Endoscopic Sleeve Gastroplasty (ESG) The procedure is non-surgical using the endoscopic technique; a series of stitches are applied within the stomach to create a narrow tube which significantly decreases the stomach’s capacity by using FDA approved device (overstitch). As a result, the stomach becomes like it is made after sleeve surgery.
The whole procedure takes about one hour to perform, and the patient can go home safely and be discharged the next day from the hospital.
Stitches used are permanent, not dissolvable.
Dr. Girish Juneja is a specialist in Endoscopic Sleeve Gastroplasty in Dubai. If you are looking for a certified ESG surgeon, then Dr. Girish is the one you can always rely on.
Endoscopic sleeve gastroplasty is performed to assist you in losing weight and potentially lowering your risk of serious weight-related health problems such as:
How Does it Work & how effective it is?
After stitching, the stomach becomes narrower, and the volume reduction of the stomach following ESG is approximately 60- 70%.
In addition, the Endoscopic Sleeve Gastroplasty slows the ability of the stomach to empty, which further enhances & prolongs satiety like a gastric balloon or sleeve surgery. This makes the patient feel full for a longer period of time.
Studies show the procedure, when combined with a comprehensive dietary and lifestyle program, leads to an average of approximately 15-25% of total body weight over 12- 18 months. This procedure is good for people whose BMI is between 30 – 40. Compared to other weight loss procedures, ENDOSCOPIC SLEEVE GASRTROPLASTY gives better results in terms of weight loss.
The procedure is designed to be permanent. However, the stitches can be removed in early weeks (returning the stomach to full volume) if needed.
The procedure was developed in 2012, and the data shows persistent weight loss for 5 years. It is expected that some weight will be regained as the stitches loosen or break. This can be prevented by lifestyle changes recommended for all weight loss procedures. Besides, applying more sutures also does the job.
The ESG procedure produces significant weight loss while causing fewer side effects. People who strictly followed the instructions and participated in weight-loss programs lost between 12% and 20% of their body weight within a year of the procedure. Excess weight loss can be expected in up to 60% of cases after a two-year follow-up.
For Endoscopic Sleeve Gastroplasty in Dubai, you can refer to Al Zahra hospital’s bariatric department which is efficiently led by Dr. Girish Juneja.
Endoscopic sleeve gastroplasty is an option for people with a BMI greater than 30, who have not been successful in maintaining weight loss through lifestyle changes alone, and who do not qualify for or wish to pursue traditional bariatric surgery.
However, ESG is not appropriate for everyone who is overweight. A thorough screening process is carried out by Dr. Girish and his team which assists them to determine whether the procedure would be beneficial to you. You must also be willing to commit to healthy lifestyle changes, regular medical check-ups, and behavioural therapy.
Endoscopic sleeve gastroplasty is not recommended for people who have a large hiatal hernia or a condition that causes gastrointestinal bleeding, such as gastritis or peptic ulcer disease.
Most health insurance companies do not currently cover endoscopic sleeve gastroplasty.
Endoscopic Sleeve Gastrectomy is a surgical procedure that removes the stomach and all its contents, leaving just the sleeves. This procedure has several benefits, including weight loss, improved quality of life for gastric ulcer patients, and better diabetes management.
There are a few more advantages of an endoscopic sleeve gastrectomy procedure. They include:
Side effects like after any other weight loss procedure may include abdominal pain, nausea, cramping, and vomiting, and these side effects may last 2-3 days and then disappear.
Statistically, risks of bleeding and infection are less than 1% & manageable.
Dr. Girish Juneja is an expert and has a multidisciplinary approach towards ESG treatment. His diligence regarding long-term follow-ups and detailed evaluation gives excellent and safe results.
If you are not happy with gastric balloon results & do not want surgery for weight management, then this is your PROCEDURE OF CHOICE.