THREE-DIMENSIONAL (3D) ENDOSCOPIC SLEEVE GASTROPLASTY: SINGLE CENTER CASE SERIES

Aims To evaluate the use 3D endoscopic visualization system to perform endoscopic sleeve gastroplasty

Methods Patients consecutively operated from September to November 2021 with a 3D-HD endoscopic visualization system (MDTK MonoStereo​; Taiwan) were prospectively collected. Patients' demographic data, preoperative anthropometrics data; operative time, number of sutures made, intraoperative and postoperative complications, and follow-up data were prospectively recorded and retrospectively reviewed. Additionally, a questionnaire was completed by the endoscopist evaluating the subjective impression of visualization and handling

Results Seven patients (age 27 to 52 years old, 3 male) underwent endoscopic sleeve gastroplasty using 3D-HD endoscopic visualization system. Mean preoperative body mass index was 33kg/m2, mean operative time was 52 minutes with a mean of 5 sutures (4–7) used. No 30-day complications were reported and patients lost 8% total body weight loss after 1 month. The endoscopist reported better visualization, better depth perception and no nausea with the 3D visualization system.

Conclusions 3D-HD endoscopic visualization system seems to provide potential advantages in endoscopic sleeve gastroplasty. This initial experience is promising but must be confirmed by larger series.

Publication History

Article published online:
14 April 2022