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Is endoscopic bariatric surgery safe?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am considering an endoscopic bariatric stomach surgery procedure for weight loss. It is called the accordion procedure, which has only been around for about five years. Do you think such a method done on a stomach is safe long-term? Thank you for your help. I appreciate it.

Answered by Dr. Ambalathu Veettil Hussain Shihaz

Education:

MD

Professional Bio:

Dr. Ambalathu Veettil Hussain Shihaz is a skilled Medical Gastroenterologist (General Medicine) with expertise in diagnosing and managing digestive disorders, liver diseases, acid reflux, IBD, and gastrointestinal infections. He is proficient in advanced endoscopic procedures and evidence-based treatment approaches. Known for his thorough evaluations and patient-focused care, Dr. Shihaz is committed to promoting long-term digestive health and overall well-being through personalized medical care.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I have gone through your query.

The Accordion procedure is an endoscopic sleeve gastroplasty. It has been around for some time; a few case series and related data are available. It is useful in helping in weight reduction up to 17-23 % weight loss in six months with not many serious long term adverse effects. A few people might end up gaining weight after 4-5 years (which is comparable to laparoscopic sleeve gastrectomy).

The safety data shows it is safer than laparoscopic sleeve gastrectomy in the short term. If you have further concerns, please do get in touch.

Patient's Query

Hi doctor,

Is it safe for long term?

Answered by Dr. Ambalathu Veettil Hussain Shihaz

Education:

MD

Professional Bio:

Dr. Ambalathu Veettil Hussain Shihaz is a skilled Medical Gastroenterologist (General Medicine) with expertise in diagnosing and managing digestive disorders, liver diseases, acid reflux, IBD, and gastrointestinal infections. He is proficient in advanced endoscopic procedures and evidence-based treatment approaches. Known for his thorough evaluations and patient-focused care, Dr. Shihaz is committed to promoting long-term digestive health and overall well-being through personalized medical care.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome back to icliniq.com.

I hope you would have already been appraised about how the procedure works in weight reduction.

It is oversewing the stomach mucosa to each other thus narrowing the lumen of the stomach and hence, restricting the ability to consume more significant portions of food leading to weight loss. It is relatively safe. But like all procedures in medical practice, it has its risk profile in the long term, of developing GERD (reflux symptoms), decreased acid production, early satiety, none of which are severe.

As everything in medical practice it is the balance of benefit versus risk, and in your case probably the benefit outweighs the risk (though I am not sure, what exactly was the reason why you have advised this procedure for weight reduction).

Medically reviewed by Dr. Hemalatha
Published At May 1, 2019
Reviewed At August 4, 2023

Education:

MD

Professional Bio:

Dr. Ambalathu Veettil Hussain Shihaz is a skilled Medical Gastroenterologist (General Medicine) with expertise in diagnosing and managing digestive disorders, liver diseases, acid reflux, IBD, and gastrointestinal infections. He is proficient in advanced endoscopic procedures and evidence-based treatment approaches. Known for his thorough evaluations and patient-focused care, Dr. Shihaz is committed to promoting long-term digestive health and overall well-being through personalized medical care.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Hemalatha is a dedicated Dental Surgeon with expertise in preventive, restorative, and cosmetic dental care. She is passionate about promoting oral health and creating personalized treatment plans to suit each patient’s needs. Her clinical approach emphasizes patient comfort, precision, and long-term dental wellness, ensuring a positive and reassuring experience for every individual under her care.

This doctor is not available for online consultations on the platform anymore.

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Education:

MD

Professional Bio:

Dr. Ambalathu Veettil Hussain Shihaz is a skilled Medical Gastroenterologist (General Medicine) with expertise in diagnosing and managing digestive disorders, liver diseases, acid reflux, IBD, and gastrointestinal infections. He is proficient in advanced endoscopic procedures and evidence-based treatment approaches. Known for his thorough evaluations and patient-focused care, Dr. Shihaz is committed to promoting long-term digestive health and overall well-being through personalized medical care.

This doctor is not available for online consultations on the platform anymore.

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