Converting Endoscopic Bariatric Procedures to LSG: POSE, Endosleeve, and Balloon

Bariatric surgery has now provided a new option for overweight patients that have attempted conventional weight loss methods and failed. With more studies being performed covering health and the detriments that come with increasing BMI’s, the different emerging methods of weight loss have caught the attention of physicians, researchers, and patients alike, trying to provide the best option catered to each person individually. Currently, multiple endoscopic procedures exist that are sought after due to the fact that they can be considered as ‘less invasive’ bariatric procedures. However, long-term success rates of these procedures, especially in patients with higher BMI’s, have shown to be lower than their surgical ‘invasive’ counterparts. Nowadays, sleeve gastrectomy has become the most performed bariatric procedure in the world, overtaking the Roux-en-Y gastric bypass. Therefore, it is understandable why it is considered a good option for revision following a failed endoscopic bariatric procedure. In this chapter we go over the conversion of the POSE procedure, the Endosleeve and the balloon into a sleeve gastrectomy.