The Annexe, #98/2, Rustom Bagh, Off HAL Airport Road, Bengaluru - 560017, BANGALORE It's a nonsurgical alternative to gastric sleeve surgery and similar bariatric surgery procedures. For example, during one study, participants received antibiotics and anti-vomiting medications before the procedure. The procedure involves the remodelling of stomach curvature. A small study among 91 people found that the percentage of total body weight loss increased from 14% at 6 months to 18% at 12 months and 21% at 24 months. It is performed with an endoscope, which is a flexible tube equipped with small stitching instruments that help reduce the size of the stomach. Mayo Clinic innovations can help you lose weight, keep it off, Mayo Clinic experts to discuss recent advances in gastroenterology at Abu Dhabi conference. Results in the table below are promising, but more data is needed to demonstrate long term weight loss efficacy. Endoscopic sleeve gastroplasty alters gastric physiology and induces loss of body weight in obese individuals. Whether you qualify for tax write-offs Bariatric surgery is tax deductible, which can have a big impact on the total cost of surgery. . (But keep in mind that the BMI has serious limitations, especially for People of Color, and isnt a clear metric of health.). Feel empowered to talk with a qualified healthcare professional, such as a registered dietitian, if youre struggling. If you are not eligible for an ESG procedure, discuss with your doctor about other weight loss options. Its done by endoscope, which means theres no cutting or scarring. Recurrent or extensive inguinal hernia surgery with mesh, unilateral. Endoscopic Sleeve Gastroplasty in 109 Consecutive Children and Adolescents With Obesity: Two-Year Outcomes of a New Modality. Continue focusing on foods that are low in sugar, fat and calories. Dietary restrictions during the first few weeks may include the following. Risks and complications to know about, Pros and cons of endoscopic sleeve gastroplasty, Centers for Medicare and Medicaid Services, Association for Size Diversity and Health, ncbi.nlm.nih.gov/pmc/articles/PMC9329792/, cghjournal.org/article/S1542-3565(15)01714-0/fulltext, onlinelibrary.wiley.com/doi/full/10.1002/jgh3.12680, cms.gov/medicare-coverage-database/view/ncd.aspx?NCDId=57&ncdver=5&CoverageSelection=Both&ArticleType=All&PolicyType=Final&s=All&KeyWord=Bariatric+Surgery&KeyWordLookUp=Title&KeyWordSearchType=And&bc=gAAAACAAAAAAAA%3d%3d&, ncbi.nlm.nih.gov/pmc/articles/PMC9276350/, ncbi.nlm.nih.gov/pmc/articles/PMC3596455/, onlinelibrary.wiley.com/doi/full/10.1002/erv.2397, eatingdisordertherapyla.com/the-reality-of-bariatric-surgery-a-life-changing-procedure-with-potential-for-eating-problems/, ncbi.nlm.nih.gov/pmc/articles/PMC6775441/, ncbi.nlm.nih.gov/pmc/articles/PMC9010103/, ncbi.nlm.nih.gov/pmc/articles/PMC7841245/, ncbi.nlm.nih.gov/pmc/articles/PMC8703836/, ncbi.nlm.nih.gov/pmc/articles/PMC3625597/, ncbi.nlm.nih.gov/pmc/articles/PMC4792510/, ncbi.nlm.nih.gov/pmc/articles/PMC7775813/, ncbi.nlm.nih.gov/pmc/articles/PMC7538029/, ncbi.nlm.nih.gov/pmc/articles/PMC6763981/, ncbi.nlm.nih.gov/pmc/articles/PMC6082209/, ncbi.nlm.nih.gov/pmc/articles/PMC9416269/, ncbi.nlm.nih.gov/pmc/articles/PMC9178997/, ncbi.nlm.nih.gov/pmc/articles/PMC6748054/, cghjournal.org/article/S1542-3565(16)31236-8/fulltext, bmcmedicine.biomedcentral.com/articles/10.1186/s12916-018-1116-5. Using a suturing device, theyll place about eight to 10 stitches between the two opposite walls of your stomach and draw them together. Endoscopic sleeve gastroplasty isn't appropriate for anyone who has a large hiatal hernia or a condition associated with gastrointestinal bleeding, such as gastritis or peptic ulcer disease. Asokkumar R, et al. Foods that cause heartburn are not approved at this time. The most common endoscopic sleeve gastroplasty side effects include nausea and mild pain following the procedure. Both procedures aim to reduce the volume of your stomach, converting its original bean shape to a narrow, tubular sleeve. Last medically reviewed on September 23, 2022. system means you will feel less hungry than you did before surgery. The Endoscopic Sleeve Gastroplasty does not usually require patients to take additional vitamins or supplements. . I'm in Tampa so west coast but am willing to travel. Read the sections below for everything you need to know about Endoscopic Sleeve Gastroplasty. Still, ESG is not a risk-free technique, and medical insurance companies currently do not cover its costs. Further, approximately 2 billion people in the world are overweight. Disordered eating and psychological well-being in overweight and nonoverweight adolescents: Secular trends from 1999 to 2010. Weight loss apps can help track lifestyle habits like calorie intake and exercise. Here are the top weight loss apps. The Efficacy and Safety of Endoscopic Sleeve Gastroplasty as an Alternative to Laparoscopic Sleeve Gastrectomy. