Today’s topic is about a non surgical weight loss procedure specially for those who are afraid of bariatric surgeries. It is also a procedure for those who can’t lose weight by lifestyle modifications, at the same time are not eligible for bariatric surgeries.
Endoscopic Sleeve Gastroplasty is an endoscopic non surgical procedure to for weight loss.
Eligibility –
Bariatric surgeries are indicated when the body mass index is greater than equal to 32.5 kg/m2 and life style modifications are enough when BMI is less than 27.5 kg/m2. When BMI is between 27.5 and 32.5 kg/m2, there are no effective treatment methods until now. This ESG fills the gap and is useful for these people between 27.5 and 32.5 kg/m2. It can be done even in those whose BMI is greater than equal to 32.5 kg/m2 who need bariatric surgery but are afraid to undergo the surgery. Generally it is the perfect method to treat patients with 10 to 20 kg overweight. It can also be considered in patients suffering from uncontrolled type 2 diabetes in whom even 5 to 10 kg weight loss can bring back control. It also can be considered for those people who regained some weight after gastric sleeve or gastric bypass surgery.
Procedure –
In this procedure, we do an upper gastrointestinal endoscopy, and stomach volume is reduced by applying ‘U’ shaped interrupted sutures in the body of stomach using disposable endoscopic instruments and equipment called Apollo Overstitch. Upper part of the stomach (Fundus) and lower part of the stomach (Pyrloric antrum) are not sutured. Stomach body becomes like a tube.
How does it work?
Weight loss is because of food restriction, but it also causes some hormonal changes which reset fat mass to a lower level.
What are the results?
ESG combined with lifestyle modifications can result in 15 to 20% of the total body weight loss. To improve the outcomes Oral Semaglutide can be added.
Advantages –
No scars on the tummy.
Can be done as a day care procedure.
Patients will be in a position to leave hospital 12 hrs after the procedure.
Complications –
It is very very safe procedure. Apart from initial abdominal discomfort, nausea and vomitings in some patients, major complications are rare.
Post procedure –
Just like after any bariatric surgery, follow up at regular intervals is needed. Initial 2 weeks will be liquid diet, followed by healthy soft diet and then healthy normal diet.
If anyone need weight loss and want to check if ESG is the right choice, please consult me
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Dr. AMAR VENNAPUSA
Chief Consultant Bariatric & Metabolic Surgeon
Dr. Amar Bariatric & Metabolic Center,
Hyderabad, India
www.drvamar.com
+91 9676675646
drvamar@gmail.com.
