What is Endoscopic Sleeve Gastroplasty?
Endoscopic Sleeve Gastroplasty (ESG) is a minimally invasive, non-surgical weight loss procedure designed to reduce the size of the stomach. By using an endoscope, a doctor creates folds in the stomach tissue, effectively transforming it into a smaller, tube-like structure. This procedure helps patients feel fuller sooner and consume fewer calories, facilitating significant weight loss without any external incisions or scars
Background of Endoscopic Sleeve Gastroplasty
Endoscopic Sleeve Gastroplasty was introduced as a less invasive alternative to traditional bariatric surgeries. The procedure utilizes advanced endoscopic techniques to create a gastric sleeve without cutting or stapling the stomach. ESG has gained popularity for its effectiveness and reduced recovery time compared to conventional surgical methods
Who is a suitable candidate for Endoscopic Sleeve Gastroplasty?
Candidates for ESG typically include individuals with a Body Mass Index (BMI) of 30 or higher who have struggled with obesity-related conditions. It is particularly suitable for those who have not achieved sustainable weight loss through diet and exercise alone.
Patients with obesity-related health issues such as type 2 diabetes, hypertension, or sleep apnea may also benefit from this procedure.
How is the Endoscopic Sleeve Gastroplasty Performed?
- The ESG procedure is performed under sedation. An endoscope equipped with a suturing device is inserted through the mouth into the stomach.
- The physician then creates several accordion-like folds in the stomach wall using sutures, which reduces the stomach’s capacity by approximately 60% to 65%.
- This modification helps patients feel full more quickly and limits food intake
What are the benefits of Endoscopic Sleeve Gastroplasty (ESG)?
What to expect after Sleeve Endoscopic Sleeve Gastroplasty?
Post-procedure expectations vary but generally include:
Initial Recovery
Patients may experience mild discomfort and are usually monitored for a few hours before being discharged.
Dietary Changes
A gradual reintroduction of food will be recommended, starting with clear liquids and progressing to soft foods over several weeks.
Follow-up Care
Regular follow-up appointments will be necessary to monitor progress and nutritional intake
Endoscopic Sleeve Gastroplasty normal recovery times
Most patients can return home on the same day as the procedure. Recovery times typically include:
Hospital Stay
Usually outpatient; overnight stays are rare.
Return to Work
Many individuals can resume normal activities within 3 to 5 days.
Full Recovery
Complete recovery and return to regular physical activities may take about 2 to 4 weeks.
Endoscopic Sleeve Gastroplasty lifestyle changes
Adopting a healthier lifestyle post-procedure is crucial for long-term success. Key changes include:
Regular Exercise
Incorporating physical activity into daily routines.
Mindful Eating
Focusing on portion control and nutritional quality.
Behavioral Support
Engaging in support groups or counseling can enhance motivation and accountability.
Post-ESG nutrition
Initial Phase
Clear liquids for the first few days, transitioning to pureed foods.
Long-term Diet
Emphasis on high-protein, low-calorie meals while avoiding sugars and fats.
Supplementation
Patients may need vitamins and minerals such as Vitamin D, Calcium, Iron, and Vitamin B12 to prevent deficiencies
Endoscopic Sleeve Gastroplasty Risk factors
While ESG is considered safe, risks associated with any endoscopic procedure include:
- Bleeding
- Infection
- Nausea or vomiting
- Potential complications from anesthesia
Specific risks related to ESG may involve issues such as leakage from sutured areas or narrowing of the stomach outlet, although these are relatively rare.
By understanding these aspects of Endoscopic Sleeve Gastroplasty, potential candidates can make informed decisions about their weight loss journey.