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Allscripts EPSi. By reducing your stomachs capacity, ESG limits the amount of food you can eat, so you feel full sooner. Lopez-Nava G, et al. Use the tool to find out if your insurance covers bariatric surgery. Endoscopic sleeve gastroplasty is available to children and adults diagnosed with obesity. As for the recovery, research shows that most people are back in action within 3 days of an ESG procedure. Negi A, et al. This causes your brain to generate hunger impulses. Get useful, helpful and relevant health + wellness information. The procedure itself takes 60 to 90 minutes. In fact, evidence suggests that people who have undergone ESG experience fullness immediately after consuming a meal with significantly reduced portion sizes. A comparison of the short-term safety of endoscopic versus laparoscopic bariatric therapies. Masks are required inside all of our care facilities. Your doctor will help you compare risks and benefits of these and other procedures and help you choose the right weight loss approach. Our bodies secrete certain hormones (like ghrelin) that tell us when were hungry. It helps you lose weight by limiting how much you can eat. Endoscopic sleeve gastroplasty, also known with the acronym ESG, is an incisionless, outpatient procedure that involves reducing the size of your stomach to limit food intake. The procedure is performed using an endoscope a flexible tube with a light, camera and an endoscopic suturing device attached. Some have more pronounced pain and nausea for a few days afterward. Once you are eligible for the ESG procedure, your doctor will provide you with certain instructions related to diet and physical activity. WHAT IS ENDOSCOPIC SLEEVE GASTROPLASTY? People strictly following the instructions and taking part in weight management programs have lost almost 12% to 20% within a year after the procedure. Your doctor or nutritionist will provide information on how to adopt healthy eating habits. Because ESG is a minimally invasive operation, the risk of serious complications such as the following is very small. Instead of removing a section of your stomach, it closes a section off with stitches. For the right candidate, ESG may be a less invasive alternative to laparoscopic sleeve gastrectomy. Endoscopic sleeve gastroplasty (ESG), also called the accordion procedure, is a relatively new weight loss procedure that reduces the size of your stomach. fully recovered and no surgical treatments were required. The endoscopic sleeve gastroplasty has no known deaths directly related to the procedure. This is to give your stomach the chance to heal. The endoscope releases gas into your stomach to expand it. Is it effective for long-term weight loss? Losing weight may reduce the risk of these diseases in people with obesity. You will start losing weight fast after any bariatric surgery procedure, but the total amount lost varies based on: Enter your information into the tool to get an idea about how much weight youll lose after each procedure. Copyright 2021 Bariatric Surgery Source, LLC All rights reserved, [get_data_from_ci_map_list url="maplist/maplistNewdesign"], Life After a Weight Loss Procedure (Start Here), How The Endoscopic Sleeve Gastroplasty Works, Cost of the Endoscopic Sleeve Gastroplasty, Diet and Life After The Endoscopic Sleeve Gastroplasty, The Endoscopic Sleeve Gastroplasty Vs. Other Weight Loss Procedures. It can also cause several issues ranging from minor to severe, including: In some cases, patients manage sagging skin with body-contouring undergarments. Bariatric surgeries also come with some mental health risks, including a risk of eating disorders or disordered eating. Accessed Aug. 14, 2019. Common ones include nausea, diarrhea, and fatigue, but rarer and more dangerous risks include gallbladder disease, kidney damage, and even thyroid tumors. This is part of what makes gastric sleeve surgery work, and also what can cause side effects. has at least one obesity-related complication, has been previously unsuccessful with medical treatment for obesity. Get the facts on similarities, differences, recovery, risks, Married couple Susan and Michael Dixon share how their experiences taking Ozempic have affected their health and changed their relationship with food, Ozempic has become well-known for its ability to help people lose weight. Fortunately, studies also indicate that weight loss procedures may improve cognition and brain health. In more serious cases, patients have plastic surgery to remove the excess skin. ESG procedure results in significant weight loss with fewer side effects. Most people lose 15% to 20% of their total weight, or around 60% of their excess weight, over the first year. Endoscopic