Endoscopic Obesity Management

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The most common side effect of endoscopic obesity management is nausea. This can usually be controlled with oral medications. Usually, patients are discharged on the same day as the procedure and can return to work in a few days. If you’re wondering if an endoscopic procedure is right for you, contact the GI specialists at GI Alliance to schedule a consultation.

Endoscopic management of obesity involves accessing the stomach and intestines through the mouth to perform bariatric procedures. This is done by using an endoscope which is a flexible tube that has a camera, light source, and several channels through which special instruments can be passed.

Endoscopic procedures have significant advantages over traditional bariatric surgery:

  • No external skin incisions
  • Less blood loss
  • Less risk of complications
  • Less pain after surgery
  • Possible discharge on the same day

To learn more about the endoscopic treatments available to you, schedule an appointment with a gastrointestinal specialist at GI Alliance.

The different endoscopic treatment modalities include:

Intra-Gastric Balloon: The balloon is inserted endoscopically into the stomach and it is then filled with normal saline/methylene blue solution. This creates a sense of fullness. The balloon is used for a period of 6 months after which it must be removed.

Transpyloric Shuttle: It is a large spherical bulb connected to a smaller cylindrical bulb by a flexible catheter. It is composed of silicone and causes satiety by producing intermittent obstruction.

Transoral Gastroplasty: A part of the stomach is stapled or stitched endoscopically to reduce the capacity to hold food.

Transoral Endoscopic Restrictive Implant System: An implant is introduced into the stomach via an endoscope that has a narrow channel for food passage, creating a restrictive pouch.

Part of the intestine is bypassed using an endoscopically placed liner which reduces food absorption. It also prevents the action of biliary and pancreatic enzymes that help with digestion. Certain implants can also be used to delay the passage of food through the duodenum, causing malabsorption.

Endoscopic intragastric botulinum toxin injections may be used to delay gastric emptying and reduce hunger pangs. Another approach is the use of gastric electrical stimulation which has been shown to reduce gastric accommodation, delay gastric emptying, and increase intestinal transit, causing weight loss.

A gastrostomy tube is placed endoscopically to aspirate stomach contents a short time after a meal.

To learn more about the different types of endoscopic obesity management available to you by scheduling an appointment at GI Alliance with your GI specialists.

Some common treatment options include the following:

Aspire weight loss: AspireAssist® (AA) is a nonsurgical solution that can be reversed. It involves tube placement into your stomach wall into your abdomen, allowing for food contents in your stomach to be aspirated.

Gastric sleeve surgery: This laparoscopic surgery places small incisions in the upper abdomen. A majority of the left part of the stomach is removed, leaving the remaining stomach as a narrow tube (called a sleeve). The food you eat then empties into the bottom of the stomach in the small intestine as it did before the surgery.

Obalon™ Balloon Procedure: Gastric balloons are inflated inside of the stomach, causing the feeling of fullness after eating a smaller amount of food.

Orbera® Managed Weight Loss System: The Orbera system involves a gastric balloon placed for six months. A thin, soft balloon is placed down your throat into your stomach. The balloon is then filled with saline until it is around the size of a grapefruit. This procedure can take around 20 to 30 minutes.

Schedule an appointment with the experienced gastrointestinal physicians at GI Alliance for additional information.

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From the moment I walked in the door at 7:30 a.m. to the time I left to go home, I had a 5-star experience with Dr. Seetharam and his team. My first interaction at the Endoscopy Center was with the two receptionists, both of whom were warm and welcoming. They both put my anxiety at ease with their smiles. Next up was the team that took my vitals and inserted my IV. Again a terrific experience - both of these team members were very personable and any fears I had dissipated right away. The team inside the Endoscopy Room similarly displayed the same level of warmth and compassion as the team members that I previously interacted with - it is clear that all team members at the Center receive the highest level of patient care training. My last (but not least!) interaction was with Dr. Seetharam. He has one of the best bedside manners of any doctors I have ever interacted with. Again, like his other team members, he exudes warmth and compassion. Thank you to the Scottsdale Endoscopy Center for a 5-Star Experience!

L.H. Google

Dr Vinson is a great doctor. He actually listens so he can provide the solution

K.G. Google

I really liked Dr. Piesman and I am glad that I was referred to him by another doctor. Dr. Piesman got my endoscopy done before I left town on a trip. The thing I liked the best was that he respected my thoughts on my health, even if he may not have agreed. My only complaint was that I felt rushed in my initial appointment and forgot a few other things I wanted to tell him. Other than that, I am very satisfied and look forward to discussing other aspects of my health with him.

J.H. Google

I have been a patient of Dr. Rau's for many years. She is the ABSOLUTE BEST!!!! She is always concerned and NEVER rushes you through your appointment. She listens and caringly gives you her advice. I recommend her to the world! Just love her! Her staff is very friendly also!

M.M. Google


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