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Endoscopic Sleeve Gastroplasty (ESG)

Endoscopic sleeve surgery, also known as endoscopic sleeve gastroplasty (or ESG), changes the size of your stomach using sutures.

Illustration of stomach and intestines from side view

Endoscopic sleeve gastroplasty reduces your stomach volume and limits the amount of food you can eat in one sitting. Endoscopic sleeve surgery is minimally invasive and a simple procedure to recover from.

You may be a good candidate for endoscopic sleeve surgery if you are overweight and traditional diet and exercise measures have not been effective. Patients with a body mass index of 30 or higher are considered to be ideal candidates for endoscopic sleeve surgery.

This treatment differs from other weight loss procedures because it is a non-surgical option. Other bariatric surgery procedures require placing incisions in the abdomen, which carry a higher risk, a longer recovery time, and possibly scarring. Accordion weight loss surgery is performed through the esophagus. As this treatment is not an invasive surgery, there are lower complication rates, and a shorter treatment time is needed to perform the procedure. You will be able to return to your daily activities more quickly than a more invasive treatment.

During this procedure, your surgeon will insert a visual tool called an endoscope into your throat and down into your stomach. The surgeon will then make sutures all around the border of your stomach walls to tighten and reduce the size of your stomach. This is done through an endoscope placed down your throat, so there are no incisions required.

Endoscopic sleeve surgery is among the safest weight loss procedures available today. Since it is done using a minimally invasive technique, there are fewer risks for complications. Most patients recover very quickly from this surgery and are able to resume normal daily activities within a few days.

You will be on a liquid diet for a few weeks following your endoscopic sleeve surgery. This is to allow your stomach to adjust to its reduced size and reduce the risk of rupturing the sutures. Once you have healed, you will be able to eat solid foods.

This procedure is useful for weight loss and reducing the risk of long-term obesity-related health complications. The surgery can help to reduce the risks of conditions such as:

  • Heart disease

  • High blood pressure

  • Type 2 diabetes

  • Arthritis and joint pain

  • Sleep apnea

  • Acid reflux

Patients with these conditions often faced increased risks from being overweight. Once you have lost weight as a result of the surgery, you will likely find that you’re in much better overall health.

To learn more about this nonsurgical bariatric surgery and to make an informed comparison of bariatric surgery options, schedule a phone free consultation with one of our doctors. Our surgeons are personable, informative and concerned for the individual patient.

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