Bariatric Surgery Success

Bariatric Surgery Success


EP 187 Nutrition & The Newer Kids on the Block: Endoscopic Sleeve Gastroplasty & Bariatric Revision

April 23, 2025

Resources:


Need resources to help with your bariatric lifestyle? Check out our Bariatric Tools page with meal plans, recipes, GLP-1 guide, etc.


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Podcast Guests:


Catherine E Page MEd, RD, LDN

Endoscopic Dietitian

Email: cpage5@bwh.harvard.edu

LinkedIn: https://www.linkedin.com/in/catherine-page-26686725/ 

Brigham and Women's Center for Weight Management and Wellness: https://www.brighamandwomens.org/cwmw/ 


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Summary

In this episode of the Bariatric Surgery Success Podcast, Dr. Susan Mitchell and dietitian Catherine Page discuss the emerging field of endoscopic bariatric procedures, including endoscopic sleeve gastroplasty (ESG). They explore the differences between traditional bariatric surgery and endoscopic options, the nutritional guidelines for patients before and after procedures, and the importance of managing hunger and weight loss expectations. The conversation also covers pain management, recovery processes, and key strategies for long-term success after these procedures.

Takeaways

  • Endoscopic bariatric procedures are less invasive than traditional surgery.
  • Patients can qualify for ESG with a lower BMI than traditional bariatric surgery.
  • Nutritional guidelines are crucial for pre and post-operative care.
  • Most patients can manage a six-week liquid diet successfully.
  • Tracking food intake can significantly aid in weight loss success.
  • Endoscopic procedures can reset hunger hormones, reducing appetite.
  • Pain management is typically minimal with these procedures.
  • Recovery time varies based on the type of procedure and individual circumstances.
  • There are multiple options for patients, including revisions and intragastric balloons.
  • Long-term success relies on mindful eating and regular physical activity.

Titles

  • Exploring Endoscopic Bariatric Procedures
  • The Future of Weight Loss Surgery

Sound Bites

  • "The requirements for surgery are much higher."
  • "They have a special tool that goes in the throat."
  • "These procedures are not reversible."
  • "I have them start with a two week pre-op diet."
  • "Track what you're taking in."

Chapters

00:00

Introduction to Endoscopic Bariatric Procedures

02:22

Understanding Endoscopic vs. Traditional Bariatric Surgery

10:44

Nutritional Guidelines Pre and Post-Procedure

18:29

Managing Hunger and Weight Loss Expectations

22:39

Pain Management and Recovery Process

25:18

Keys to Long-Term Success After Procedures