Quoting from RSCM Kencana’s live Instagram regarding “Endoscopic Treatment for Obesity” moderated by Dr. Saskia Aziza and Dr. Hasan Maulahela as speaker. Endoscopic Bariatric is an alternative procedure for treating obesity with endoscopy without surgery. Endoscopic bariatric therapy is divided into two methods, namely reducing the volume of space in the stomach by placing a gastric balloon in the stomach (Intragastric Balloon) and reducing the size of the stomach (Endoscopic Sleeve Gastroplasty (ESG)).

Intragastric balloon
The concept of installing a gastric balloon is to reduce the space in the stomach so that the volume of food will be reduced. In addition, the presence of a balloon in the stomach will cause slower gastric emptying (gastroparesis). The goal is to cause a feeling of fullness quickly. The gastric balloon installation is done with an endoscope.

Endoscopic Sleeve Gastroplasty (ESG)
The ESG procedure is performed by sewing the stomach wall to reduce the volume of the stomach so that the anatomical shape of the stomach will be reduced. When compared to the gastric balloon, the ESG weight loss effect will last longer.

Preparations before performing an endoscopic bariatric procedure
Before the endoscopic bariatric procedure is performed, the doctor first confirms the disease conditions in the patient and checks the condition of the stomach for any contraindications such as wounds or tumors, or lumps. Then, drugs will be given to improve the condition of the stomach to the optimum.

Even though the patient has had an endoscopic bariatric, the patient has to maintain a healthy lifestyle, pay attention to food intake, and exercise regularly.

Source: Mengenal Penanganan Endoskopik untuk Obesitas. Live Instagram RSCM Kencana. Retrieved on August 10, 2023. From: https://www.instagram.com/reel/Cvv9txRA-23/?igshid=NjIwNzIyMDk2Mg==

Image source: Getty Images