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Endoscopic Sleeve Gastroplasty

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Endoscopic sleeve gastroplasty is a minimally invasive weight loss procedure that involves inserting a suturing device into the patient’s esophagus and down to their stomach. The endoscopist then places sutures in the stomach to make it smaller.

The procedure may be an option for significantly overweight patients who have a body mass index of 30 or more and who haven’t experienced results with diet and exercise.

Endoscopic sleeve gastroplasty is an effective weight loss treatment, helping patients lose weight by limiting how much they can eat. Because the procedure is minimally invasive, the risk of operative complications is minimal and patients are able to return to daily activities relatively quickly.

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To see results, patients must commit to living a healthy lifestyle. They’ll need to make permanent changes to their diet and exercise regularly to ensure long-term weight loss after endoscopic sleeve gastroplasty.

Goals of Endoscopic Sleeve Gastroplasty

Though the procedure is performed to help patients lose weight, other benefits include potentially lowering the risk of serious weight-related health problems, such as:

Sleep apnea
Type 2 diabetes
High blood pressure
Osteoarthritis (joint pain)
Heart disease and stroke
Nonalcoholic fatty liver disease (NAFLD) or nonalcoholic steatohepatitis (NASH)

Endoscopic sleeve gastroplasty and other weight-loss procedures are typically done only after conservative efforts, such as diet and exercise, have failed to produce results.

Physicians-performing-endoscopic-sleeve-gastroplasty-surgery

Woman-showing-weight-loss-after-endoscopic-sleeve-gastroplasty-surgery

Who is a Candidate?

Endoscopic sleeve gastroplasty is an option for patients whose body mass index (BMI) is above 30, who haven’t been able to maintain weight loss with diet and exercise alone, and who don’t qualify for or wish to undergo traditional bariatric surgery.

However, endoscopic sleeve gastroplasty isn’t for all patients struggling with being overweight. Each patient will need to undergo a screening process to see if the procedure might be beneficial for them. The patient must also be willing to commit to living a healthy lifestyle, attend regular medical follow-up, and undergo behavioral therapy.

Endoscopic sleeve gastroplasty isn’t recommended for patients with a large hiatal hernia or a condition associated with gastrointestinal bleeding, such as peptic ulcer disease or gastritis.

What to Expect During The Procedure

The patient will be placed under general anesthesia and the physician will begin by inserting an endoscope down the patient’s throat and into their stomach. The tiny camera at the end of the endoscope will allow the physician to visualize the patient’s stomach and place sutures without making any incisions in the abdomen.

The sutures will alter the structure of the stomach, forming a tube shape that restricts the amount of food the patient can eat and aiding weight loss. The entire procedure will take between 60 and 90 minutes.

The Recovery Process

After the surgery, the patient will awaken in a recovery room, where they will be monitored for signs of complications.

Male-patient-being-measured-for-endoscopic-sleeve-gastroplasty

Most patients are able to go home once they’ve recovered from the sedation. Some patients, however, might need to stay in the hospital for one day for observation.

After the procedure, patients will need to avoid eating for a few hours. They will then begin a liquid diet and continue the diet for at least two weeks.

Eventually, the patient will be able to consume semisolid foods, and then a regular healthy diet.

FAQs About Endoscopic Sleeve Gastroplasty & The Apollo ESG System

What is Endoscopic Sleeve Gastroplasty (ESG)?

ESG is an endoscopic, incisionless weight loss procedure performed by a doctor, who sutures the stomach with a specialized device called the Apollo ESG™ System to make your stomach smaller.

How is the ESG procedure performed?

While you are asleep, a specially-trained doctor passes a suturing device and camera through your mouth. After they reach the inside of your stomach, the doctor sews it into a smaller shape.

How does it help people lose weight?

The procedure makes the stomach 70-80% smaller. You eat less food so your system absorbs fewer calories. Food stays in the stomach longer, and you feel full longer.

How is ESG different than a laparoscopic gastric sleeve, gastric bypass, or other bariatric surgery?

ESG is performed endoscopically, meaning there are no incisions or scars, and most patients can go home the same day.

What are the most common side effects?

The most common side effects are gastrointestinal symptoms such as nausea, abdominal pain, vomiting, constipation, burping, or diarrhea. These symptoms typically resolve within 30-60 days. All procedures have risk. Patients should talk with their doctor and understand all risks before having any procedure.

Am I a candidate for this procedure?

Apollo ESG™ is for adults with obesity (defined as having a Body Mass Index (BMI) between 30-50 kg/m2) who have not been able to lose weight or maintain weight loss through diet and exercise alone.

