SciELO - Scientific Electronic Library Online

vol.108 issue4Endoscopic incision for the treatment of refractory esophageal anastomotic strictures: outcomes of 13 cases with a minimum follow-up of 12 monthsProton-pump inhibitors adverse effects: a review of the evidence and position statement by the Sociedad Española de Patología Digestiva author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google


Revista Española de Enfermedades Digestivas

Print version ISSN 1130-0108


LOPEZ-NAVA-BREVIERE, Gontrand; BAUTISTA-CASTANO, Inmaculada; FERNANDEZ-CORBELLE, Juan Pedro  and  TRELL, Marta. Endoscopic sleeve gastroplasty (the Apollo method): a new approach to obesity management. Rev. esp. enferm. dig. [online]. 2016, vol.108, n.4, pp.201-206. ISSN 1130-0108.

Background: Many obese patients cannot lose weight or reject conventional obesity management. Endoscopic sleeve gastroplasty (the Apollo method) is a pioneering coadjuvant, interventionist technique for the integral management of obesity. Objectives: The goals of this study were to report safety and efficacy results obtained at 6 months in patients undergoing endoscopic sleeve gastroplasty. Material and methods: A prospective study was performed in 55 patients (13 males, 42 females) who were subjected to the Apollo technique; mean age was 43.5 years (range 25-60) and mean BMI was 37.7 kg/m2 (range 30-48). All received multidisciplinary follow-up for weight loss. Weight changes and presence of complications were assessed. Through the endoscope a triangular pattern suture is performed consisting of approximately 3-6 transmural (mucosa to serosa) stitches, using a cinch device to bring them nearer and form a plication. Results: A total of 6-8 plications are used to provide a tubular or sleeve-shaped restriction to the gastric cavity. No major complications developed and patients were discharged at 24 hours following the procedure. Endoscopic and radiographic follow-up at 6 months post-procedure showed a well preserved tubular form to the stomach. After 6 months patients had lost 18.9 kg and 55.3% of excess weight. Conclusions: Endoscopic sleeve gastroplasty, together with dietary and psycho-behavioral changes, is a safe, effective technique in the coadjuvant management of obese patients.

Keywords : Endoscopic sleeve gastroplasty; Obesity management; Bariatric endoscopy.

        · abstract in Spanish     · text in English | Spanish     · English ( pdf ) | Spanish ( pdf )