WVU Medicine physicians are leading experts in minimally invasive endoscopic procedures, offering customized and comprehensive weight-loss options to help you safely reach your goals.
For patients who have difficulty losing weight through diet and exercise and don’t want to undergo weight-loss surgery, WVU Medicine gastroenterologists perform incisionless, endoscopic, non-surgical weight loss procedures. Shailendra Singh, MD, is an advanced gastroenterologist who specializes in endoscopic non-surgical weight loss.
Endoscopic non-surgical weight-loss procedures are performed on an outpatient basis with general anesthesia, using a flexible tube equipped with a tiny camera inserted through the mouth to reach the stomach. Because there are no abdominal incisions, the risk of severe adverse effects from endoscopic non-surgical weight loss are low. Patients usually return to their normal routine after a few days of recovery at home.
At your evaluation appointment, you’ll undergo a screening process to help our gastroenterologists decide which procedure is right for you. You may be a candidate for endoscopic non-surgical weight loss if:
- You have a body mass index of 30 or higher.
- You are not able to lose weight with diet and exercise alone.
- You’ve had weight-loss surgery, but regained weight.
- You have a physical condition making you ineligible for weight-loss surgery.
- You prefer not to undergo weight-loss surgery.
WVU Medicine offers the following endoscopic non-surgical weight-loss procedures:
Endoscopic sleeve gastroplasty
With this non-surgical, incisionless procedure, our providers reduce the size of the stomach with sutures to help patients attain a total body weight loss of about 15 to 20 percent within one to two years. Blood pressure, blood sugar, and other obesity-related medical problems may also improve. Endoscopic sleeve gastroplasty is not currently covered by most health insurance providers.
Transoral gastric outlet reduction
Patients who regain weight after gastric bypass surgery may receive this non-surgical, incisionless procedure that reduces the size of the stomach with sutures to promote weight loss. This completely endoscopic procedure is performed from inside the stomach and without the need for abdominal incisions. An endoscope equipped with a suturing system allows placement of stitches into the gastric outlet.
Endoscopic revision of sleeve gastrectomy
Patients who regain weight after sleeve gastrectomy surgery benefit from this non-surgical, incisionless procedure where the size of the stomach is reduced with sutures to promote weight loss. Endoscopic revision of sleeve gastrectomy limits the amount of food you can eat and increases the feeling of fullness after meals.
A soft, but durable balloon filled with liquid or air is inserted into the stomach through the mouth leaving less room for food intake. The balloon remains in the stomach for six months and is removed with a short endoscopic procedure. During the time the balloon is in place (and after removal), patients receive diet and exercise coaching from our team of experts.
Endoscopic management of surgical complications
With our wide variety of endoscopic devices and techniques, including suturing, stents, and clips, we diagnose and manage patients with gastrointestinal concerns after surgery, such as gastrointestinal strictures, fistulas, leaks, or perforation. Using endoscopic ultrasound, we can also alleviate bile duct, pancreas, and gallbladder issues after gastric bypass surgery.
Like weight-loss surgery, endoscopic weight loss requires a commitment to a healthier lifestyle, changes to your diet, and regular exercise to help you achieve long-term weight-loss success. Learn more about WVU Medicine’s wellness, weight loss, and preventive care services to help you attain your goals.