Endoscopic sleeve gastroplasty is a non-surgical option for weight loss which reduces the size of your stomach using an endoscopic suturing device. This procedure may be an option if you’re significantly overweight — a body mass index of 30 or more — and diet and exercise haven’t worked for you.
- Advocated for adults aged 18 years or older.
- The ideal candidate for endoscopic sleeve gastroplasty is someone who understands that this procedure is not the be-all, end-all for weight loss, but rather a tool for weight loss.
- The patient in question should have a body mass index between 30 and 40, or higher.
- One who has already tried other non-invasive weight loss methods- diet modification & exercise.
- You are not a surgical candidate if you have previously undergone other types of surgery, have had adhesions, or have had a frozen abdomen or do not want to undergo surgery.
- Even though surgery has been shown to be the most effective option, only 2% of patients choose that route; thus, the endoscopic sleeve provides an alternative option.
Like other weight-loss procedures, endoscopic sleeve gastroplasty requires commitment to a healthier lifestyle. You need to make permanent healthy changes to your diet and take up regular exercise to help ensure the long-term success of endoscopic sleeve gastroplasty.
This option isn’t appropriate for anyone who has gastrointestinal bleeding, a hiatal hernia larger than 3 centimeters or who’s had prior stomach surgery.
Why Choose ESG? Proven Results.
Studies have tracked results of endoscopic sleeve gastroplasty for only 1 to 2 years vs these 5-year prospectively collected data that tracked annual weight loss among 203 obese patients who underwent the procedure between 2013 and 2018. Their mean age was 46 ± 13 years. Of these patients, 67% were female.
- Baseline body mass index was 39 ± 7 kg/m2. Obesity is defined as a body mass index ≥30 kg/m2; morbid obesity, ≥40 kg/m2.
- Patients generally achieved maximum weight loss within 24 months, after which some patients tended to regain about 14% of their lost weight, like the surgical literature.
- At 1 year, with a 73% follow-up rate, patients lost 18.1 kg (95% confidence interval 15.8-20.5; P < .0001), with a total body weight loss of 15.2% (95% confidence interval 13.5-16.8; P < .0001).
- At 2 years, with an 80% follow-up rate, weight loss was 17.3 kg (95% confidence interval 14.3-20.4; P < .0001), with a total body weight loss of 14.5% (95% confidence interval 12.1-16.8; P < .0001).
- At 3 years, with a 64% follow-up rate, weight loss was 20.8 kg (95% confidence interval 13.3-28.2; P < .0001), with a total body weight loss of 15.7% (95% confidence interval 11.1-20.3; P < .0001).
- At 5 years, with an 89% follow-up rate, weight loss was 18.7 kg (95% confidence interval 10.0-27.3; P = .0003), with a total body weight loss of 14.5% (95% confidence interval 8.2-20.9; P = .0002).
- At 12, 24, 36, and 60 months, the percentage of patients who achieved ≥10% total body weight loss was 74%, 67%, 67%, and 69%, respectively.
- Failure to lose ≥10 % of body weight within the first 3 months after endoscopic sleeve gastroplasty decreased their chance of subsequent significant weight loss by 80%. The complication rate was <1%, an improvement over surgical procedures.
Always consult a doctor before choosing any weight loss option.
Disclaimer
The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
