ArticleSurgical endoscopy2026
Conversion of endoscopic sleeve gastroplasty to bariatric surgery.
Article in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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14 authors.
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Abstract
backgroundEndoscopic sleeve gastroplasty (ESG) is increasingly utilized for treating obesity, but some patients may subsequently present for conversion to a surgical procedure. Foreign material or distorted anatomy may make conversion more challenging. The preoperative evaluation, intraoperative findings, and postoperative outcomes of converting ESG to bariatric surgery are not well described.
methodsBariatric surgery patients at a single center with history of ESG were identified by review of electronic medical records from 2016 to 2026. Background characteristics, preoperative imaging, endoscopic findings, intraoperative details, and outcomes were obtained by chart review. Intraoperative videos were obtained when possible.
resultsTwenty patients underwent conversion from ESG to laparoscopic sleeve gastrectomy (n = 11) or gastric bypass (n = 9) between 2021 and 2026. Prior ESG was performed at various centers locally and abroad. Mean pre-surgery BMI was 37.6 kg/m
conclusionIn our experience, sleeve gastrectomy and gastric bypass were both technically feasible and relatively straightforward to perform in patients with a history of ESG.
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