ENDOSCOPIC SLEEVE GASTROPLASTY
A minimally-invasive, incision-less
solution to weight loss
Endoscopic Sleeve Gastroplasty (ESG) is a minimally invasive, outpatient, non-surgical, incision-less weight loss procedure. The endoscopist sutures the stomach from the inside to reduce its size, which results in long-lasting weight loss. This innovative procedure allows patients to explore alternatives like eating broth to lose weight and eating clean for weight loss. The procedure is very well tolerated. Patients are not admitted to the hospital and can return to their normal routine after a few days.
ESG is most suited for patients who were unable to achieve the desired weight loss with diet and lifestyle changes. It is also an excellent option for patients who prefer not to undergo surgery or who do not meet the criteria for traditional bariatric surgery.
The ideal candidate for ESG is someone with a BMI between 30 and 40 who is committed to the weight loss program and willing to adapt to a healthier lifestyle.
*By submitting this form you agree to be contacted via text/phone/email.
Reply “Stop” to opt out.
The procedure is performed endoscopically, eliminating the need for incisions. The endoscopist uses an endoscope—a tube equipped with a camera and light—to access the stomach through the mouth. A suturing device on the endoscope allows for suturing of the stomach from the inside. This technique reduces the stomach’s size by about 70-80%. The stomach can now accommodate smaller meals, and the rate at which food empties from the stomach is decreased, helping meals last longer. Patients can follow a low-calorie diet without feeling hungry all the time.
Most people experience weight loss of approximately 18 to 20 percent of their total body weight in one year after the procedure. The majority of the weight loss occurs early on but is maintained. After five years, individuals typically sustain a 15% total body weight loss. The key is to embrace a healthier lifestyle in the long run.
ESG boasts the lowest complication rate compared to other bariatric procedures like gastric balloon, lap band, gastric sleeve, and gastric bypass. While serious complications are very rare, they may include gastric leak, perigastric fluid collection, pneumothorax, and pulmonary embolism. It’s essential to note that requiring additional procedures or surgery to address these complications is extremely rare. Notably, no patient has died as a result of complications with ESG.
ESG involves suturing the stomach from the inside using a suturing device on the endoscope. This approach doesn’t require incisions or removal of any part of the stomach.
On the other hand, Laparoscopic Sleeve Gastrectomy (LSG) is performed using a camera and long instruments through small abdominal incisions. A significant portion of the stomach is detached and completely removed from the body through one of the incisions.
Recovery time after ESG is typically 2-4 days. While complications are rare, including gastric leak, perigastric fluid collection, pneumothorax, and pulmonary embolism, additional procedures or surgery to treat these complications are extremely rare. No patient has died as a complication of the ESG procedure.
Recovery after Sleeve Gastrectomy is usually 1-3 weeks. While complications are also rare and include gastric leak, post-operative bleed, and pulmonary embolism, they usually require additional procedures or surgery to treat. The chance of death after LSG is very low (0.04%), though not zero.
Weight loss after ESG is generally robust, with individuals experiencing around 30-60% excess weight loss. LSG produces excellent weight loss results, typically accounting for 50-80% of excess weight loss. Both procedures emphasize adopting a program for making healthy changes in nutrition, activity, and mindset.
To further explore the benefits of the endo gastric sleeve procedure, consider options like endoscopic gastric sleeve revision or endoscopic revision of gastric sleeve. If you’re searching for options in Atlanta, consider endoscopic sleeve gastroplasty Atlanta. Discover more about the procedure’s outcomes by exploring endoscopic sleeve gastroplasty results and reading insightful endoscopic sleeve gastroplasty reviews.
For those seeking a reputable provider, esophagus gastric sleeve experts offer guidance and support. Find solutions like esophageal sleeve procedures for effective weight loss. Explore our services, including ESG weight loss surgery near me and endoscopic weight loss surgery near me.
Ready to embark on your journey towards weight loss? Schedule a consultation today and take a step toward a healthier future.
You Won’t be Able to Resume Eating Normal Foods Immediately After Your Procedure. The Diet Progression Starts with Clear Liquids, Moves onto Full Liquids, Followed by Soft Foods and Eventually Regular Foods. This Gradual Diet Progression Ensures Optimal Healing and Minimizes Pain or Discomfort from the Procedure.
Clear Liquid Diet – Aim for 48-64 Fluid Ounces Per Day and take small sips every 15 Minutes.
Choose sugar-free, non-carbonated beverages that contain less than 10 calories per 8 ounce serving. Examples include water, Hint Water, Fruit2O, Mio Drops, Crystal Light, True Lemon/True Lime Packets, Sugar-Free Jell-O, Sugar-Free Popsicles and Decaf Tea or Coffee (no cream or sugar). Hot or cold liquids may not be tolerated as well.
Avoid caffeine & alcohol too. Take a dose of MiraLAX daily for the first 2 weeks.
Full Liquid Diet – Still aim for 64 fluid ounces of sugar-free beverages per day while increasing protein intake with two or three protein shakes/day (look for 20-30 grams of protein per serving with less than 200 calories & less than 5g of sugar).
Soft Diet – Congratulations, you have reached Stage 3 of your post-op diet! This is an exciting step towards meeting your nutrition goals. During this phase, it’s important to transition from pureed food to soft foods that can be mashed with a fork. Your protein goal should still be around 60-90 grams per day
Fortunately, there are plenty of options for soft foods – including eggs, soft-baked white fish, canned chicken/tuna/salmon (mixed with mayonnaise or plain Greek yogurt for the right texture), deli meats such as chicken, turkey and ham, as well as tofu and other soft vegetable proteins. Plus, real cheese, cottage cheese, ricotta cheese and plain or light Greek yogurt are all good sources of protein that can be added to meals. Other recommended items include legumes such as lentils and refried beans as well as non-starchy vegetables and unsweetened applesauce – but only after your daily protein target has been met.
Your meal pattern should stay the same: three meals a day and one snack – all small but packed with protein. Make sure to start each meal by eating your protein first; in addition, don't forget to stop drinking 15 minutes before eating and wait 20-30 minutes after eating before drinking again. Doing this will ensure you get the right fluid intake while avoiding any discomfort caused by overeating.
We recommend to all patients to live healthier after your procedure. Your focus should be having 3 meals daily with an optional snack in between if necessary. Additionally, for the next month or so it is recommended that you have 1 protein shake per day to ensure you are getting the desired 60-90 grams of protein intake daily.
When creating your meals, the main priority should be choosing a dense, quality protein source that takes time to chew properly. This will help keep a feeling of fullness for longer periods and should make up about 75% of each meal. If after eating your main protein portion you still feel hungry within the 15-20 minutes of consuming food, add some non-starchy vegetables as a side dish. Deep fried or breaded items should also be avoided while trying to achieve weight loss goals.
Even though the texture of the diet changes during Stage 4, it will still be necessary to maintain a minimum intake of 60-90 grams (or more) of protein and 64 ounces (or more) sugar free liquids per day. To maximize potential weight loss results it can also help with continuing exercise habits while adjusting intensity and/or duration accordingly.With these dietary and lifestyle modifications however, success is likely if they are prioritized and practiced regularly.
*By submitting this form you agree to be contacted via text/phone/email.
Reply “Stop” to opt out.