21 March, 2024

Endoscopic Sleeve Gastroplasty: A Noninvasive Approach to Long-Term Weight Management 

Year after year we learn more about obesity and weight management options. Endoscopic sleeve gastroplasty (ESG) has become a popular innovative and noninvasive procedure, that offers an alternative to traditional surgical options. But many have never heard of this procedure at all. In this week’s blog post, we are excited to shed light on this procedure and its effectiveness in promoting sustainable weight loss

What Is Endoscopic Sleeve Gastroplasty?

ESG differs from the surgical sleeve gastrectomy (VSG) in being a less invasive option for patients who had not been successful and diet and weight loss alone but did not want to resort to the surgical removal of a portion of the stomach. Unlike the surgical gastric sleeve, the ESG uses an advanced suturing device as an endoscopic technique to suture and fold the stomach, reducing its size by 70-80% of the original size. This procedure mimics the effects of a surgical gastric sleeve without the increased risks and recovery period of surgery.

Endoscopic gastric sleeve vs surgical gastric sleeve

Key Benefits of ESG

Noninvasive Nature
ESG does not require any surgical organ removal, making it a minimally invasive alternative to traditional weight loss surgeries.
Reversibility
Many people ask us “Is endoscopic sleeve gastroplasty reversible?”. Unlike surgical procedures, ESG is reversible, providing patients with flexibility in their weight management journey. Some people also wonder “Is endoscopic sleeve gastroplasty permanent?”. The answer to this question is yes. ESG is both permanent and reversible.
Reduced Intake and Satiety
The smaller stomach created through the ESG leads to early satiety, allowing patients to feel full earlier and consume fewer calories per meal.
Slowed Gastric Emptying
The procedure results in slowed gastric emptying, leading to a prolonged feeling of fullness between meals
Indications for BMI 30-50 kg/m2
ESG is recommended for individuals with a BMI of 30-50 kg/m2 who have not achieved desired results through diet and lifestyle weight loss efforts
Rapid Recovery
Go home the same day post-procedure.
Slow and Steady Weight Loss
Reduced risk of vitamin deficiencies and muscle mass loss due to slow and steady weight loss over the next year.

Long-Term Results After ESG

Research indicates that patients undergoing ESG can experience a remarkable weight loss of approximately 20% of their total body weight over a year and maintain at least 15% total body weight loss at 5 years. Similar to surgical interventions, ESG also aids in reversing comorbidities such as diabetes, hyperlipidemia, hypertension, fatty liver, and joint pain. This underscores the added benefits of ESG beyond just weight loss.

For various reasons, the uptake of bariatric surgical procedures has not been sufficient to treat all of those suffering from obesity. Therefore, we knew there was a need to attract more patients with a non-invasive option. Procedures such as the Endoscopic Sleeve Gastroplasty can redefine the way we approach sustainable weight loss and comorbidity reversal. If you’re considering endoscopic sleeve gastroplasty for weight loss or want to learn more about this innovative procedure, make sure to book your appointment today. Together, let’s decide on your journey towards a healthier, happier you.

Dr. Laster

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