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Non-Surgical Weight Loss

Endoscopic Sleeve Gastroplasty

ESG is a procedure performed endoscopically by a gastroenterologist or surgeon that uses a small suturing device and camera to reduce the size of the stomach from the inside.

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What is Endoscopic Sleeve Gastroplasty (ESG) and How Does It Work?

Endoscopic Sleeve Gastroplasty (ESG) is a minimally invasive weight-loss procedure designed to help patients achieve significant weight loss without the need for traditional surgery. During ESG, a flexible tube (endoscope) is inserted through the mouth, and sutures are used to reduce the size of the stomach, creating a sleeve-shaped pouch. This limits food intake, reduces hunger, and promotes gradual, sustainable weight loss.

The procedure is performed under sedation and typically takes 1-2 hours, with no incisions needed. ESG is a great option for individuals who are looking for a more aggressive weight-loss method but may not qualify for, or prefer not to undergo, traditional weight-loss surgery.

Why Choose Endoscopic Sleeve Gastroplasty (ESG)?

  • Minimally Invasive: ESG is performed through the mouth using an endoscope, meaning no incisions are required. This results in less trauma to the body and a faster recovery.
  • Long-Term Weight Loss: On average, patients lose 30-50% of their excess weight within the first year, with continued progress possible depending on diet and exercise.
  • Improves Health Conditions: ESG has been shown to improve conditions like Type 2 diabetes and hypertension, with many patients seeing at least a 10% total body weight loss (TBWL) and improvements in their conditions.
  • Quick Recovery: Most patients can return to normal activities within 2-3 days, allowing for a smoother transition back to daily life.
  • Non-Surgical Alternative: ESG offers a less invasive alternative to traditional weight-loss surgeries, providing a solution for those who are not candidates for or do not wish to undergo surgery.
  • Permanent Weight-Loss Solution: While ESG requires a commitment to a healthy lifestyle, it is a long-term solution to weight loss that provides lasting results.

FAQs About Endoscopic Sleeve Gastroplasty (ESG)

How is ESG performed?

ESG is performed using an endoscope, a thin flexible tube inserted through the mouth to place sutures in the stomach, reducing its size. The procedure is done under sedation and typically takes 1-2 hours.

Is ESG a permanent weight-loss solution?

Yes, ESG provides a permanent solution to weight loss, but it requires a commitment to a healthy lifestyle, including diet and exercise, for optimal results.

Who is a good candidate for ESG?

Ideal candidates are individuals with a BMI of 30-40 who have struggled with traditional weight-loss methods and are looking for a less invasive option than traditional surgery.

How much weight can I expect to lose with ESG?

Patients typically lose 30-50% of their excess weight within the first year. Continued progress depends on maintaining a healthy diet and exercise regimen.

What can I expect during recovery?

Most patients can return to normal activities within 2-3 days. During recovery, a modified diet is recommended to allow the stomach to adjust.

Am I a good candidate for ESG?

Candidacy depends on your medical history and weight-loss goals. To qualify, you must have a BMI over 30. A consultation with a specialist will determine if ESG is right for you.

Does ESG improve health conditions?

Yes. Studies have shown significant improvement in conditions such as Type 2 diabetes and hypertension, with many patients losing at least 10% of their total body weight.

How long does the procedure take?

ESG typically takes 1-2 hours to complete, and no incisions are required, allowing for a faster recovery time compared to traditional surgery.

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