Who cannot have ESG?

Patients who are unable to have an upper endoscopy, are pregnant, are using certain types of blood-thinning medications or have malignant tissue, large hiatal hernia, potentially bleeding gastric lesions, or eating disorders are not eligible for the procedure. Talk to your doctor about whether you are a candidate for ESG.

When can I return to work after ESG?

Patients typically return to work in 2-3 days.

How much weight can I lose with ESG?

According to a large, randomized clinical study, patients lose an average of 14% of their body weight 12 months after undergoing the ESG procedure. Results will vary by person.

Are the sutures permanent or dissolvable?

The sutures are made of a durable, permanent material that does not dissolve. However, the sutures can break. In the event the sutures break, you may not feel as full after eating as you did immediately after the procedure. If this happens, another procedure can be done to replace the broken sutures and restore the sleeve.

Is the procedure permanent?

Over time, scarring and bridging tissue forms to maintain the smaller stomach size and sleeve-like shape. As with weight loss surgeries, the sleeve can stretch over time. In the event the sleeve stretches, you may not feel as full after eating as you did after the procedure. If this happens, a retightening procedure can be performed to place new sutures and restore the sleeve.

Is the sleeve reversible?

In the event that you cannot tolerate the sleeve, your doctor may consider reversal. Reversal soon after the procedure can typically be done by cutting and removing the sutures in your stomach. If more time has passed and scarring has formed, the sleeve could be reversed by a procedure to cut the bridging tissue and removing the sutures, if recommended by your doctor. Like with any procedure, reversal of ESG is associated with risks and should be discussed with your doctor before proceeding.

How much does it cost?

Healthcare providers work with patients one-on-one to determine payer coverage and financing options.

Will I have to take nutritional supplements or vitamins?

No, you are typically not required to take nutritional supplements or vitamins following an ESG. Follow your doctor’s instructions on any specialized diet plans during recovery and to maintain a healthy lifestyle

What are the potential positive health impacts of ESG?

ESG has not been specifically tested or FDA approved for the treatment of weight related health issues like diabetes or hypertension. However, in a clinical study that included some patients with diabetes and hypertension, most of the patients with those conditions lost weight. With the weight loss, they tended to show clinical improvement in those pre-existing conditions

Contact Info

The Sleeve Center

3420 Bristol St #700, Costa Mesa, CA 92626, USA

Orange Location

1310 W Stewart Dr. Suite 310, Orange, CA 92868, USA

(800) 821-1127

Google Rating

4.9

Based on 9 reviews

The Sleeve Center - Orange County Weight Loss Surgery

4.9

review us on See all reviews

Stuart EMMONS

1578516953

Dr. Naim and his staff have been wonderful throughout the entire process. Pre-op and Post-op care was and continues to be at the highest level of performance, which without a doubt contributed to my flawless outcome.Without hesitation, I would recommend this team to anyone considering a VSG or other procedure provided by Dr. Naim and his staff.

Lynn Nguyen

1565294803

Lynn Nguyen

1565294794

Simin Salimi

1557279442

The doctor and his staff were extremely professional and made me feel comfortable and at ease during the surgery day and afterwards.I highly recommend the sleeve surgery and would trust no one more then doctor naim.

Michelle Ponce

1543267223

I went in for one procedure and the Dr. recommended another (a lot less expensive) & he was absolutely right. I've lost 70+lbs and I feel amazing. I absolutely recommend this place to serve your weightloss needs. I wish there were 10 stars to give, that's how phenomenal this place is. EVERYONE is amazing! They answered every question, quelled any nerves and got me back to optimal health.

Poop Fingers

1539735162

Towards the end of your 20s you just start to lose control of your body. You begin to splurge a little more on food from those long work weeks and then you decide to delay going to the gym because you washed your face. After that vicious cycle you begin to struggle with getting back into healthy shape. I'm currently 2 weeks post op gastric sleeve and I want to give a huge shout out to Dr Naim and his amazing staff! I was very nervous at first but Dr Naim was very informative and caring. What surprised me was the amount of care that his staff provided me. I received personal text messages from the staff about my appointments, the day before his staff texted me to wish me good luck on the surgery, and Gladys at the office even went out to buy all the preoperative and postoperative items that I needed such as protein shakes, broth, jello, vitamin water, and vitamins. I really recommend anybody who is curious about weight loss surgery to set yourself up for a free consult. They were extremely accommodating and flexible with financing and accept most ppo insurances.

tenisha crumpton

1519234318

ahmed ahmed

1510780276

Hi all after sleeve surgery I love my self and all staff very helpful I have a good experience thanks

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