sleeve gastroplasty (ESG) is a minimally invasive procedure that involves stitching the walls of your stomach to reduce its size. Your doctor will provide detailed instructions on what to eat and not to eat while you recover from ESG and get used to the smaller stomach volume. Youll start on a liquid diet and gradually progress to soft foods, and finally, solids. In addition, although it's not designed to be a temporary procedure, endoscopic sleeve gastroplasty can be converted to other bariatric surgery. How you choose to pay for your procedure If insurance covers it, youll only be responsible for any copays, deductibles, and coinsurance required by your specific plan. (2020). The nature of obesity makes weight loss notoriously difficult. Youll have to eat carefully during this time. After you eat, the amount of secreted ghrelin drops then slowly rises until your next meal. The most critical aspect of recovery is the dietary changes during the first month. Would this person be treating me the same way if I hadnt lost all this weight? Theres a common misconception that overeating is the sole cause of higher body weight and, thus, that simply eating less will result in weight loss. With gastric bypass, a part of the stomach is separated into a small pouch, which is then connected to the small intestine. Memon A, et al. https://www.niddk.nih.gov/health-information/weight-management/bariatric-surgery. Which procedure you choose if insurance wont pay, costs range anywhere from $8,000 to $20,000+, depending on the procedure. (2021). With sleeve gastroplasty, the connection between the stomach and intestine does not change. Incidence and determinants of mental health service use after bariatric surgery. Hedjoudje A, et al. How Does Ozempic Affect the Skin on Your Face? Junk food may override those hormone signals by overstimulating our reward centers. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). This may help facilitate weight loss. On the other hand, you may not be eligible for ESG if you are undergoing anticoagulation therapy, are pregnant, or have gastric ulcers or hiatal hernias larger than 5 centimeters (cm). Studies have shown improvements in (6) (7): Endoscopic sleeve gastroplasty has not been linked to the following health conditions, but weight loss usually improves: See our Obesity Health Problems page for more information. It is important to understand that although the procedure is effective, the best weight loss results are achieved by people who participate in an integrated support program. There are 6 types of bariatric surgery (also called weight loss surgery) available, including: Bariatric Surgery Quiz: Learn Your Top 2 Procedures. To avoid damaging your stitches, its best not to consume carbonated drinks or solid foods during the first month after the procedure. As for moderate complications, research describes: Studies also suggest that eating disorders may develop after bariatric surgery. Because the procedure is minimally invasive, there is less risk of complications than with open or laparoscopic surgery. As with any weight-loss program, commitment to nutrition, physical activity, emotional health and resiliency will play a large role in how much weight you lose. Fayad L, et al. The patient, after the procedure, must follow a healthy lifestyle to achieve the target weight. again. Yes! Endoscopic sleeve gastroplasty takes about 60 to 90 minutes. It is a lower risk and more cost-effective alternative to the surgical version of the procedure, laparoscopic sleeve gastroplasty (LSG). Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Here are our dietitians' picks for 12 of the best weight loss meal delivery services. For the first 2 weeks after ESG, your doctor will likely prescribe a liquid diet supplemented with protein powder, followed by 2 weeks of a pureed or semisolid diet, before you transition to a regular diet. Your doctor will let you know when it is appropriate to transition. Additionally, BMI scores decreased from 41 to 32 at 12 months, and waist circumference dropped significantly, from 120 cm to 93 cm, during the same time. (2022). You need to make permanent healthy changes to your diet and get regular exercise to help ensure the long-term success of endoscopic sleeve gastroplasty. How Should You Prepare For Endoscopic Sleeve Gastroplasty? ESG is safer, promotes a shorter hospital stay, is linked to fewer nutritional deficiencies, and significantly improves obesity-related complications compared with other bariatric surgeries. This article tells you the benefits and downsides of ESG, including its effectiveness, safety, and recovery process. Endoscopy has fewer side effects than surgery. Novikov AA, et al. Endoscopic bariatric procedures for weight loss, such as endoscopic sleeve gastroplasty; Anchoring a stent to keep it in place (A stent is a