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3D Endoscopic Sleeve

3D Endoscopic Sleeve - Endoscopy Stomach Reduction

Endoscopic Sleeve - Stomach Reduction by Endoscopy

The Endoscopic Sleeve is a stomach reduction procedure performed by endoscopy (orally) for the treatment of obesity. There are several methods of reducing the stomach by endoscopy. All procedures are carried out with 3D technology and we are the first center in Portugal to make this technology available.



The procedure is performed in an operating room under general anesthesia and lasts an average of 45 to 90 minutes, with a 24-hour hospital stay.


The technique is performed using an endoscopic suture device with the support of an endoscope, which, through the camera, allows observing the interior of the stomach and performing the sutures. Sutures change the shape of the stomach, reducing its volume by 70%. See video of the procedure.




This reduction in stomach volume allows a reduction in the amount de ingested food and consequent early satiety, thus allowing weight loss.

The recommended recovery time after the procedure is 3 to 5 days.




With the endoscopic sleeve, an average of 60% of excess weight is lost. The amount of weight lost will depend on the initial weight, with a loss of 20% of body weight being expected.

However, it is very important to note that without a change in eating habits, there may be less weight loss or recovery over the years.


Advantages over Bariatric Surgery


Because it is a technique performed by endoscopy, it is minimally invasive with a lower risk of complications and has a shorter recovery time after the procedure.

It is a long-lasting procedure, however it can be reversible if desired and has a lower cost compared to bariatric surgeries.

In a study that compared the endoscopic sleeve with the surgical sleeve, it showed similar results in patients with a BMI of 35-40, being a good alternative to bariatric surgery with less risk and costs.


Change from Food Habits


The endoscopic sleeve, like any type of weight loss bariatric treatment, requires a commitment to a healthier lifestyle.

After the procedure, continuous monitoring by a nutritionist is essential for food reeducation to occur in order to ensure the long-term success of the endoscopic sleeve.




To evaluate the possible performance of the endoscopic sleeve, an evaluation consultation is necessary to analyze whether or not the procedure is recommended for you.


The procedure can be performed on people whose Body Mass Index (BMI) is greater than 30 who have not been successful in losing and maintaining weight with other methods.

Endoscopic Sleeve - Stomach Reduction
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