Surgical Endoscopy Series Ep. 2: Endobariatrics

Listen as we discuss the highly-awaited ESOPEC trial, which examines treatment regimens for esophageal and EGJ adenocarcinoma. Wildly impress your thoracic attendings or peers with your nuanced knowledge! FLOT who? You’ll know. Pull out the paper and listen along!

Target Audience

  • Nurses
  • Nurse Practitioners
  • Physicians
  • Physician Assistants

Learning Objectives

  • Identifying and describing Common Endobariatric Procedures
  • Describing at least three common endobariatric procedures discussed in the episode, including Endoscopic Sleeve Gastroplasty (ESG), Endoscopic GJ Revisions (Transoral Outlet Reduction - TORR/EGJR), and Intragastric Balloons, along with their historical context and evolution.
  • Explaining the Mechanism and Benefits of Endoscopic Sleeve Gastroplasty (ESG):
  • Articulating the procedural technique of ESG, including the U-shaped suture pattern, its impact on gastric volume reduction, and the proposed mechanisms of weight loss, such as slowed gastric emptying and hormonal changes, as compared to laparoscopic sleeve gastrectomy.
  • Discussing the Role of Technology and Training in Endobariatrics
  • Explaining the significance of endoscopic suturing devices like the Overstitch in the advancement of endobariatric procedures and recognizing the importance of specialized training, including the recommendations against fundal suturing for safety during the initial learning curve.

 

  • Comparing and contrasting Endobariatric Procedures with Surgical and Pharmacological Obesity Treatments:
  • Discussing the position of endobariatric procedures as a "gap therapy" in the spectrum of obesity treatments, highlighting their benefits such as reduced invasiveness, lower complication rates, faster recovery, and increased patient access compared to surgery, as well as their potential role in conjunction with pharmacologic therapies like GLP-1 agonists.
  • Recognizing key considerations and potential Complications of Endobariatric Procedures
  • Identifying important technical considerations during ESG, such as achieving full-thickness bites while avoiding injury to adjacent organs
  • Describing common post-procedure issues associated with intragastric balloons, including nausea, vomiting, and the need for general anesthesia during removal.
Course summary
Available credit: 
  • 0.25 AMA PRA Category 1 Credit(s)™
  • 0.25 ANCC
  • 0.25 Attendance
  • 0.25 JA Credit - AH
    • 0.25 Approved for AMA PRA Category 1 Credit(s)™
Registration Opens: 
07/15/2025
Registration Expires: 
07/14/2027
Part of: 
Behind the Knife Podcast (2025)
Rating: 
0
Virtual, NC 27705
United States
  • Dr. Sullivan “Sully” Ayuso
  • Dr. Trevor Crafts
  • Dr. H. Masson Hedberg
  • Dr. Michael Ujiki, 
  • Dr. Brian Dunkin
  • AMA PRA Category 1 Credit(s)
  • ANCC
  • Attendance
  • JA Credit - AH

Available Credit

  • 0.25 AMA PRA Category 1 Credit(s)™
  • 0.25 ANCC
  • 0.25 Attendance
  • 0.25 JA Credit - AH
    • 0.25 Approved for AMA PRA Category 1 Credit(s)™
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