Apollo Endoscopic Sleeve Gastroplasty

Apollo Endoscopic Sleeve Operation Details Istanbul Turkey


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As a result of the intense work life brought by modern life and the changes in eating habits, the number of people who have overweight problems, regardless of men and women, is increasing. As a result of the increase in the weight of individuals, the increase in diseases such as diabetes, hypertension, and vascular disease causes the quality of life to be adversely affected. For this reason, one of the most popular questions sought to be answered in modern societies has become what to do to get rid of excess weight.

Making the necessary lifestyle changes is the basis for individuals to lose their excess weight and keep it stable. In addition to lifestyle changes, weight loss can be achieved with different defined methods such as medications, endoscopic methods, and surgeries.

Endoscopic methods, the frequency of use of which has increased recently, are accepted as an ideal weight control alternative for patients who have various concerns about or who are not suitable for the application of bariatric surgical procedures. In recent years, very important developments have been experienced in endoscopic methods, and effective results have been obtained with different endoscopic methods.

The endoscopic method to be applied for the patient is determined by evaluating factors such as the amount of targeted weight loss, the patient’s eating habits, and whether there are co-morbidities due to excess weight.

A new endoscopic treatment, endoscopic sleeve gastroplasty is a method that provides effective results and has low side effects. Endoscopic sleeve gastroplasty is also performed as a non-surgical procedure, without the need for surgery, using an endoscopic suture device (Apollo Endosurgery) and the stomach size is reduced. 

Apollo endoscopic sleeve gastroplasty is a new and effective technique used for the treatment of mild and moderate obesity cases. In addition to the gastric balloon method, it is considered a promising method in the non-surgical treatment of obesity.

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    What is Apollo Endoscopic Sleeve Gastroplasty?

    The Apollo endoscopic sleeve gastroplasty procedure does not require surgery. It is administered orally by placing a full-thickness surgical suture on the stomach to make the stomach shrink. By entering the patient’s mouth with an endoscope, the stomach is sutured from the inside without making any incisions in the abdomen. Thanks to the stitches placed inside the stomach, the stomach volume is reduced, the amount of nutrition is limited, and significant weight loss can be achieved. Since the procedure is performed by endoscopy without any incision, the risk of complications is low, and the patient can return to their daily life quickly.

    As is the case with other weight loss procedures, the success of the Apollo endoscopic sleeve gastroplasty procedure basically depends on the patient’s adopting a healthy lifestyle. In order to achieve long-term success from the endoscopic sleeve gastroplasty procedure, the patient must make permanent and healthy changes in their diet and also make regular exercise a lifestyle habit.

    The main purpose of the endoscopic sleeve gastroplasty procedure is to assist the patient in the weight loss process. In addition, it is applied to potentially reduce health problems such as type-2 diabetes, high blood pressure, sleep apnea, osteoarthritis, heart disease, non-alcoholic fatty liver disease, and gastroesophageal reflux disease that occur due to being overweight.


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    How is Apollo Endoscopic Sleeve Gastroplasty Applied?

    Before the Apollo endoscopic sleeve gastroplasty procedure, it is very important to make a detailed evaluation to determine the suitability of the patient for the operation. Accordingly, a meticulous evaluation process is carried out with a multidisciplinary approach, together with specialist doctors in the fields of psychiatry, endocrinology, and internal diseases.  

    No incision is made in the abdomen of the patient during the Apollo endoscopic sleeve gastroplasty procedure. First of all, it is evaluated whether there is a health problem that prevents the application with a standard endoscopy. Within the scope of the application, which is a minimally invasive technique and performed only for the treatment of obesity, oral access is made with an endoscopic device. By starting the process with triangular sutures, the part from the area close to the stomach exit to the stomach-esophagus junction is narrowed. Along with these procedures, the volume of the stomach is also reduced. The stomach is left in the form of a sleeve, as the sutures reduce the volume of the stomach. Accordingly, it can be stated that the Apollo endoscopic sleeve gastroplasty procedure performed with an endoscopic suture device is a safe method.

    After the endoscopic sleeve gastroplasty procedure, patients are kept under observation for a certain period of time and are discharged on the same day under normal conditions. In some cases, it may be possible to keep the patients under observation in the hospital for 1 night. There is no oral nutrition for approximately 4 to 6 hours after the endoscopic sleeve gastroplasty procedure. At the end of this period, the patient is discharged when it is observed that they are nourished with oral liquid without any problems. After an average of 2 weeks of liquid nutrition, soft food and then solid food nutrition are started. 

    It is possible for patients to experience short-term side effects such as vomiting, abdominal pain, and nausea after the Apollo endoscopic sleeve gastroplasty procedure. However, the side effects that occur after the Apollo endoscopic sleeve gastroplasty procedure are not interfered with. 

