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Endoscopic Sleeve (ESG)

Endoscopic sleeve gastroplasty (ESG), sometimes called a non-surgical sleeve, end sleeve, or accordion procedure. Particurlalry, presents a modern method for weight loss. This procedure uses an endoscopic suturing device to reduce the size of your stomach without requiring surgery. If individuals’ body mass index (BMI) is 30 or above and traditional diet and exercise haven’t been effective,. Then ESG could be a viable option.

Endoscopic Sleeve - Procedure Overview

Endoscopic sleeve gastroplasty reduces the stomach size by 70-80% using an endoscopic suturing device. Consequently, patients will feel full sooner and their stomachs will secrete fewer hunger-inducing hormones. ESG promotes significant weight loss by restricting food intake. Moreover, it is minimally invasive, which lowers the risk of complications compared to surgical options.

Nonetheless, like all weight-loss procedures, ESG demands a commitment to maintaining a healthier lifestyle. For long-term success, individuals will need to adopt permanent dietary changes and engage in regular physical activity.

Endoscopic Sleeve - Procedure Benefits

The standout feature of the accordion procedure is that it is completely non-surgical. This means no incisions, no scars, and minimal pain afterward. Typically lasting under two hours, ESG is even less invasive than Laparoscopic Sleeve Gastrectomy (LSG). According to the Clinical Gastroenterology and Hepatology journal, ESG leads to significant weight loss and reduced BMI.

Along with alleviating obesity-related metabolic complications. Non-surgical sleeves can also improve conditions linked to excess weight. For example GERD, heart disease, high blood pressure, severe sleep apnea, and type 2 diabetes.

Who is the Right Candidate for the ESG Procedure?

The non-surgical gastric sleeve is ideal for patients with a BMI over 30. Who are either not suitable for or do not want bariatric surgery. The ESG procedure is available for those with a BMI above 30. Especially those who have struggled to maintain weight loss through other methods. ESG can help manage or prevent other chronic health conditions.

How Do Surgeons Perform an Endoscopic Sleeve Procedure?

Surgeons perform the procedure at a surgery center on an outpatient basis. Followed by the anesthesiologist administering general anesthesia, rendering you unconscious. Then, the surgeon conducts the procedure using an endoscope. Precisely, a flexible tube with a camera and an endoscopic suturing device. Later, the surgeon inserts the endoscope through your throat into your stomach. Lastly, this enables the surgeon to visualize. To perform actions inside the stomach without making abdominal incisions.

How Much Weight Can I Lose with ESG Procedure?

Endosleeve can result in substantial weight loss, with outcomes influenced by lifestyle changes. Encouragingly, studies have demonstrated promising results. For instance, in a recent study involving individuals with an average BMI of approximately 38.

The accordion procedure led to an average weight reduction of 39 pounds within 6 months. Subsequently, 42 pounds within 12 months. Similarly, in another study participants averaged a BMI of about 4. The procedure facilitated an average weight loss of around 73 pounds within the initial six months.

Endoscopic Sleeve – Before and After Transformation

Endoscopic Sleeve ESG (Before)
Endoscopic Sleeve ESG (After)

When Will I Start Seeing Results of ESG Procedure?

During the initial month following the ESG procedure. The most significant weight loss typically occurs, likely attributed to adhering to a no-solid foods diet. Weight loss during this period typically ranges from 11 to 24 lbs. Remarkably, after one year of maintaining a healthy diet, certain patients have achieved an impressive weight loss of 73 lbs.

How Much Weight Can I Lose with ESG Procedure?

Because the ESG procedure is relatively recent, there hasn’t been sufficient time to gather data on its long-term effectiveness. Nevertheless, you can reasonably assume it will endure for at least 24 months.

Endoscopic Sleeve – Important Considerations

In general, experts consider ESG very safe, with minimal risks. Such as those associated with general anesthesia, bleeding, leakage, obstruction, and esophageal injury, though these complications are rare. Post-procedure, patients may experience a sore throat due to the presence of the endoscope.

However, given its recent introduction and limited use, uncertainties remain about its long-term effectiveness and risks. Additionally, uncommon, any side effects from the procedure are typically mild and last up to 5 days. Including nausea, cramping, reflux, vomiting, or diarrhea.

Endoscopic Sleeve – Expected Results

Before the Procedure

Prior to the surgery, you may undergo various lab tests and exams. Specifically potential restrictions on eating, drinking, and medication intake. Your surgeon might also advise you to begin a physical activity regimen. Planning for post-procedure recovery is advisable, including arranging for assistance at home if needed. Fortunately, recovery typically spans only one to two days.

After the Procedure

Following the procedure, you will have an initial period of fasting for about eight hours. Followed by a liquid diet lasting at least two weeks. Subsequently, you will progress to semi-solid foods over a four-week period, transitioning eventually to a regular, healthy diet. Additionally, you will attend medical checkups and meet with a nutritionist and psychologist frequently post-surgery.

Can Surgeons Reverse the ESG Procedure?

Indeed, the endosleeve procedure is reversible. The sutures utilized in the procedure consist of polypropylene and do not dissolve.

What is the Recovery Time for ESG Procedure?

Following ESG, it’s advisable to schedule for a minimum of 3-5 days of rest to facilitate your body’s recovery.

Arrange Your Consultation Today

Interested in EGS surgery or other weight loss procedures? Call us at (727) 868-4490 or schedule your consultation. To further inquire about the procedure cost and eligibility criteria in Tampa Bay, FL. 

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