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Weight Loss via Endoscopic Sleeve Gastroplasty (ESG)


ESG is a endoscopic procedure that is done for modifying the anatomy of the stomach to decrease the food intake. This in turn reduces the intake of calories causing weight loss. Using an over the scope, Overstich, Suturing device which allows for full thickness sutures to be placed in an interrupted or running pattern to decrease the volume of the stomach.

The two most commonly performed surgical procedures for weight loss are Roun-en-Y gastric bypass (RYGB) and the Sleeve gastrectomy (SG). Both these procedure involve resecting part of the stomach to reduce stomach capacity which helps patients feel full soon after eating and as a result eat less. These are both surgical procedures which require an abdominal incision (done laparoscopically) and prolonged recovery and have associated complications seen in all surgeries (bleeding, internal hernias, leaks and perforations). The new ESG procedure does not entail any cutting of the stomach, is done with the help of an endoscope inserted through the mouth and therefore has no abdominal incisions and the patients can be discharged home the same day.









FAQs


Q. What are the advantages of ESG procedure?
A. Advantages of an ESG procedure include minimally invasive, performed without an abdominal incision, early resumption of normal activities, typically in 1-3 days, outpatient procedure with same day discharge, and lesser costs compared to a surgically performed  RGYB or SG.

Q. Who are candidates for this procedure?
A. Patients who have a Body Mass Index(BMI) between 30-40

Q. Are there other procedures for weight loss?
A. Alternative procedures to ESG include Intra-gastric balloons that would also help with weight loss, but unlike an ESG which could be effective up to 2 years, balloons are removed after 6 months.

Q. What are if any complications?
A. Rare complications include delayed bleeding and splenic injury (<1%). Immediate post procedure  nausea ,vomiting and abdominal pain can be controlled with medicines.

Q. How much weight can one lose after ESG procedure?
A. Average weight loss is about 15%-20% of total body weight one year post procedure.

Q. Any Nutritional Tips?
A. Nutritional consult pre and post procedure follow ups is very critical in maintaining weight loss after the procedure.

Here are some frequently asked general questions about all procedures.  For specific questions, you can reach us via the phone number below or via the contact form.

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