endoscopic update

Question 1

What is the average TWL from intra-gastric balloon

**check

Answer 1

11 % at a year

EWL 25% (10%)

Question 2

what is the cause of death in patients with intragastric balloons?

Answer 2

gastric perforations, possibly due to ischemia

Question 3

What does the AspireAssist system do?

Answer 3

Removes 25-30% of calories from the meal

Question 4

What percent TBW is lost using Aspire Assist at a year?

Answer 4

12-14%

Question 5

Endoscopic sleeve gastroplasty % TBWL

Answer 5

15-20%

Question 6

Transpyloric shuttle - how does it work? How long to leave it in?

Answer 6

Intermittently blocks the pyloris.

12 months

Question 7

TBWL with transpyloric shuttle at 1 year?

Answer 7

14%

Question 8

What cells produce GLP1 in the gut?

Answer 8

L cells

Question 9

What cells produce GIP

Answer 9

K cells

Question 10

How do Incisionless Magnet Anastomosis system work?

Answer 10

Come together with tissue necrosis, creating a partial jejunal ( anastomosis between jejunum and colon) diversion

Question 11

Put the endoscopic procedures in order from least to most TW lost in one year

Answer 11

intragastric balloon 11%
Aspire Assist 13%
shuttle 14%
endoscopic sleeve 15%

Question 12

CIs for intra-gastric balloon

Answer 12

pregnancy
alcoholism or other addiction
coag. disorder
liver disease
previous gastric surgery