Endoscopic Sleeve Gastroplasty (ESG) is a minimally invasive, non-surgical procedure used for weight loss. It involves reshaping the stomach to reduce its size and capacity, which helps limit food intake and promote a feeling of fullness. This technique is typically recommended for individuals who are obese and have not succeeded with diet and exercise alone, and for those who may not qualify for or wish to undergo traditional bariatric surgery.
What is Endoscopic Sleeve Gastroplasty?!
How ESG Works:
- Preparation: The procedure is performed under general anesthesia or sedation in an outpatient setting.
- Endoscopy: A flexible tube with a camera (endoscope) is inserted through the mouth and guided into the stomach.
- Suturing: Using specialized tools attached to the endoscope, the doctor places sutures to fold and tighten the stomach walls. This reduces the stomach’s volume by about 70-80%, forming a smaller, tube-like structure.
- Completion: The entire process usually takes 60 to 90 minutes, and the patient can go home the same day.
Benefits of ESG
- Minimally Invasive: No incisions or external scars.
- Short Recovery Time: Most patients resume normal activities within a few days.
- Effective Weight Loss: Patients typically lose 15-20% of their body weight within a year.
- Reversible: The procedure can be reversed if necessary, unlike some surgical options.
- Fewer Complications: Reduced risk compared to surgical procedures like gastric bypass.
Post-Procedure Care
- Body Mass Index (BMI): Typically recommended for individuals with a BMI of 30-40, although it may vary based on individual cases.
- Commitment: Requires dedication to lifestyle changes, including diet and exercise, to maintain weight loss.
Post-procedure Care
- Dietary Changes: Patients start with a liquid diet and gradually reintroduce solid foods over a few weeks.
- Behavioral Therapy: Support for developing healthier eating habits and managing portion control.
- Follow-Up: Regular monitoring with a healthcare provider to track progress and address any concerns.
