Endoscopic Sleeve Gastroplasty

Doctor J. Laster with Gut Theory Total Digestive Care is an expert in performing endoscopic sleeve gastroplasty (ESG) in Washington, DC and providing her patients with effective solutions for weight loss. Her track record and history of positive reviews speak for themselves, so if you are looking to achieve sustainable weight loss in Washington, DC, get in touch today!

Endoscopic sleeve gastroplasty (ESG) is one of the safest and most advanced weight loss procedures that has been used by people across the world for more than a decade now. The procedure does not involve any incisions or cuts through the skin because it is done with the help of an endoscope and a special suturing device that is inserted into the stomach through the mouth. The ESG procedure is performed with the Apollo ESG Overstitch™ because it is the only device approved by the FDA for this purpose.

The ESG reduces the available space in the stomach to a smaller size without any scars or risks that are usually associated with surgery. We use sutures to fold the stomach and create a smaller tubular-shaped stomach, reducing the size by around 70–80%. The concept of the procedure was to mimic the surgical gastric sleeve but to do so without the risks and inconveniences that the surgery entails. However, with the surgical gastric sleeve, a portion of the stomach is completely surgically removed, whereas the ESG does not involve surgical removal and can be reversed.

How does the Endoscopic Sleeve Gastroplasty (ESG) procedure work?
Sutures are used to shrink the size of the stomach from the inside by 70–80%, leaving a small, tubular-shaped stomach. The smaller remaining stomach allows for less intake per meal, which results in early satiety or feeling full earlier. Not only that, it leads to slowed gastric emptying, meaning the stomach empties slower, and patients feel full longer in between meals. These all result in less food intake and successful weight loss.
The ESG procedure - endoscopic view
The ESG procedure – endoscopic view
A stomach before ESG
A stomach before ESG
A sutured stomach
A sutured stomach
A stomach after ESG
A stomach after ESG
How much weight loss can I expect?
Endoscopic sleeve gastroplasty (ESG) is one of the most effective non-surgical procedures for weight loss. On average, patients can lose about 20% of their total body weight over a year. Results for each person vary and can be greater or less depending on the individual’s motivation and willingness to stick to the doctor’s guidelines and recommendations. It is important to mention that to achieve the best results, the procedure must be accompanied by dietary changes and increased physical activity.
Endoscopic sleeve gastroplasty weight loss results A woman lost 61 pounds with ESG
What is the recovery time?
Following the procedure, we expect some nausea and/or vomiting, bloating, mild abdominal pain, or cramping for the first 1-3 days. However, we provide medications to help with symptom relief. Patients may return to work within 1-2 days after the procedure.
Am I a candidate for the ESG weight loss procedure?
The endoscopic sleeve gastroplasty is indicated for those with a BMI of 30–50 kg/m2 who have failed diet and weight loss efforts alone.
How long does the procedure take?
The procedure takes about 30 min – 1 hour. The recovery period is about 1 hour, and then patients are discharged home.
What is covered in the total cost of the Endoscopic Sleeve Gastroplasty (ESG) with Gut Theory?
  • The ESG procedure
  • Anesthesia fees
  • Facility fees
  • One-year membership for ongoing weight management support follow-up

Before & After Endoscopic Sleeve Gastroplasty Procedure

Before image
Before image

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