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3D Endoscopic Sleeve FAQ


What is Endoscopic Sleeve?

The Endoscopic Sleeve is a technique performed by endoscopy that reduces the size of the stomach by approximately 50-70%. After the procedure, the stomach is shaped like a sleeve, similar to a gastric sleeve (surgical sleeve gastrectomy).


What are the differences between the Endoscopic Sleeve and the Gastric Sleeve (Surgical Sleeve Gastrectomy)?

The main difference is that the Endoscopic Sleeve does not require external incisions or surgery. It is performed orally using an endoscopic suture system. This allows for faster recovery and adaptation. Although the Endoscopic Sleeve reduces the size of the stomach to a similar degree as the Gastric Sleeve, it does not require the removal of any portion of the stomach.


How many sutures are placed in the stomach?

On average, 4 to 5 sutures with 6-8 stitches each are placed along the greater curvature of the stomach. The exact number varies depending on the size and shape of the stomach.

What happens to sutures after healing?

Healing of sutures takes approximately 6 weeks. The sutures remain in the stomach wall to maintain the new shape of the sleeve (“sleeve”). However, in order to maintain the durability of the sutures and the shape of the stomach, it is very important to follow the medical and nutritional recommendations.

What are the most common side effects?

The most common side effects are nausea and abdominal pain. These are treated with anti-nausea medications and pain relievers. Approximately 1/3 of patients will experience these symptoms. Some patients may experience vomiting for the first few days.

Who can do this procedure?

Anyone who is obese and has not achieved their desired weight loss through diet and exercise. There is no specific weight or body mass index (BMI) required for the procedure, although most patients have a BMI between 30 and 40. However, the procedure can be performed on individuals with a higher BMI who are not interested in treatments. surgical.

Who cannot do this procedure?

The main contraindication to Sleeve Endoscopic is the presence of a gastric problem, such as gastric ulcer, stomach cancer or surgery that interferes with the ability to suture the stomach. Individuals with major health problems or bleeding disorders also have a contraindication.

How long is the procedure?

The procedure lasts approximately 60-90 minutes and is performed endoscopically under general anesthesia.

How much recovery time after the procedure?

The patient will remain hospitalized for 24 hours and it is recommended to rest for 2-3 days after the procedure to rest and recover.

How much weight can you lose?

Actual weight loss will vary based on initial weight and level of motivation and adherence to the recommendations of the medical team (gastroenterologist and nutritionist). Current studies suggest an average weight loss of 18-25% of total body weight and 60-70% of excess weight. In our experience, 2/3 to 75% of weight loss occurs in the first 3 months, being around 15 to 22% of total body weight.

Is the procedure permanent?

Studies indicate that weight loss after Endoscopic Sleeve is continuous although more pronounced in the first few months. The key lies in changing eating habits and lifestyle, as uncontrolled and excess food intake can lead to dilation of sutures and stomach and weight gain and/or treatment failure over time, as happens with any weight loss procedure. Strict adherence to medical and nutritional indications is essential to obtain lasting results.

Can the Endoscopic Sleeve compare to other endoscopic weight loss options like the Intragastric Balloon?

The intragastric balloon promotes weight loss through the space occupied in the stomach. These are 6-12 month treatments and are very helpful for anyone who needs help to lose 10-25kg. They are particularly useful for anyone who needs motivation and guidance to achieve weight loss. It is possible to maintain weight after balloon extraction if a healthy lifestyle is continued. The Endoscopic Sleeve is a long term weight loss solution. Results are proven to be more durable than intragastric balloons and therefore may be a better option for those who tend to regain weight after weight loss.


It is recommended to schedule an evaluation appointment to decide which option is most viable to achieve your goals.

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