In the world of weight loss, there are countless methods that can help people shed those extra pounds. From diets and exercise programmes to surgical interventions, the options are numerous. One of the newer, less invasive methods gaining popularity is endoscopic sleeve gastroplasty (ESG). This innovative procedure offers an alternative to traditional bariatric surgery and has a lot of potential to help people achieve their weight loss goals.
Wat is ESG?
ESG is a minimally invasive procedure used to reduce the size of the stomach, without the need for surgical incisions. Instead of an operation where parts of the stomach are removed, ESG involves inserting a flexible endoscope through the mouth to reach the inside of the stomach. Using a special suturing device, the stomach is then sewn into a tube-like structure, resulting in a smaller stomach capacity.
ESG: Hoe werkt het?
The ESG works by reducing the size of the stomach, thereby limiting the amount of food a person can consume. This leads to a feeling of fullness after eating smaller amounts of food. Because the procedure is performed endoscopically, there are no incisions in the skin, meaning the recovery time is significantly shorter compared to traditional bariatric surgery.
In ESG, a flexible endoscope, fitted with a small camera and suturing equipment, is inserted into the stomach via the mouth and oesophagus. The surgeon uses the endoscope to place a series of sutures in the stomach, thereby reshaping it into a tube or sleeve, similar to the shape of the stomach following a surgical sleeve gastrectomy. This reduces the volume of the stomach by approximately 70–80%, thereby drastically reducing food intake.
ESG: What are the benefits?
One of the biggest advantages of ESG is that it is a minimally invasive procedure. Unlike traditional bariatric surgery, which involves large incisions in the abdomen, ESG requires no incisions, which significantly reduces the risk of complications. This also means a shorter recovery time, with patients usually able to resume their normal activities within a few days.
Furthermore, ESG offers an option for individuals who are ineligible for or not interested in surgical procedures. It is particularly useful for those with moderate obesity or for those who need to lose weight before qualifying for a more invasive operation.
Another key benefit of ESG is its effectiveness. Studies have shown that patients can lose an average of 15–20% of their total body weight within the first year following the procedure. This weight loss is often accompanied by improvements in obesity-related conditions such as type 2 diabetes, hypertension and sleep apnoea.
ESG: What are the potential risks and complications?
Although ESG is a safe procedure, as with any medical intervention, there are potential risks and complications. Possible complications can include gastric perforation, bleeding, infection, or problems with the sutures. However, it is important to note that these complications are rare and that most patients tolerate the procedure well.
Furthermore, it is important for patients to understand that ESG is not a miracle cure. The success of the procedure is highly dependent on the patient's willingness to change their lifestyle, including following a healthy diet and regular exercise. Without these changes, weight loss may be limited and patients may regain the lost weight.
ESG: When is it appropriate?
Not everyone is a suitable candidate for ESG. The procedure is usually intended for adults with a body mass index (BMI) of 30 or higher, who have not been successful with other weight loss methods such as diet and exercise.
Before a patient can be approved for ESG, an extensive evaluation process will take place. This includes a thorough medical examination, psychological assessment, and nutritional counselling. The aim is to ensure that the patient is well-informed about the procedure and understands the necessary lifestyle changes.
Life after ESG
Following ESG, it is essential for patients to adhere to their care team's recommendations. This includes a gradual reintroduction of food, starting with liquids and slowly progressing to solids. Regular follow-up appointments with a dietitian and doctor are also crucial to ensure the patient experiences healthy weight loss and any complications are detected early.
Furthermore, patients are advised to participate in a weight management support programme, which offers guidance on maintaining healthy eating habits and physical activity. These programmes help patients to sustain their weight loss in the long term and improve their overall health.
Conclusion
ESG represents an exciting new development in the treatment of obesity. It offers a less invasive option for weight loss, with a shorter recovery time and a lower risk of complications compared to traditional surgical methods. While ESG is not suitable for everyone, it can be a life-changing option for those struggling with weight loss and seeking a sustainable solution.
As with any weight loss procedure, it is important for patients to have realistic expectations and be prepared to adjust their lifestyle. With the right guidance and support, ESG can be a powerful tool to lead a healthier, happier life.
Mediport Medical Centre a team of Obesity surgeons are ready for all your questions. Please do not hesitate to contact us for more information. The medical center also has a team of nutritionists and Psychologist for the follow-up of everyone's personal journey.