Endoscopic Sleeve for Weight Loss
Endoscopic Sleeve Gastroplasty (ESG) is a procedure that can help with weight loss. It involves changing the shape of your stomach from a bean-like shape to a tube-like one. This is done using an endoscope, which is a long, flexible tube with a light and camera on the end. The procedure is performed under general anesthesia, so you won't feel any pain or discomfort.
During the ESG procedure, the doctor inserts the endoscope through your mouth and into your stomach. They then use another device to double-stitch the wider part of your stomach, creating a tube-like sleeve. This reduces your stomach's capacity by 80% and leaves a small gastric pouch. By reducing the size of your stomach, ESG limits the amount of food you can eat, making you feel full sooner and potentially aiding in weight loss.
ESG is considered an incision-less approach because it doesn't require any cuts or incisions in the abdomen. This makes it less risky than other weight loss surgeries. In fact, ESG has evolved into an outpatient procedure, meaning you can usually return home the same day.
Before an ESG procedure, your doctor may request some lab tests and temporarily modify your medication. They may also ask you to avoid consuming foods and drinks the night before the procedure. It's important to follow these instructions to ensure a successful procedure.
After the ESG procedure, most people are back to their regular activities within 3 days. However, the most critical aspect of recovery is making dietary changes during the first month. Your doctor will likely prescribe a specific diet plan for you to follow.
For the first 2 weeks after ESG, you will likely be on a liquid diet supplemented with protein powder. This is followed by 2 weeks of a pureed or semisolid diet before transitioning to a regular diet. During this time, it's important to avoid carbonated drinks and solid foods to avoid damaging your stitches.
Here are some additional dietary tips to follow after ESG:
- Eat smaller portion sizes
- Stop eating when you feel full
- Chew your food thoroughly
- Stay hydrated
It's important to note that ESG is not without potential complications. Some possible adverse events or complications include hypotension (low blood pressure), hypertension (high blood pressure), sore throat, postoperative nausea or vomiting, urinary retention, poor muscle strength, and reflux. If you experience any of these complications or have concerns after the procedure, it's best to contact your doctor for guidance.
Overall, ESG can be an effective option for weight loss for individuals who meet certain criteria. However, it's important to discuss this procedure with your doctor to determine if it's right for you. Your doctor will be able to provide personalized advice based on your specific health needs and goals.