The first experience of application endoscopic sleeve gastroplasty in Russia: case series report
A. A. Smirnov,
A. A. Bachaev,
D. I. Vasilevsky,
G. V. Semikova,
V. S. Mozgunova,
S. F. Bagnenko,
D. V. Gladyshev,
V. A. Vetoshkin,
I. А. Trusov,
S. N. Vrublevskaya https://doi.org/10.24884/0042-4625-2025-184-4-56-62
Abstract
INTRODUCTION. Obesity is one of the most important problems of modern society, which requires the development of effective treatment methods. Endoscopic sleeve gastroplasty (ESG) is a minimally invasive approach to the treatment of obesity, which makes it possible to achieve significant weight loss and improve metabolic parameters. However, to date, there have been no studies on this technique in Russia.
The OBJECTIVE was to evaluate the efficacy, safety, and aspects of the application of ESG using the example of two clinical cases.
METHODS AND MATHERIALS. We present four cases of patients with stage II and III of obesity who underwent ESG. The patients met the inclusion criteria determined based on the Brazilian Consensus on Indications and Contraindications for this procedure.
RESULTS. All patients demonstrated positive results after the procedure, including significant weight loss and improved quality of life without severe adverse events.
CONCLUSION. This study is the first in Russia to highlight the importance of ESG as a promising method of obesity treatment. Further research is needed to assess the long-term outcomes and safety of this procedure.
About the Authors
A. A. Smirnov
Pavlov University
Russian Federation
Competing Interests:
Russian Federation
Smirnov Alexander A., Dr. of Sci. (Med.), Associate Professor of the Department of Hospital Surgery № 2, Head of the Department of Endoscopy, Research Institute of Surgery and Emergency Medicine
6-8, L’va Tolstogo str., Saint Petersburg, 197022
Competing Interests:
The authors declare no conflict of interest.
A. A. Bachaev
Pavlov University
Russian Federation
Competing Interests:
Russian Federation
Bachaev Anzor A., Endoscopist of the Endoscopic Department № 1
6-8, L’va Tolstogo str., Saint Petersburg, 197022
Competing Interests:
The authors declare no conflict of interest.
D. I. Vasilevsky
Pavlov University
Russian Federation
Competing Interests:
Russian Federation
Vasilevsky Dmitry I., Dr. of Sci. (Med.), Professor, Head of the Department of Surgical Diseases of the Faculty of Dentistry named after Prof. A.M. Ganichkin
6-8, L’va Tolstogo str., Saint Petersburg, 197022
Competing Interests:
The authors declare no conflict of interest.
G. V. Semikova
Pavlov University
Russian Federation
Competing Interests:
Russian Federation
Semikova Galina V., Cand. of Sci. (Med.), Associate Professor and Assistant of the Faculty Department of Therapy with the course of Endocrinology, Cardiology with the Clinic named after Academician G. F. Lang, Endocrinologist of the Endocrinology Department
6-8, L’va Tolstogo str., Saint Petersburg, 197022
Competing Interests:
The authors declare no conflict of interest.
V. S. Mozgunova
Pavlov University
Russian Federation
Competing Interests:
Russian Federation
Mozgunova Valentina S., Department of Faculty Therapy with the course of Endocrinology and Cardiology with the Clinic named after Academician G. F. Lang
6-8, L’va Tolstogo str., Saint Petersburg, 197022
Competing Interests:
The authors declare no conflict of interest.
S. F. Bagnenko
Pavlov University
Russian Federation
Competing Interests:
Russian Federation
Bagnenko Sergey F., Dr. of Sci. (Med.), Professor, Academician of the RAS, Rector
6-8, L’va Tolstogo str., Saint Petersburg, 197022
Competing Interests:
The authors declare no conflict of interest.
D. V. Gladyshev
Kurortny District City Hospital № 40
Russian Federation
Competing Interests:
Russian Federation
Gladyshev Dmitry V., Dr. of Sci. (Med.), Deputy Chief Physician for Surgery
9, Borisova str., Sestroretsk, Saint Petersburg, 197706
Competing Interests:
The authors declare no conflict of interest.
V. A. Vetoshkin
Kurortny District City Hospital № 40
Russian Federation
Competing Interests:
Russian Federation
Vetoshkin Vyacheslav A., Cand. of Sci. (Med.), Surgeon in the Surgical Department for Anti-shock Measures
9, Borisova str., Sestroretsk, Saint Petersburg, 197706
Competing Interests:
The authors declare no conflict of interest.
I. А. Trusov
Kurortny District City Hospital № 40
Russian Federation
Competing Interests:
Russian Federation
Trusov Ivan A., Head of the Endoscopic Department
9, Borisova str., Sestroretsk, Saint Petersburg, 197706
Competing Interests:
The authors declare no conflict of interest.
S. N. Vrublevskaya
Kurortny District City Hospital № 40
Russian Federation
Competing Interests:
Russian Federation
Vrublevskaya Stanislava N., Endoscopist at the Endoscopic Department
9, Borisova str., Sestroretsk, Saint Petersburg, 197706
Competing Interests:
The authors declare no conflict of interest.
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For citations:
Smirnov A.A., Bachaev A.A., Vasilevsky D.I., Semikova G.V., Mozgunova V.S., Bagnenko S.F., Gladyshev D.V., Vetoshkin V.A., Trusov I.А., Vrublevskaya S.N. The first experience of application endoscopic sleeve gastroplasty in Russia: case series report. Grekov's Bulletin of Surgery. 2025;184(4):56-62. (In Russ.) https://doi.org/10.24884/0042-4625-2025-184-4-56-62
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