Endoscopic sleeve gastroplasty can be used to treat obesity, says NICE

Endoscopic sleeve gastroplasty (ESG) can be used as an alternative to bariatric surgery to help people with a body mass index (BMI) over 30 to lose weight, when combined with lifestyle modifications, the National Institute for Health and Care Excellence (NICE) has said in draft guidance.1The procedure, which is carried out under general anaesthetic, involves folding and stitching together sections of the stomach wall to reduce the size of the stomach by about two thirds. It takes up to 90 minutes to perform and because it is minimally invasive it means that patients can usually go home the same day.Bariatric surgery is recommended in some people who have a BMI of 40 or more, or with a BMI between 35 and 39.9 and other significant diseases.NICE’s interventional procedures advisory committee has concluded that ESG is safe in the short and long term.A key piece of evidence comes from a randomised…
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