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Endoscopic Bariatric Procedures (ESG / Intragastric Balloon)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked
Time : 1-2 hours (average)
Blood Loss : Very Low (5-10 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Yes
Considerations : Obesity, Off-site, Aspiration risk / Full stomach, PONV

Anesthetic Approaches

1GETT
2GETT, TIVA, Propofol Drip, Remifentanil Drip
The Surgery

Diagnostic endoscopy first - The stomach and distal esophagus are surveyed to exclude a large hiatal hernia , ulcer, or mass that would rule the device out. CO2 rather than room air is used for...

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