Endoscopic Sleeve Gastroplasty
ESG is an innovative and non-invasive endoscopic technique that reduces the functional volume of the stomach. The concept of this procedure sought to mimic that of a surgical gastric sleeve in creating a tubular-shaped stomach. However, with ESG, instead of removing a portion of the stomach, it is invaginated inward with sutures.
During the procedure, an endoscopic suturing device is attached to the end of the endoscope and inserted into the stomach. Then starting from the distal segment of the stomach sutures are placed to create a smaller, tubular configuration.
Endoscopic sleeve gastroplasty leads to weight loss by the reduced capacity of food intake, early satiety, and delayed motility. Just as with surgical intervention, the patient works closely with a nutrition team to create healthy dietary habits and lifestyle changes.
The procedure is minimally invasive and quick, allowing for discharge home on the day of procedure. It reduces risks of surgical complications.