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.

What is the ESG?

ESG (Endoscopic Sleeve Gastroplasty) is an innovative and non-invasive endoscopic technique that reduces the volume of the stomach by 70-80% of the size of a normal 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 pulled inward with sutures instead.

How does it work?

During the procedure, an endoscopic suturing device is attached to the end of the endoscope and inserted into the stomach. Then sutures are placed in the stomach to create a smaller, tubular configuration. The ESG leads to weight loss by the reduced capacity of food intake due to smaller stomach, early satiety, and delayed motility, so food sits in the stomach longer. Just as with surgical intervention, the patient works closely with a nutrition team to create healthy dietary habits and lifestyle changes.

Is it reversible?

Yes, if a patient wanted the procedure reversed, the sutures can be cut.

How long does the procedure take?

Depending on the size of the stomach the procedure takes 30 minutes to 1 hour to complete.

How much weight can I expect to lose?

The amount of weight loss varies from patient to patient. However, the ESG is a great tool to help with steady weight loss over time. Patients can expect to lose 20- 30% of their total body weight over the course of 1 year. For example, for a patient with a start weight of 225 lbs, they can anticipate 45-67 lb weight loss.

What is the recovery time?

Patients are discharged home within a few hours after the procedure. For the next 2-3 days, you can expect to feel mild pain, fullness, bloating, nausea, and/or vomiting. However, we provide medications to help with symptom relief.

BEFORE & AFTER
ENDOSCOPIC SLEEVE GASTROPLASTY procedure

ENDOSCOPIC SLEEVE GASTROPLASTY

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