Overstitch Endoscopic Gastric Sleeve | OverStitch without cuts/scars

Obesity has become a major global epidemic and is a significant contributor to morbidity and mortality worldwide.
The consequences of obesity are dire and not controversial. Obesity leads to an increased risk of comorbidities such as cardiovascular disease, chronic kidney disease, certain types of cancer (such as breast, colon and endometrial cancer) and fatty liver, which are the leading causes of preventable death among adults.

Endoscopic gastric sleeve called in English Endoscopic Sleeve Gastroplasty (ESG) It is a weight loss procedure performed by an endoscopic suture device to reduce the size of the stomach. The procedure restores what occurs in gastric sleeve surgery, although without the need for surgery, without resection of the stomach, without external incisions and without scars.

This procedure is ideal for patients with body mass index (BMI) of 30 or more and for those where diet and exercise alone did not work.
Because the procedure is minimally invasive, there is a reduced risk of complications. In addition to weight loss, the endoscopic procedure can also lower blood sugar and even lead to recovery from type 2 diabetes, as well as the procedure may solve other serious weight-related problems.

The usual bariatric procedure consisted of excision of a significant part of the stomach volume (70%-80%), leaving a reduced stomach with stitches resembling a sleeve shape, hence it gained the name - bariatric sleeve.

Okay, so how is the endoscopic procedure different Overstitch AND WHAT IS THE GOSPEL ACTUALLY?
Glad you asked..

What is Overstitch?

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Overstitch is a minimally invasive endoscopic procedure that involves suturing the stomach from the inside to reduce its size, leading to weight loss. This procedure is performed using an endoscope, a thin, flexible tube with a camera and a sewing device attached to it. The endoscope is inserted through the mouth and into the stomach, allowing the surgeon to see and stitch the stomach from the inside.
Hundreds of patients in Israel and tens of thousands of patients around the world have successfully undergone the procedure.
The procedure is approved by the Ministry of Health and with the approval of the FDA.

The technology behind Overstitch

The technology behind Overstitch Quite advanced, the device exists in the world from 2016. It features an endoscopic suturing system that allows Dr. Vosko to place stitches in the stomach wall without the need for external incisions. The system consists of a sewing device, a needle and a camera that provides the gastroenterologist with a clear view of the stomach. This technology allows for more accurate stitching and reduces the risk of complications.

Clinical data shows that Overstitch is an effective solution for weight loss, in a study published by American Society for Gastrointestinal Endoscopy

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Advantages of Overstitch over classic bariatric procedures

Overstitch Offers several advantages over classic bariatric procedures, such as gastric bypass and sleeve gastrectomy.
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• Overstitch does not involve cutting or removing any part of the stomach, making it a safer and less invasive procedure.
• The procedure reduces the volume of the stomach by about 60%.
• Overstitch has a lower risk of complications, such as infection and bleeding, compared to classic bariatric procedures.
• The procedure is performed without external cuts or scars and practically leaves the patient without any signs.
• Overstitch has a shorter recovery time, and patients can usually go home the next day.
• Unlike the classic bariatric procedure - the Overstitch procedure is a reversible procedure, that is, if the patient wishes to open the sutures after a few years - this is quite possible.

Recovery time of gastric shortening procedure - Overstitch

The recovery time of Overstitch Relatively short for classic bariatric procedures. Most people can return to their normal activities within a few days of the procedure. However, you should refrain from strenuous exercise and heavy lifting for at least a week after the procedure. You will also need to follow a liquid diet for several days after the procedure and then gradually switch to solid food over the next few weeks.

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Who is suitable for gastric shortening procedure - Overstitch?

• Patients who are significantly overweight (BMI greater than 30)
• Patients who do not wish to undergo surgical surgery
• Patients who cannot undergo a surgical procedure
• Patients after endoscopic sleeve surgery or mini bypass surgery who have regained weight due to repeated expansion of the stomach
• Patients after gastric bypass who suffer from renewed weight gain and/or Dumping syndrome

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However, not all of them are suitable forOverstitch.
People who have a history of gastrointestinal surgeries (other than a previous bariatric sleeve), ulcers, or other stomach conditions may not be suitable for the procedure.

Adjustment to the procedure can be established only after consultation with a specialist gastroenterologist and the approval of a dietitian.

We will build you an organized weight loss plan that will help ensure long-term success and permanent weight loss, including support before, in time and after the operation.

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How is the procedure performed?

Before the procedure, anesthesia will be given by an anesthesiologist to ensure that the procedure is carried out comfortably and painlessly. Dr. Vosko will then insert the endoscope through the mouth into the stomach. Once the endoscope is positioned and a clear view of the stomach is obtained, Dr. Vosko will use the suturing device to stitch the stomach from the inside, thus reducing its size. The procedure usually takes between 60 and 90 minutes, and the patient can go home the next day.

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