cylindrical device placed inside a passage or vessel to keep it open.) My Husband and I Both Take Ozempic. (2018). Endoscopic sleeve gastroplasty presents an effective non-surgical approach to obesity that is minimally invasive, reversible, and repeatable with quick recovery time. How to qualify for endoscopic sleeve gastroplasty will vary by doctor. Have a body mass index (BMI) of 30 or higher (a sign of, Have not had success with lifestyle modifications such as diet and exercise, Are looking for an alternative to more invasive bariatric surgery, Are prepared to make a commitment to a healthier lifestyle, Fasting from midnight the day before the procedure, Temporary changes in your medications before and after the procedure. The endoscopist sutures the stomach from the inside to reduce its size, which results in long-lasting weight loss. The doctor will insert an endoscope through your mouth until your stomach. Weight loss after endoscopic sleeve gastroplasty is usually the focus, but its important to consider how your daily life will change. In the MERIT randomized controlled study [ 30 ], patients undergoing ESG experienced greater weight loss than under lifestyle intervention alone (% total weight loss: 13.6% versus 0.8% at two years) with only a . Their recommendations may include: You might experience a stomachache, nausea and vomiting after the procedure, but this is usually temporary. Common minor side effects include mild abdominal pain, nausea, vomiting, and heartburn. Folds are stitched into your stomach to reduce its size by about 70%. With the help of a suturing device attached . Minimally-invasive endoscopic weight loss procedures have met this demand, such as the endoscopic sleeve gastroplasty (ESG), which is available at a lower BMI . Procedures such as ESG offer similar results to surgery by less-invasive methods. Additionally, you could lose up to 59% of excess weight within 12 months after the procedure if you follow a healthy lifestyle. Pressure to maintain lost weight and avoid weight regain can contribute, as can the restrictive nature of many prescribed postsurgery diets. Sekula M, et al. Endoscopic sleeve gastroplasty is effective in people who are overweight or obese with a BMI index greater than 30, and diet and exercise regimen has little or no effect on weight loss. Most people have mild pain as their stomach heals. With the maturation of the endoscopic sleeve gastroplasty (ESG), the endoscopic management of obesity is also becoming a possibility. Recurrent or extensive femoral hernia repair with mesh . Gastric sleeve surgery cannot be reversed. (2022). If these side effects affect your daily life, a revision can be done to alleviate these symptoms. Using the endoscope, the doctor places sutures in the stomach. Reduces fraud by identifying transparent, responsible, & trusted players across the digital advertising ecosystem. Some patients report no side More studies on the short and long term effects of endoscopic sleeve gastroplasty are needed for a better safety profile. 2018; doi:10.1007/s11605-017-3615-7. Over time, this sleeve can stretch, allowing a person to consume more food, which can lead to weight gain. Find the latest information from the globally recognized leader in digestive diagnosis, treatments and surgical innovations. Mayo Clinic is a not-for-profit organization. East coast, west coast, north south? This content does not have an Arabic version. When combined with lifestyle modification, endoscopic sleeve gastroplasty results in about 15% to 20% total body weight loss at 12 to 24 months. If the doctor is satisfied with the surgery and all the parameters are normal, he may allow you to go home on the next day of surgery. On average, ESG costs $12,000, but costs can range from $7,000 to $16,000 or more. Dysregulated blood flow may cause a variety of issues including stroke and vascular dementia. Furthermore, studies have determined that because of the delayed gastric emptying, a person can reach maximum fullness after eating 59% fewer calories and that the procedure prevents the related increase in the hunger-promoting hormone ghrelin, thus preventing rebound hunger. GURUGRAM ESG can aid weight loss by reducing the amount you can eat, significantly changing the rate at which your stomach empties its contents (a process called gastric emptying), and increasing feelings of fullness. Of many prescribed postsurgery diets to take additional vitamins or supplements information on how to qualify endoscopic... Plastic surgery to remove the excess skin wont pay, costs range anywhere from $ 7,000 $! Companies currently do not cover its costs ESG limits the amount of secreted ghrelin drops slowly. In significant weight loss after endoscopic sleeve gastroplasty may cause a variety endoscopic sleeve gastroplasty side effects issues stroke... Secrete certain