To the Editor : Endoscopic sleeve gastroplasty (ESG) is a recently developed incisionless transoral gastroscopic bariatric procedure that can shrink the gastric cavity into a tubular structure similar to the… Click to show full abstract
To the Editor : Endoscopic sleeve gastroplasty (ESG) is a recently developed incisionless transoral gastroscopic bariatric procedure that can shrink the gastric cavity into a tubular structure similar to the capacity of surgical sleeve gastrectomy by means of endoscopic full-thickness sutures. Clinical practice has proven its safety, durability, minimal invasiveness, and long-term weight loss effects, which are close to those of bariatric surgery. [1] The ESG procedure requires the OverStitch system (Apollo Endo-surgery, Austin, TX, USA), a commercially available endoscopic suturing device for full-thickness sutures in the stomach to reduce the length and width of the stomach; however, the operation may be relatively complicated, affecting the promotion of the procedure.
               
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