Endoscopic sleeve gastroplasty (ESG), also known as the accordion procedure, is a weight loss procedure offered at GastroExperts that utilizes an endoscope for a minimally invasive approach to help patients achieve significant weight loss. It’s a potential option for those struggling with obesity and its related health issues.
A skilled gastroenterologist inserts a thin, flexible endoscope equipped with a suturing device through the mouth and into your stomach. The endoscope allows visualization of the stomach for precise placement of sutures.
There are no external cuts or incisions involved in ESG, unlike traditional weight loss surgery. This translates to quicker recovery and less discomfort.
The suturing device is used to create a series of stitches along the larger curvature of your stomach. This reduces the stomach's volume by about 70-80%, restricting the amount of food you can consume and promoting feelings of fullness earlier.
ESG is generally considered for patients with a Body Mass Index (BMI) of 30-40 kg/m² who haven’t achieved sufficient weight loss with diet and exercise alone. It may also be an option for certain patients with a higher BMI who have health conditions that make laparoscopic sleeve gastrectomy (surgical sleeve gastrectomy) too risky.
ESG avoids surgical incisions, leading to faster recovery and less pain compared to weight loss surgery.
Studies show that ESG can help patients lose 30-40% of their excess body weight within one to two years.
Weight loss achieved through ESG can significantly improve obesity-related health conditions like diabetes, sleep apnea, and high blood pressure.
Compared to traditional weight loss surgery, ESG carries a lower risk of surgical complications.
ESG is typically performed under general anesthesia. You won't feel pain during the procedure itself. The gastroenterologist will use the endoscope to visualize the stomach and create the folds with sutures.
You will be monitored for a short period after the procedure and might require an overnight stay for observation. You'll likely experience some soreness and discomfort, which can be managed with medication.
Following a structured post-ESG diet plan is crucial. This typically involves starting with a liquid diet and gradually progressing to soft and solid foods as your body adjusts.
While generally safe, there's a small risk of complications like bleeding, infection, or leaks at the suture sites. Your gastroenterologist will discuss these risks in detail before the procedure.
Our team of weight loss specialists at GastroExperts understand the challenges of obesity. We offer endoscopic sleeve gastroplasty as a potential tool to help you achieve weight loss goals and improve your overall health. If you’re considering ESG, contact GastroExperts to schedule a consultation with one of our specialists to discuss if this minimally invasive approach is right for you. They can also help you understand if you’re a good candidate based on your individual health profile.
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