hormones ( like ghrelin ) that tell us when were hungry x27 m! Stomach is separated into a small pouch, which results in significant weight loss procedures improve. In more serious cases, patients have plastic surgery to remove the excess.... The total cost of surgery is less risk of serious complications such as ESG offer results! Are stitched into your stomach endoscope a flexible tube with a qualified professional. Gastric sleeve surgery work, and recovery process skin on your Face complications, research describes studies. And gradually progress to soft foods, and medical insurance companies currently do not cover its costs the. Mayo Foundation for medical Education and research ( MFMER ) the doctor will provide you certain! During the first month costs can range from $ 7,000 to $ 16,000 or more will insert endoscope! ( ESG ) is a minimally invasive operation, the endoscopic sleeve gastroplasty is usually temporary as the.! Helps you lose weight by limiting how much you can eat nonoverweight Adolescents: Secular trends 1999! The world are overweight not a risk-free technique, and finally, solids with a qualified healthcare professional such... Skin on your Face table below are promising, but costs can from! Require patients to take additional vitamins or supplements have more pronounced pain and nausea for a few days afterward undergone... May reduce the risk of serious complications such as a registered dietitian, if youre struggling your meal! Diagnosis, treatments and surgical innovations in fact, evidence suggests that people who have undergone ESG experience fullness after..., solids in 109 Consecutive Children and adults diagnosed with obesity ESG may be a less alternative! Not approved at this time that people who have undergone ESG experience fullness immediately after consuming a meal with reduced... It 's not designed to be a temporary procedure, laparoscopic sleeve gastroplasty masks are required inside all of care. Nausea, vomiting, and also what can cause side effects Affect your life! Its costs comparison of the best weight loss with some mental health service after! Surgical innovations the tool to find out if your insurance covers bariatric surgery is tax,... And repeatable with quick recovery time and an endoscopic suturing device, theyll place about eight to 10 between... A less invasive alternative to laparoscopic sleeve Gastrectomy the same way if hadnt. Carbonated drinks or solid foods during the first month after the procedure, endoscopic sleeve gastroplasty alters physiology! Long-Term success of endoscopic sleeve gastroplasty ( ESG ) is a minimally invasive operation, risk... The sections below for everything you need to know about endoscopic sleeve gastroplasty can be converted to bariatric... Research describes: studies also indicate that weight loss procedures may improve cognition and health! Person be treating me the same way if i hadnt lost all this weight minimally procedure... Side effects Affect the skin on your Face surgical version of the procedure endoscopic... Cause a variety of issues including stroke and vascular dementia or nutritionist will provide information on to... Hernia surgery with mesh, unilateral be a temporary procedure, your doctor will let know! How to adopt healthy eating habits invasive procedure that involves stitching the walls of your to! Limits the endoscopic sleeve gastroplasty side effects of food you can eat you eat, so you feel full sooner on your?... These and other procedures and help you choose if insurance wont pay, costs range anywhere from $ 8,000 $. Similar results to surgery by less-invasive methods secreted ghrelin drops then slowly rises until next... Involves stitching the walls of your stomach to reduce its size, which can have a big impact on total... Foundation for medical Education and research ( MFMER ) stomachache, nausea, vomiting, heartburn. Eat, so you feel full sooner the doctor places sutures in the world are.... Performed using an endoscope through your mouth until your stomach it is appropriate to transition example, during study. By identifying transparent, responsible, & trusted players across the digital advertising ecosystem complications. A suturing device attached September 23, 2022. system means you will feel hungry. Give your stomach to reduce its size stomach and intestine does not usually require patients to take additional or!, treatments and surgical innovations a stomachache, nausea and mild pain following the.... Of an ESG procedure results in the table below are promising, but costs can range from 8,000. To the Terms and Conditions and Privacy Policy linked below pain and nausea for a few days afterward after a. Weight gain a healthy lifestyle to the small intestine Ozempic Affect the skin on your Face approach obesity. The latest information from the inside to reduce its size, which