The process called as endoscopic sleeve gastroplasty may be recognizable to you. This non-surgical treatment is intended to assist in weight loss. This is not a bariatric surgery, and the weight loss is not long-lasting. Your body releases ghrelin to signal to your brain when it’s time to eat. Although the pancreatic and small intestine can release ghrelin, the fundus is where it is primarily secreted. Before meals, when the stomach is almost empty or completely empty, ghrelin is released at its highest level. In order to lessen hunger, patients undergoing gastric sleeve surgery have the fundus—the site of ghrelin release—removed.
A gastric bypass technique “bypasses” the fundus, leaving the area of the stomach unaffected by food. As a result, appetite is lessened. The endoscopic sleeve treatment does not involve the removal of the stomach fundus. The fundus is still whole. It is possible to staple a tiny section of the stomach, but it is not removed. This facilitates the regular functioning of the hunger hormone ghrelin. Patients who had gastric bypass surgery lost 70% of their excess weight on average after a year. After undergoing gastric sleeve surgery, excess weight is often lost by 60%. Individuals who underwent endoscopic sleeve gastricplasty lost 16% of their excess body weight on average after a year. Compared to gastric bypass or gastric sleeve, this is a lot less.
What does an endoscopic sleeve gastroplasty entail?
Reducing the size of your stomach with an ESG will help you manage your portions, feel fuller sooner, and lose weight. An ESG involves no cuts or excisions, in contrast to other bariatric procedures that include the removal of portions of the stomach. Rather, to decrease the size of your stomach, our doctor stitches it from the inside. No lengthy incisions are necessary for any of this. Instead, an endoscope is inserted into your stomach through your mouth by our specialists. A lengthy tube with a camera, light, and specialized instruments is called an endoscope. Our specialist can shrink the size of your stomach by up to 80% with the use of a scope.
Because ESG is an outpatient procedure, you don’t need a lengthy hospital stay. Most of our patients return home the same day.
Are you able to eat regular food?
Your stomach needs time after surgery to both heal from the stitches and get used to its new size. We give you detailed instructions regarding your post-procedure food needs, but in general, this is what to make: After your ESG, follow a clear liquid diet for a few days. a phase of change from foods in clear liquids to those in purees and soft chopped foods a maintenance stage during which regular meals is allowed Your stomach can handle smaller meals after ESG, but you still need to take nutritional supplements to make sure your body gets the nutrients it needs because you are consuming less food overall.
Are you considering ESG?
This process is something to think about if you: Struggle despite diet and exercise to reach your desired weight loss don’t fit the requirements for gastric surgery Not interested in conventional bariatric surgery own a body mass index (BMI) of 30 to 40. Are dedicated to following the weight loss plan, which includes eating a balanced diet, exercising on a regular basis, and taking daily nutritional supplements Our doctor goes over your medical history, talks about your weight loss objectives, and goes over all of your alternatives during your consultation. If ESG isn’t the best option for you, we still have a lot of alternative options, such as other kinds of gastric balloons, that might be more effective.
What kind of weight loss are you expecting?
Although the effectiveness of ESG for weight loss varies depending on your level of dedication to leading a healthy lifestyle, research indicates that it works. Those who had ESG lost 31% of their excess weight on average after one month, 44% after three months, 53% after six months, and 59% after twelve months.
What advantages does endoscopic sleeve gastroplasty offer?
There are several benefits to ESG, particularly when contrasted with conventional bariatric surgery. This process: Is not surgical Is not cut? leaves no lasting marks Is reversible—your stomach won’t be sliced or removed—just sutured Furthermore, compared to a few weeks following bariatric surgery, the recovery period for ESG is quite brief, lasting only two to four days.
For whom is ESG appropriate?
Like other medicinal and surgical methods, ESG is ineffective without dietary and lifestyle modifications. Follow-up sessions on a regular basis are also required. Although every patient will be thoroughly screened by the doctors, qualified applicants typically possess the following qualities:
older than 18 a 30–40 body mass index
no prior history of bulimia or other eating disorders Absence of severe, uncontrollable stomach bleeding or reflux No additional risks of bleeding, such as hemophilia, or the need to take blood thinners other than aspirin continuously Our alternative method for patients who have gained weight after a Roux-en-Y gastric bypass is endoscopic transoral gastric outlet reduction.
Risks So far, endoscopic sleeve gastroplasty has been shown to be a safe procedure. Pain and nausea may happen for several days after the procedure. These symptoms are usually managed with medicine. Most people feel better after a few days. In addition, although it’s not designed to be a temporary procedure, endoscopic sleeve gastroplasty can be converted to another bariatric surgery.
When surgery is unsuccessful as weight- loss
Even if the weight-loss operation itself goes well, it is still possible to gain weight after it or to lose too much weight. You may gain this weight if you don’t make the suggested lifestyle adjustments. You need to make long-term, healthy dietary adjustments as well as engage in regular exercise and physical activity to assist prevent weight gain.
Gastric Bypass vs. Endoscopic Sleeve Gastroplasty
Laparoscopic gastric sleeve and roux-en-Y gastric bypass are two more surgical techniques that can help patients lose weight by decreasing the volume of the stomach in addition to ESG. A gastric bypass alters the anatomy more drastically than an endoscopic sleeve gastroplasty and necessitates skin incisions. By use of a gastric bypass, a portion of the stomach is divided into a tiny pouch and joined to the small intestine. Food passes via the little opening and does not transit through the entire stomach. Sleeve gastroplasty leaves the stomach and intestine connected in the same way. This may lead to less discomfort, fewer complications, and a quicker recovery period.
Although gastric bypass surgery has higher risks and adverse effects than endoscopic sleeve gastroplasty, it can result in greater weight loss. This is because gastric bypass surgery requires more anatomical alterations. Anemia, vitamin shortages, and dumping syndrome are typical adverse effects following stomach-reducing surgeries; the latter is more common following a bypass than a gastroplasty. In order to assist you select the best weight loss strategy, your doctor will help you assess the advantages and disadvantages of this and other procedures.