    In cases where the patient has fluid inflammation around the stomach after the Apollo endoscopic sleeve gastroplasty procedure, antibiotics may be prescribed by the doctor. Apollo endoscopic sleeve gastroplasty application, which is a very successful procedure for mild and moderately obese patients, does not cause serious side effects.

    Apollo Endoscopic Sleeve Gastroplasty Before & After Gallery

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    Is Apollo Endoscopic Sleeve Gastroplasty Risky?

    Since no incision is made in the Apollo endoscopic sleeve gastroplasty procedure, the risk of developing complications is very low. In addition to being a simple outpatient procedure that is completed on the same day, the patient does not develop any scars. Since there is no such thing as cutting and removing the stomach, there are no undesirable risks such as leakage into the abdomen due to surgery.

    The Apollo endoscopic sleeve gastroplasty procedure is also considered the ideal way to effectively manage obesity-related diseases such as type-2 diabetes, sleep apnea, and high blood pressure. After the Apollo endoscopic sleeve gastroplasty procedure, patients typically lose a significant portion of their excess weight within 12 to 24 months. 

    After endoscopic sleeve gastroplasty, which is not a procedure that causes interruptions in daily life, patients can generally resume their work and social lives within a few days. The Apollo endoscopic sleeve gastroplasty procedure is advantageous compared to other procedures due to its overall lower risk. It is possible to achieve sustainable results as long as the patient is followed up regularly after the procedure and makes the necessary lifestyle changes. 

    After the Apollo endoscopic sleeve gastroplasty procedure is applied, the weight loss process of the patients begins immediately. Although there is a rapid weight loss process in the first 3 months, weight loss reaches -25 percent of the initial body weight in the first year. As is the case with all other weight loss programs, better results can be achieved when it is supported by a healthy diet and regular exercise during the weight loss process.

    Who is Eligible for Apollo Endoscopic Sleeve Gastroplasty?

    Apollo endoscopic sleeve gastroplasty procedure may be applied to patients who cannot maintain the weight they have achieved despite dieting and exercising regularly, have regained weight despite the gastric balloon application, and cannot achieve success from the gastric band procedure.

    It is possible to apply the endoscopic sleeve gastroplasty procedure to people with a body mass index of 30 to 35, who fail to maintain weight loss despite making the necessary lifestyle changes, and who continue to gain weight after traditional bariatric surgical procedures. 

    However, the Apollo endoscopic sleeve gastroplasty procedure cannot be applied to anyone who suffers from excess weight. As a result of the preliminary interview and detailed examination, it should be decided whether the procedure will be beneficial for the patient. In addition, it is very important that the patient who will undergo the Apollo endoscopic sleeve gastroplasty procedure cooperates in making the necessary lifestyle habits changes, regular medical follow-up and getting psychologist support after the application.

    The Apollo endoscopic sleeve gastroplasty procedure is the first method that can be preferred in cases where revision surgery is on the agenda for people who have not lost enough weight or regained weight despite a previous bariatric surgery procedure. However, it should be kept in mind that endoscopic sleeve gastroplasty cannot be performed in every case requiring revision. Endoscopic sleeve gastroplasty, which can be a suitable method for patients with enlarged stomach volume or anestopause diameter, is designed as a temporary procedure, but it can be converted into bariatric surgery later on.

    Endoscopic sleeve gastroplasty cannot be applied to people with conditions associated with gastrointestinal bleeding such as a large hiatal hernia, gastritis, or peptic ulcer. On the other hand, although there is no definite obstacle, the necessity of evaluating individual surgical techniques in morbidly obese patients with very high body mass index values such as 40 – 45 should not be ignored.

    When evaluating weight loss surgery, one of the most important criteria is the patient’s body mass index. Patients with a body mass index of 40 and above are considered candidates for bariatric surgery. People with a body mass index between 35 and 40 can have weight loss surgery if they experience health problems such as type 2 diabetes, high triglyceride levels, hypoventilation syndrome, sleep apnea syndrome, heart disease, and fatty liver. People with a body mass index between 30 and 35 can be candidates for weight loss surgery if they have type 2 diabetes and if their blood sugar cannot be controlled by medical treatments.

    Who is Eligible for Weight Loss Surgery?

    It is not possible to talk about a definite upper age limit in weight loss surgeries because the decision of suitability for weight loss surgery is made after the evaluations made for each patient. Being in a certain age range does not necessarily mean that a person can have weight loss surgery. A decision should be made by evaluating many different factors such as the patient’s age, body mass index, health problems caused by being overweight, general health status, and whether there is a condition that prevents surgery.