Rodriguez, MD Gastrointestinal Endoscopy Volume 76, Issue 1, Pages 1-7 (July 2012) DOI: 10.1016/j.gie.2012.02.020 Copyright © 2012 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 Large-capacity intragastric balloon after deployment. Balloon is filled with a mixture of saline solution and methylene blue. Gastrointestinal Endoscopy 2012 76, 1-7DOI: (10.1016/j.gie.2012.02.020) Copyright © 2012 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 2 A, Duodenojejunal bypass sleeve is deployed over a guidewire and anchored in the duodenum under direct visualization. B, The sleeve creates a barrier to absorption and also delays mixing of food with biliary and pancreatic secretions. Gastrointestinal Endoscopy 2012 76, 1-7DOI: (10.1016/j.gie.2012.02.020) Copyright © 2012 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 3 A, The TOGA device. A “sail septum” is used to keep the stomach in the desired position for the procedure. B, Gastric mucosa being suctioned into the TOGA device to create restrictive pouch. C, restrictive pouch. Gastrointestinal Endoscopy 2012 76, 1-7DOI: (10.1016/j.gie.2012.02.020) Copyright © 2012 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 4 A, The Trans-oral Endoscopic Restrictive Implant System (TERIS) device creates a small gastric pouch by means of multiple gastric plications using a specialized stapling device. B, Completed TERIS procedure with small restrictive gastric pouch. C, Inner view of the TERIS procedure showing restrictive diaphragm with 10-mm orifice. Gastrointestinal Endoscopy 2012 76, 1-7DOI: (10.1016/j.gie.2012.02.020) Copyright © 2012 American Society for Gastrointestinal Endoscopy Terms and Conditions