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Endoscopic Sleeve Gastroplasty (ESG)

Home  Endoscopic Sleeve Gastroplasty (ESG)

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Endoscopic Sleeve Gastroplasty


(ESG)
Endoscopic Sleeve Gastroplasty, is a non-surgical, incisionless, minimally
invasive procedure that allows your gastroenterologist to reduce the overall
size of the stomach to promote weight loss. Done under sedation, as an
outpatient, the procedure is well tolerated and patients return to a normal
routine after a few days of at-home recovery.

Who requires treatment with ESG? How is the ESG procedure performed?

ESG is ideal for patients who have a BMI of at least 30 and have not been
successful with diet and exercise alone. It is also a solution for those who
don’t want to undergo gastric bypass or those whose physical condition
makes them ineligible for surgery. T he most important criterion is to be
committed to the program and follow instructions for the prescribed
period of time. We recommend ESG for individuals who are looking for a
long-term weight loss solution.
ESG is a completely endoscopic procedure, performed from inside the
stomach and without the need for abdominal incisions. Your physician will
advance an upper endoscope (a camera attached to a flexible tube)
through your mouth and into your stomach. T he endoscope is equipped
with a suturing system that allows placement of stitches in the stomach.
T he procedure takes approximately 30 to 45 minutes. After the procedure,
the stomach is 70-80% smaller in size, which limits the amount of food
that is eaten before feeling full, limits the amount of calories absorbed by
the stomach, and also prolongs the time food remains in the stomach,
extending the feeling of fullness.

How much weight loss can one expect after the
procedure?
ESG is currently the most effective non-surgical weight loss procedure
available, producing an average of 15 – 18% total body weight loss at 1
year. T hough results may vary for each individual undergoing ESG, most
patients will lose 70% of their excess weight, or more.
Are there any risks?
So far, endoscopic sleeve gastroplasty has shown a favourable safety
profile. Pain and nausea may occur for several days after the procedure.
T hese symptoms are usually managed with pain and nausea medications.
Most people feel better after a few days.

Why ESG procedure is to be done? What are the advantages of ESG

Endoscopic sleeve gastroplasty is performed to help you lose weight
over surgical techniques?
and potentially lower your risk of serious weight-related health
It is a nonsurgical and incisionless procedure. Hospital stay is shorter,
problems, including: less operative time with faster recovery. Unlike surgery complications
are negligible which involves cutting and stapling the stomach or
Heart disease or stroke
implanting the bands. Minimal post operative pain and discomfort. And
High blood pressure
also ESG does not preclude further weight loss intervention including
Severe sleep apnea
surgery if needed later.
T ype 2 diabetes
Gastroesophageal reflux disease (GERD)
Osteoarthritis (joint pain)
 Are there precautions to be taken Does there have to be a specific
after ESG? weight in order to choose ESG as a
Diet should be taken as per the doctor’s advice. Patient can expect
procedure?
some nausea and abdominal cramps for few days after the surgery ESG can be performed on any patient who falls into the category of
which can be managed by modifying the diet and medicines.
obesity.However, it is beneficial for the patients who have a BMI
between 30 and 35.

What is the mechanisms for weight What diet should be followed after
reduction after endoscopic sleeve ESG procedure?
Gastroplasty? Patient should be on modified diet as prescribed by dietician for at least
4-6 weeks after the procedure which includes gradual transition from
As with any bariatric procedure, the principle remains the same. ESG
clear liquids to purée based diet and then the soft diet before going on
reduces the stomach volume by 80% which can result in reduction in
levels of appetite-inducing hormones like Ghrelin. T here are also a few to the regular diet
other factors that can contribute to weight loss, and these include slow
gastric emptying, as well as early satiety when you consume small
portions.

Contact Details Other

Pag es Treatments
Plot No 34 & 35, Sardar Patel Nagar, Nizampet
Obesity Intragastic Ballon
X Road, Hyderabad-500 072.
About Endoscopic Sleave
+91 - 81212 00600
CYGNUS Gastro Plast
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