Z Gastroenterol 2017; 55(08): e57-e299
DOI: 10.1055/s-0037-1605188
Kurzvorträge
Stoffwechsel, Ernährung und gastroenterologische Endokrinologie
Stoffwechsel, Ernährung und gastroenterologische Endokrinologie: Donnerstag, 14 September 2017, 08:00 – 09:36, Rotterdam/Forschungsforum 2
Georg Thieme Verlag KG Stuttgart · New York

BMI 100 and superobese high-risk patients: our experience with Apollo Endosleeve for high risk superobese patients and bridging to surgery (Video)

R Zorron
1   Charité – Universitätsmedizin Berlin, Zentrum für Innovative Chirurgie, Zentrum für Adipositas und Metabolische Chirurgie, Chirurgische Klinik, Campus Virchow-Klinikum (CVK), Campus Charité Mitte (CCM), Berlin, Deutschland
,
J Schulte-Mäter
1   Charité – Universitätsmedizin Berlin, Zentrum für Innovative Chirurgie, Zentrum für Adipositas und Metabolische Chirurgie, Chirurgische Klinik, Campus Virchow-Klinikum (CVK), Campus Charité Mitte (CCM), Berlin, Deutschland
,
W Veltzke-Schlieker
2   Charité – Universitätsmedizin Berlin, Endoscopy Division Interdisciplinary Endoscopy, Department for Hepatology and Gastroenterology, Berlin, Deutschland
,
A Adler
2   Charité – Universitätsmedizin Berlin, Endoscopy Division Interdisciplinary Endoscopy, Department for Hepatology and Gastroenterology, Berlin, Deutschland
,
C Benzing
1   Charité – Universitätsmedizin Berlin, Zentrum für Innovative Chirurgie, Zentrum für Adipositas und Metabolische Chirurgie, Chirurgische Klinik, Campus Virchow-Klinikum (CVK), Campus Charité Mitte (CCM), Berlin, Deutschland
,
F Krenzien
1   Charité – Universitätsmedizin Berlin, Zentrum für Innovative Chirurgie, Zentrum für Adipositas und Metabolische Chirurgie, Chirurgische Klinik, Campus Virchow-Klinikum (CVK), Campus Charité Mitte (CCM), Berlin, Deutschland
,
J Pratschke
1   Charité – Universitätsmedizin Berlin, Zentrum für Innovative Chirurgie, Zentrum für Adipositas und Metabolische Chirurgie, Chirurgische Klinik, Campus Virchow-Klinikum (CVK), Campus Charité Mitte (CCM), Berlin, Deutschland
› Author Affiliations
Further Information

Publication History

Publication Date:
02 August 2017 (online)

Also available ateRef
 

Einleitung:

Bariatric surgery is the most effective therapy for morbid obesity. New endoscopic methods can improve the results after RYGB and sleeve gastrectomy, reducing the gastric tube or pouch and GE anastomosis, potentially reversing the typical plateau after surgery. Besides, primary obesity surgery can be currently performed by Endoscopic Sleeve Gastroplasty, mimicking the effects of sleeve gastrectomy, but without resection.

Ziele:

Special technique and detail variations for this technique when applied for Super-superobese patients are discussed.

Methodik:

The video presents primary endoscopic sleeve gastroplasty using the full-thickness suturing device Apollo Overstich for superobese patients with BMI 72 to 100, high risk and impenetrable abdomen patients. Technical steps included: 1. Diagnostic endoscopy. 2. Insertion of the Overtube. 3. Progressive full-thickness suturing of the greater curvature from antrum to fundic with Apollo Overstich. The patients were followed and documented regarding complications, weight loss and co-morbidities.

Ergebnisse:

12 patients were submitted to the procedure without intraoperative complications. All selected patients were ASA III classified, due to cardiopulmonary high-risk, or liver/renal transplant candidates. Mean operative time for EndoSleeve was 87 min. Mean preoperative BMI was 54 kg/m2, Highest BMI was 100, highest body weight was 310 kg. Follow-up showed satisfactory weight loss with no weight regain after 6 months.

Schlussfolgerung:

Endoscopic therapy with Apollo Overstich for inoperable high risk parients or as a 2-stage procedure is a new non-invasive procedure with satisfactory early results.