Endoscopic sleeve gastroplasty

From WikiMD's Food, Medicine & Wellness Encyclopedia

Endoscopic Sleeve Gastroplasty (ESG) is a medical procedure used to treat obesity. It is a less invasive alternative to other bariatric surgeries, such as gastric bypass surgery and gastric sleeve surgery.

Procedure[edit | edit source]

The procedure involves the use of an endoscope, a flexible tube with a camera and light at the end, which is inserted through the patient's mouth and into the stomach. The surgeon then uses a device attached to the endoscope to suture the stomach, reducing its size by approximately 70%. This limits the amount of food the stomach can hold, leading to weight loss.

Candidates[edit | edit source]

Candidates for ESG are typically individuals who have a BMI of 30 or higher, and who have not been able to lose weight through traditional methods such as diet and exercise. However, as with all medical procedures, the suitability of ESG is determined on a case-by-case basis, taking into account the patient's overall health and medical history.

Risks and Complications[edit | edit source]

While ESG is less invasive than other bariatric surgeries, it still carries potential risks and complications. These may include nausea, vomiting, abdominal pain, and in rare cases, leakage from the sutures.

Effectiveness[edit | edit source]

Studies have shown that ESG can lead to significant weight loss. One study found that patients lost an average of 15% of their total body weight one year after the procedure. However, as with all weight loss procedures, the long-term success of ESG depends on the patient's commitment to a healthy lifestyle.

See Also[edit | edit source]

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Contributors: Prab R. Tumpati, MD