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Types of Surgeries

Endoscopic Sleeve Gastroplasty

What is an Endoscopic Sleeve Gastroplasty?

Endoscopic sleeve gastroplasty (ESG) is a new bariatric procedure performed for the treatment of obesity. ESG reduces the size of the stomach so that the patient feels full faster while eating. The procedure is performed endoscopically, meaning a camera is inserted through the mouth and esophagus and into the stomach. A specially designed stapler is used to bring the walls of the stomach together and decrease the overall volume of the stomach.

Who is a candidate for ESG?

Patients with a BMI (Body Mass Index) above 30 kg/m2 who have not been able to lose weight through nonoperative measures are candidates for endoscopic sleeve gastroplasty. Nonoperative measures include diet, physical exercise, and sometimes the administration of certain medications. Speak to your doctor regarding these conservative measures before proceeding with surgical intervention.

Who is not a candidate for ESG?

Patients with gastric ulcers, congestive gastropathy or varices (enlarged veins in the stomach or esophagus), gastric polyps, or other significant uncontrolled diseases are not candidates for endoscopic sleeve gastroplasty.

Advantages and Disadvantages

Advantages

  • Performed endoscopically through the mouth, reducing the risk of external scars
  • Effectively reduces the stomach's size, helping to limit food intake
  • The procedure can be adjusted or reversed if necessary

Disadvantages

  • Newer procedure, long-term data on its effectiveness and risks are less available
  • Not suitable for patients with certain gastrointestinal conditions
  • Complications include abdominal pain, bleeding, infection, and gastric reflux

Did you know we have a support group?

Your questions and concerns have most likely been asked and answered in our support group. Moderated by our dietitian's, nurses, and staff. We provide you with reliable patient education and resources to help you throughout this life-changing process.