ENDOSCOPIC WEIGHT LOSS

Endoscopic Weight Loss

An expert in endoscopy, Dr. Michel Kahaleh has developed and advanced specialized techniques to help patients suffering from obesity achieve their weight-loss goals. The endoscopic procedures are innately safer than their surgical counter-parts. Allowing for a quicker recovery and allowing the patient to continue their weight-loss therapy sooner, rather than later. 


Endoscopic Weight Loss

Weight-loss is the cornerstone of any bariatric therapy program. Endoscopy allows physicians to conduct minimally invasive procedures on patients, as the endoscope is entered through the mouth of the patient and the procedure is carried out internally. Since some patients are not qualified for traditional bariatric procedures due to health concerns, endoscopy offers a primary therapy option for these patients. 


With obesity comes a number of challenging ailments, such as: heart disease, hypertension, dyslipidemia, type II diabetes, osteoarthritis, non-alcoholic steatohepatitis (NASH) and sleep apnea. Dr. Michel Kahaleh has helped patients across the entire spectrum of obesity. Everything from early-prevention obesity, to mild obesity, and severe obesity. 


Dr. Michel Kahaleh continues to develop, master, and share his expertise in the field of bariatric endoscopic procedures. The number of Americans who suffer from obesity climbs in the United States; in 2013 27.6% of American adults suffered from obesity, that number climbed to 31.1% by 2018. While that number dropped to 30.9% in 2019, over 100 million Americans suffer from obesity today. 


While some bariatric surgeries have proved successful for a handful of patients. The health risks that obesity carries with it disqualifies many of these patients from receiving this kind of surgery. Of the patients that qualify for these surgeries, only 1%-2% of patients will actually go through with the surgical operations. Many avoid these surgeries due to the risk of complications and the overall stress it puts on the body. Patients would rather continue with weight-loss therapy geared towards physical exercise and diet. Bariatric surgery makes this difficult, as the operation alters the anatomy permanently and typically will have a lengthy recovery time. 


Bariatric endoscopic weight-loss procedures conducted by Dr. Michel Kahaleh are reversible, minimally invasive, and are designed to accommodate patients who are not candidates for surgery. The bariatric endoscopic procedures work well in tandem with physical exercise, as the body will recover in a matter of days. Allowing the patient to return to their regular lives and continue with their weight-loss therapy.

What Should be Taken Into Consideration for Bariatric Endoscopic Procedures?

 

  • Bariatric endoscopy is intended to be a primary therapy option. Especially for patients that suffer from severe obesity and do not qualify for bariatric surgery.
  • Bariatric endoscopy is highly effective for patients that suffer from mild obesity. Specifically as a preventionary option to stop the progression of obesity into severe. 
  • Bariatric endoscopy can be used as a “bridge” procedure to reduce the surgical risk for planned operations. Procedures that will benefit from the weight-loss bariatric endoscopy include: orthopedic, cardiac, organ transplant and bariatric operations.
  • Bariatric endoscopy should be considered for patients who suffer from metabolic illnesses. Which include: type II diabetes, hyperlipidemia, non-alcoholic steatohepatitis (NASH) and hypertension. 

 

How Does Bariatric Endoscopy Compare to Bariatric Surgery? 

 

  • Bariatric endoscopy has a generally higher safety profile than bariatric surgery.
  • Bariatric endoscopy is durable and repeatable. 
  • Bariatric endoscopy does not alter the anatomy of the patient, bariatric surgery typically results in permanent changes to the patient’s anatomy. 
  • Bariatric endoscopy allows patients to undergo other bariatric operations if they want to, while the severity of bariatric surgery can prevent patients from receiving further bariatric operations. 

 

Bariatric Endoscopic Weight-Loss Procedures

Gastric Balloon
By using a silicone balloon that is inserted into the stomach, patients will feel fuller faster. Leading to smaller meals and a reduced calorie intake. The balloon can be utilized for up to six months, and is then removed through a similar minimally invasive, non-surgical operation that was used to insert the balloon.
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Endoscopic Sleeve Gastroplasty (ESG)
By using an endoscope, Dr. Michel Kahaleh is able to safely suture and fold the stomach into itself. Reducing the volume of the stomach by 70%. Afterwards, the stomach will resemble the tube shape similar to a sleeve gastrectomy, but without removing stomach tissue and resulting in less scarring when compared to the traditional operation.
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Aspiration Therapy

The newest and most advanced bariatric operation. The AspireAssist tube is installed into the patient’s Gastrointestinal tract, near the stomach. With the AspireAssist, patients will process 30% less calories of all food consumed. 35 minutes after a meal patients drain the excess food directly into the toilet, without the calories being added to their daily calorie count.
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