Endoscopic Sleeve Gastroplasty

Endoscopic Sleeve Gastroplasty

What is Endoscopic Sleeve Gastroplasty?
Endoscopic Sleeve Gastroplasty or ESG is a newer type of weight loss procedure. In this, surgeon reduces the size of your stomach with the help of an endoscopic suturing device. The procedure is done when the BMI is within 28 to 34. It is preferred when diet and exercise have not worked for the patient. It can also be done in cases where surgery is contraindicated or as an intermediary procedure.

Endoscopic Sleeve Gastroplasty (ESG) is one of the latest advancements in Medical Science. Endoscopic Bariatric Procedure does not require any hole or incision to be put on any part of the body but a special Endoscopic instrument is inserted through an oral route to reach the stomach. Then the size of the stomach is reduced using stitches. On the same day after 4-6 hours of the procedure, a patient can go home. Moreover, as the procedure involves zero blood-loss, there is no need for blood transfusion and chances of infections are also almost nil. An overall weight reduction of 15-18% of total body weight can be expected over a period of 6-12 months.

What is Obesity?

Obesity is a life-long progressive and life-threatening condition marked by the excess accumulation of body fat in your body which can significantly reduce life expectancy. When the weight reaches extreme levels, it is called MORBID OBESITY. It is a chronic condition with numerous medical, psychological and social consequences.

Causes of obesity:

  • Genetics affect your metabolism and how your body processes food.
  • Sedentary lifestyle leads to low physical activity.
  • Uneven sleep cycle leads to hormonal changes which make you feel hungrier.
  • Pregnancy weight can be difficult to lose which eventually leads to obesity.
  • Polycystic ovary syndrome (PCOS) causes imbalance of female reproductive hormones which aids in weight gain.
  • Hypothyroidism also leads to obesity because of the lack of important hormones.

    • Finding out if you are obese is simple; you calculate your Body Mass Index or BMI. Obesity is also defined by waist size - over 90 cm in males and over 80 cm in females.

    Common diseases associated with obesity:

    1. Type II Diabetes
    2. Heart Disease
    3. Hypertension
    4. Hypercholesterolemia
    5. Liver and kidney disorders
    6. Joint Pain/Osteoarthritis/Gout
    7. Respiratory disorders
    8. Gastroesophageal reflux disease
    9. Infertility
    10. Certain cancers
    11. Depression and anxiety disorders
    12. Sleep Apnea

    Advantages of Endoscopic Sleeve Gastroplasty:

  • ESG is less invasive than a Surgery.
  • ESG is performed using an endoscope so there are no incisions or scars.
  • No portion of stomach is removed.
  • It involves little to no pain during the procedure.
  • It has a fast recovery period.
  • It is a very low risk procedure.
  • ESG can be reversed whenever needed.

    • Description of the surgery:

    Endoscopic Sleeve Gastroplasty (ESG) is one of the latest advancements in Medical Science. Endoscopic Bariatric Procedure does not require any hole or incision to be put on any part of the body. In this procedure, a special Endoscopic instrument is inserted through an oral route to reach the stomach. The size of the stomach is reduced using stitches made by this instrument. The patient can go home on the same day after 4-6 hours of the procedure. Moreover, as the procedure involves zero blood-loss, there is no need for blood transfusion and chances of infections are also almost nil.
    Results of the surgery: An overall weight reduction of 15-18 Kg of total body weight can be expected over a period of 6-12 months.

    Team of Radiance for weight loss surgeries:

  • Dr. Apurva Vyas: Bariatric & Robotic Surgeon
  • Dr. Chirag N. Shah: Gastroenterologist

    • Post-operative care:

  • Change positions frequently while sitting.
  • Take stairs whenever possible.
  • Walk regularly.
  • Do breathing exercises.
  • Stay hydrated.
  • Follow low sugar diet in the beginning.

    • Frequently asked questions

    What is endoscopic sleeve gastroplasty?

    Endoscopic sleeve gastroplasty is a minimally invasive surgery where the stomach is stapled and made small by an endoscope.

    Is there any risks going for endoscopic sleeve gastroplasty?

    Endoscopic sleeve gastroplasty is minimally invasive and has almost zero risks.

    Is endoscopic sleeve gastroplasty safe or not?

    Endoscopic sleeve gastroplasty is completely safe to opt for.

    Is endoscopic sleeve gastroplasty reversible or not?

    Endoscopic sleeve gastroplasty is completely reversible. You can remove the sutures after your desired weight is achieved.

    What is the endoscopic sleeve gastroplasty recovery time?

    The usual recovery time for endoscopic sleeve gastroplasty is 3-4 days after the surgery.