Endoscopic sleeve gastroplasty using Apollo Overstitch as a bridging procedure for superobese and high risk patients

Abstract

In some cases, bariatric procedures cannot be performed via laparoscopic or open surgery because of surgical contraindications or high operative risk. Endoscopic sleeve gastroplasty (ESG) using an Overstitch (Apollo Endosurgery, Austin, Texas, USA) is a recently described procedure [1] [2] with good preliminary 1-year results in small series and low complication rates [3] [4] [5] for patients with a body mass index (BMI) ranging from 30 – 45 kg/m2. However, the routine use of ESG for superobese and high risk patients has not yet been described.