EGS (program)

Endoscopic Gastric Sleeve (EGS) is a minimally invasive weight loss surgery that reduces the size of the stomach to facilitate significant weight loss. Unlike the traditional sleeve gastrectomy, which involves removing a portion of the stomach surgically, EGS is performed endoscopically, meaning it is done through the mouth using a flexible tube equipped with a camera and instruments. This procedure is gaining popularity due to its less invasive nature, reduced complication rates, and quicker recovery times compared to conventional weight loss surgeries.

Overview

EGS is designed for individuals who are significantly overweight, with a Body Mass Index (BMI) of 30 or higher, and who have struggled to lose weight through diet and exercise alone. The procedure works by reducing the stomach's capacity, which limits food intake and promotes a feeling of fullness after eating small amounts of food. This leads to a significant and sustained weight loss for most patients.

Procedure

The EGS procedure is performed under general anesthesia. A flexible endoscope, equipped with a camera and surgical tools, is inserted through the patient's mouth and advanced to the stomach. Specialized devices are then used to create a smaller stomach "sleeve" by suturing the stomach from the inside. No external incisions are made, which reduces the risk of infection and promotes a faster recovery. The entire procedure typically takes about 60 to 90 minutes.

Benefits

The primary benefits of EGS include:

• Reduced risk of surgical complications compared to traditional weight loss surgeries
• No external scars
• Shorter hospital stay
• Faster recovery and return to normal activities
• Significant and sustained weight loss
• Improvement in obesity-related conditions, such as type 2 diabetes, hypertension, and sleep apnea

Risks and Complications

As with any medical procedure, EGS carries some risks, though they are generally lower than those associated with traditional surgical methods. Potential complications include:

• Perforation of the stomach or esophagus
• Bleeding
• Infection
• Adverse reactions to anesthesia
• Need for revision surgery

Aftercare

Following the procedure, patients are typically required to stay in the hospital for observation for 1-2 days. A liquid diet is recommended for the first few weeks, gradually transitioning to pureed foods, and eventually to solid foods. Long-term success with EGS depends on the patient's commitment to a healthy lifestyle, including a balanced diet and regular exercise.

Conclusion

Endoscopic Gastric Sleeve (EGS) represents a significant advancement in the field of bariatric surgery, offering a less invasive option for individuals struggling with obesity. While it offers many benefits, including reduced risk of complications and quicker recovery times, it is important for patients to have realistic expectations and to commit to lifelong changes in their eating habits and lifestyle to achieve and maintain weight loss.