Endoscopic Gastroplasty (ESG)
It is a new endoscopic procedure to achieve durable weight loss by non-surgical approach. In this procedure stomach capacity is to be reduced by taking multiple plicating stitches to reduce the capacity.
It is advisable when:
- BMI is less than 30
- Bariatric surgery is not possible because of high risk or previous surgery
Advantages
- It is a non-surgical approach to weight loss.
- It is safe and short procedure.
- It offers better weight maintenance as compared to gastric balloon.
Disadvantages
- The procedure can bring 10-30% of weight loss only.
- Diet, exercise and lifestyle modifications are equally important with it to get the desired results.
FREQUENTLY ASKED QUESTIONS
Is the ESG a permanent procedure?
The stitches used in the procedure are permanent and do not dissolve, however they may break over time if under too much tension, as might be seen with repeated overeating.
However scar tissue frequently replaces the stitches over time and even if the stitches fail, the ESG is only partly reversed.
Will the ESG limit my activities?
During the first week of the procedure you should not plan any heavy activities. Once you are able to manage adequate amounts of fluids, you can continue your normal activities. Starting a regular exercise program is highly recommended and will improve your success.
Can I exercise after ESG?
Yes! Exercise is an important part of losing weight and keeping it off. We encourage exercise as part of your weight loss strategy – all activities are encouraged and safe.
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