Endomanga

What is Endomanga (Gastrofundoplication with endosuture technique - EST)?

Endomanga endoscopica Teknon

Endoscopic endomanga is a primary treatment for obesity via endoscopy, using the Incisionless Operating Platform (IOP) for endoscopic procedures, which allows us to perform permanent sutures in the stomach, reducing the volume of the gastric body at the level of the greater curvature, as is done in bariatric surgery with the gastric sleeve technique.

What are the benefits of this process?

As it is a minimally invasive treatment performed endoscopically, the endomanga offers several advantages:

• Reduction of post-surgery pain
• Reduced risk of infection
• No external scars
• Faster recovery
• Shorter hospital stays or outpatient treatment

How is endomanga performed?

The treatment is performed by endoscopists in an operating theatre under general anaesthesia. The procedure is performed orally and lasts approximately 30 minutes, depending on the characteristics of the patient and the number of sutures needed. The material used for the procedure is disposable. The procedure involves a flexible endoscope (Incisionless Operating Platform - IOP) through which various instruments are inserted to perform the procedure. Once in the stomach, multiple folds are made and sutured with anchors in the large curvature of the gastric body. These anchors will suture all layers of the stomach so that these folds fuse together within two months and become permanent. An average of 18 sutures are placed per patient.

Once the procedure has been completed, the patient is taken to the recovery room for approximately one hour until they recover from the anaesthetic, after which they are taken to their ward. In our unit, we recommend that patients stay in the centre overnight after the procedure so that we can assist them in case of pain or any complications arising from the surgery. The patient is discharged from hospital the morning after the procedure and can resume a relatively normal life 24 hours after the procedure. During the first month, the patient should follow a mainly liquid diet, progressing to a semi-soft and soft diet until reaching a solid diet one and a half months after the procedure. It is not advisable to gain weight during the first two months.

Patient follow-up will be carried out for two years by a multidisciplinary team consisting of nutritionists, a psychiatrist and a psychologist, under the supervision of a digestive system specialist.