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The initial results of endoscopic intraluminal gastroplasty in the treatment of patients with obesity

https://doi.org/10.31146/2415-7813-endo-68-1-8-13

Abstract

Purpose of the study. To present the initial results of endoscopic gastroplasty in the treatment of patients with obesity. Materials and Methods. Between April and November 2025, endoscopic gastroplasty was performed in 11 patients with obesity. The study group was predominantly female (9 out of 11 patients), with 2 males. The mean age was 41 years. The average body mass index was 42 kg/m2, and the mean excess body weight was 45 kg. In all cases, the most effective technique according to current data - the placement of “U-shaped” sutures - was used to evenly reduce gastric volume, with 8 to 10 stitches performed per procedure. Six patients received four U-shaped sutures, four patients received five sutures, and one patient received three sutures. Results. Technical success was achieved in all cases. The average length of hospital stay was four days. At the three-month follow-up, the mean weight loss was 18 kg, and the average percentage of excess weight loss reached 30%. Conclusion. Endoscopic intraluminal gastroplasty is a modern, minimally invasive technique for the treatment of obesity within bariatric surgery. According to the literature and our own observations, this technology is characterized by stable functional outcomes, a low complication rate, and a short postoperative period, enabling rapid recovery and return to normal activities without the need for prolonged rehabilitation.

About the Authors

Yu. G. Starkov
Vishnevsky National Medical Research Center of Surgery
Russian Federation


S. V. Dzhantukhanova
Vishnevsky National Medical Research Center of Surgery
Russian Federation


A. I. Vagapov
Vishnevsky National Medical Research Center of Surgery
Russian Federation


L. A. Velizade
Vishnevsky National Medical Research Center of Surgery
Russian Federation


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Review

For citations:


Starkov Yu.G., Dzhantukhanova S.V., Vagapov A.I., Velizade L.A. The initial results of endoscopic intraluminal gastroplasty in the treatment of patients with obesity. Filin’s Clinical endoscopy. 2026;68(1):8-13. (In Russ.) https://doi.org/10.31146/2415-7813-endo-68-1-8-13

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