Does anyone know of any Drs in MI that do the endoscopic sleeve?

Or anywhere nearby?

TIA!

Check out Matthew Weiner on youtube. He's in Michigan.

He cares too much about his patients to do Endoscopic sleeves. He also still fairly new to doing sleeves, he was a big RNY doctor.

What exactly is an endoscopic sleeve? I'm not sure if my surgeon does them, but he's pretty experienced and I liked him. I suppose you can always contact him. Dr. Hawasli at East Side Surgical Associates in St Clair Shores.

A newer procedure only done by a handful of Drs in the US.

Oh, sorry... just noticed the "sleeve", didn't realize we were talking about a different procedure.

Maybe that one should be called an endoscopic plication or something.

I get a bit leary at the thought of stitches holding the stomach's shape long term. Any non-biologic material in the body has chance of failure over time.

Grand health partners in Grand Rapids! Dr Baker was wonderful! Their process as a whole is fantastic. I have passed out my pre and post surgery papers out to lots of people who have DR'S that did not give them hardly any information. This office truly wants their patients to succeed! I am 5 months out and down 90 lbs

Kitty

On 6/7/2017 at 5:35 AM, Berry78 said:

Oh, sorry... just noticed the "sleeve", didn't realize we were talking about a different procedure.

Maybe that one should be called an endoscopic plication or something.

I get a bit leary at the thought of stitches holding the stomach's shape long term. Any non-biologic material in the body has chance of failure over time.

Doesn't gastric sleeve use staples? The Gastric Plication turns the stomach into itself. It's different than the endoscopic sleeve which sutures the stomach to the shape, similar to the Gastric Sleeve, just without cutting the stomach off.

Gastric Plication and the Endoscopic sleeve are basically the same thing, the only different is one is done by going through the throat instead of laparoscopic.

I don't think 3 rows of titanium staples is really any better than sutures as far as foreign material. Just removing the stomach is "cleaner" than leaving it there folded over, for a few reasons.

I don't think there is anything wrong with the surgery though, I would need to see more long term results before I chose it.

@KittyV

Grand Health Partners has nothing about Endoscopic Sleeves on their website. What has your experience been with an endoscopic sleeve? What was the insurance process like?

Edited June 12, 20179 yr by OutsideMatchInside

@OutsideMatchInside that was my point with the staples vs. sutures, both foreign materials in the body! LOL.

It is similar to Gastric Plication, thankful for that because I can use the results I am seeing from others as comparison. Since endoscopic is newer, I am only finding a few people that are sharing their results. I consider them both similar to the Gastric Sleeve just without cutting the stomach. I plan to have Endoscopic.

Thanks for your thoughts on this!

@OutsideMatchInside Great job on your sleeve results as well!

If I were to be relying on staples, long term, to hold my stomach tigether, I wouldnt have had the surgery.

Open wounds in the body heal over with scar tissue (which is as strong or stronger than the original). The staples are just there to do the job temporarily. They stay forever, but after the first 6 months (or however long), their presence is incidental. My surgeon also used stitches to reinforce the staple line, but those stitches are disolving over time.

In stomach plication or endoscopic sleeve, no scar tissue can form because there is no open wound. The sutures have to do the job forever.

I saw this on the Today show and they called it an accordion procedure. Not sure I'd be comfortable with this procedure. How do food particles not get stuck in the folds or suture line?

Sent from my SM-G920V using BariatricPal App

3 hours ago, Berry78 said:

In stomach plication or endoscopic sleeve, no scar tissue can form because there is no open wound. The sutures have to do the job forever.

I understand about the healing and the scar tissue. Another one of the. Many reasons a stretched sleeve doesn't make sense long term. Cutting and removing the stomach simply creates a newer smaller stronger stomach (mine is tight as a drum).

My concern with plication and endoscopic sleeve is that long term is has the same issues as RNY. You basically have a blind stomach they can't see. So if you develop ulcers or stomach cancer in that folded over tissue, there is no way to see or access it easily. By the time they would see it, it would have spread far beyond the source.

Which is why I felt long term just removing the stomach your are not using is the safest option. I plan on living another 40 or 50 years like this. I need the simplest cleanest option available for long term maintenance.

I still want to know why there is all this sudden interest in this surgery. I still think only 3 or 4 doctors in the US are doing it. That might be a stretch, I only found 2 programs period. So why are so many people asking about it?

On ‎6‎/‎11‎/‎2017 at 9:23 PM, OutsideMatchInside said:

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@KittyV

Grand Health Partners has nothing about Endoscopic Sleeves on their website. What has your experience been with an endoscopic sleeve? What was the insurance process like?

I apologize as well, miss read and assumed it meant laparoscopic. that is a really cool way to do the procedure. if you do not find anyone, please look into GHP. They are AMAZING!!

Does anyone know of any Drs in MI that do the endoscopic sleeve?
Or anywhere nearby?
TIA!

I'm in SW MI, and going to Chicago next week for mine on 9/25 with Dr. Chapman at U of Chicago.

There's an entire forum on here dedicated to ESG procedures. It's fairly new.