Stomach reduction with Apollo Method at ServiDigest Clinic, in Barcelona.

It consists of a reduction of the stomach by endoscopy through the performance of a series of sutures on the stomach wall, creating folds that reduce the size and capacity of the gastric cavity, thus preventing the stomach from stretching and making room for food, and ensuring rapid satiation and delaying the onset of hunger.

The Apollo method is an endoscopic procedure with no external incisions, making it a safe and minimally invasive method for reducing the capacity of the stomach through the oral pathway, without the need to open up any access route through the abdomen.

Once the endoscopy has been performed, the protocol of Clínica ServiDigest involves a monitoring programme to help achieve the objective of losing weight, by combining the results of the technique with the changes in the patient’s eating habits and their adoption of a healthier lifestyle.

The monitoring programme is essential for achieving the best results and is supervised by a cross-disciplinary team of specialists in the Digestive Apparatus-Endoscopy, Endocrinology, Nutrition and Diet, and Clinical Psychology

More info about Apollo Method

More information about stomach reduction

Apollo Method advantages:

Preservation of gastric anatomy, it can be repeated and allows for later surgery, if necessary.

EWL (excess weight loss):

55,3% after 6 months
54,9% after a year
62% after 18 months

Recommended for:

Type I obesity with associated comorbidities.
Type II obesity.
Type III obesity with few comorbidities or those who reject surgery.
Other alternative applications: Patients with Type IV obesity (super obesity with BMI>50kg/m2) who do not want or who are not recommended for surgical treatments.

Not recommended for:

Pregnant women.
Patients under 16.
No further limitations. The technique has been used successfully on patients up to 70 years old.

Procedure

Prior preparation (similar to gastroscopy)

Patients must fast for 8 hours prior to the operation. A liquid diet may be prescribed for 1-2 days previously to prepare the patient, so as to ensure that there are no traces of food in the gastric area due to poor digestion or retention.
Pre-operation (ECG, X-Ray of Thorax, Clotting test).
Assessment by the Anaesthesia Service of Clínica ServiDigest.
Patients on antiaggregants and anticoagulants: Carry out the same protocol for hazardous endoscopic techniques.
Patients on antiaggregants: Suspended 7 to 10 days before.
Patients on anticoagulants: Switch to low molecular weight Heparin (to be assessed by your normal haematologist).
Assessment by the Endocrinology, Nutrition and Clinical Psychology teams at Clínica ServiDigest.

Procedure

24-hour hospital admission. (We recommended performing the operation in the morning).
Antibiotic prophylaxis: Cefotaxime 2 grams IV (single prior dose).
General anaesthetic: tracheal intubation and mechanical ventilation.
Duration of the procedure: 45 to 60 minutes (in the first cases: 1.5 to 2 hours).
Liquid diet starts at 6-8pm on the afternoon of the day of the operation.