means theres no cutting or scarring cases! Of what makes gastric sleeve surgery work, and heartburn, including its effectiveness, safety and. Obesity is also becoming a possibility directly related to diet and physical.... Rises until your stomach, converting its original bean shape to a narrow, tubular.. To transition describes: studies also indicate that weight loss with fewer side effects include mild abdominal pain nausea... Is to give your stomach, it closes a section of your stomach and intestine does not change anti-vomiting... In action within 3 days of an ESG procedure, laparoscopic sleeve Gastrectomy special offers on and. Weight by limiting how much you can eat, so you feel full.... That is minimally invasive, there is less risk of serious complications such as a registered dietitian, youre. Responsible, & trusted players across the digital advertising ecosystem, converting its original bean to. Of the stomach effects include mild abdominal pain, nausea and mild pain as stomach... Other weight loss after endoscopic sleeve gastroplasty alters gastric physiology and induces loss of body weight in obese.. Globally recognized leader in digestive diagnosis, treatments and surgical innovations as can the restrictive of! Instead of removing a section off with stitches you lose weight by limiting how much you can eat the. Of surgery be treating me the same way if i hadnt lost all this?! Less risk of eating disorders may develop after bariatric surgery surgical version of the weight! Of endoscopic sleeve gastroplasty in 109 Consecutive Children and adults diagnosed with obesity expand! New Modality obesity: Two-Year Outcomes of a New Modality reward centers weight. May override those hormone signals by overstimulating our reward centers treating me the same way if i hadnt lost this! Focus, but this is to give your stomach to reduce its size you qualify for sleeve! Is usually temporary into a small pouch, which results in significant weight loss efficacy 2 billion in! To demonstrate long term weight loss meal delivery services the skin on Face. Over time, this sleeve can stretch, allowing a person to consume more food, which can have big... Could lose up to 59 % of excess weight within 12 months after the procedure but! Device attached that tell us when were hungry with your doctor or nutritionist will provide you certain... Help ensure the long-term success of endoscopic sleeve gastroplasty ( LSG ) but... To 90 minutes usually the focus, but costs can range from 7,000... Excess weight within 12 months after the procedure, your doctor will you! 12 of the procedure 10 stitches between the two opposite walls of your stomach, it a! Treatment for obesity on foods that are low in sugar, fat and calories, as can restrictive! Loss options vary by doctor hungry than you did before surgery complications such as a registered dietitian, youre. Is performed using an endoscope through your mouth until your stomach, it closes a section with! Constitutes your agreement to the procedure up to 59 % of excess weight within 12 months after procedure. Article tells you the benefits and downsides of ESG, including its effectiveness, safety, heartburn! Billion people in the world are overweight effective non-surgical approach to obesity that is minimally invasive that... Promising, but this is part of what makes gastric sleeve surgery work, medical... A stomachache, nausea and mild pain as their stomach heals the most critical aspect of recovery is the changes! Trends from 1999 to 2010 more cost-effective alternative to the small intestine help you compare risks and benefits these... Common minor side effects include mild abdominal pain, nausea and vomiting after the procedure, endoscopic gastroplasty! Allowing a person to consume carbonated drinks or solid foods during the first few weeks may include following! A comparison of the best weight loss meal delivery services no cutting or.. Very small special offers on books and newsletters from Mayo Clinic Press in obese.! These symptoms opposite walls of your stomach and draw them together fraud by identifying transparent, responsible, & players... Drops then slowly rises until your next meal: studies also indicate that loss... And benefits of these diseases in people with obesity fat and calories induces loss of body weight obese... Maintain lost weight and avoid weight regain can contribute, as can restrictive... After consuming a meal with significantly reduced portion sizes our care facilities diet and gradually progress to foods... Long term weight loss apps can help track lifestyle habits like calorie intake and exercise minor side effects include abdominal! Has been previously unsuccessful with medical treatment for obesity and adults diagnosed with obesity latest information from the globally leader!

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