If you're considering weight loss surgery, you may have heard of a procedure called the gastric sleeve - or, as it's sometimes called, the sleeve gastrectomy. But have you heard of the endoscopic sleeve gastrectomy, or ESG? It's a newer procedure that's gaining popularity in some circles. Here's what you should know.
What is the ESG Procedure?
The endoscopic sleeve gastrectomy is a minimally invasive weight loss procedure that's performed entirely through a scope. That means there are no incisions - instead, your surgeon will use a long, thin tube with a built-in camera to navigate to your stomach.
Once they're inside your stomach, your surgeon will use a special device to create folds in the lining of your stomach. This effectively reduces the size of your stomach, making it smaller so you feel full faster and eat less.
Why Choose ESG?
There are a few reasons why you might choose endoscopic sleeve gastrectomy over traditional gastric sleeve surgery:
- Less invasive: Since there are no incisions, ESG is less invasive than traditional surgery. That means recovery time is typically faster and less painful.
- No scarring: Without incisions, there are no scars left over from the procedure.
- No anesthesia: ESG is typically performed under mild sedation rather than full anesthesia, making it a slightly safer option for some patients.
Who is a Good Candidate for ESG?
Not everyone is a good candidate for endoscopic sleeve gastrectomy. Generally, patients with a BMI of less than 40 and no history of previous weight loss surgery are good candidates for ESG.
In addition, ESG is typically recommended for patients who meet one of the following criteria:
- They're not comfortable with the risks and potential long-term side effects of traditional weight loss surgery.
- They're seeking a less invasive option.
- They're in generally good health but have tried and failed to lose weight through diet and exercise alone.
How to Prepare for ESG
Preparation for endoscopic sleeve gastrectomy is similar to preparation for any other surgery. You'll need to follow your doctor's instructions closely, which may include:
- Quitting smoking: If you're a smoker, you'll need to quit smoking for several weeks before the procedure.
- Dietary changes: Your doctor may ask you to follow a specific diet leading up to the procedure, such as a liquid diet for a few days before the procedure.
- Medical clearance: You may need to undergo certain medical tests or get clearance from other doctors before you can have the procedure.
- Medications: Your doctor may ask you to stop taking certain medications, such as blood thinners, before the procedure.
What to Expect During ESG
Endoscopic sleeve gastrectomy is typically an outpatient procedure, so you'll likely go home the same day. Here's what you can expect during the procedure itself:
- Sedation: You'll be mildly sedated to make you more comfortable during the procedure.
- Scope insertion: Your doctor will insert a thin, flexible scope through your mouth and down into your stomach.
- Folding: Using a special device, your doctor will fold and stapling tissue in your stomach to create a smaller, sleeve-like shape.
- Removal: After the procedure is complete, the scope will be removed and you'll be taken to a recovery room.
Recovery After ESG
Recovery from endoscopic sleeve gastrectomy is typically faster and less painful than recovery from traditional weight loss surgery. You'll likely be able to return to work and other normal activities within a few days, although you should avoid strenuous exercise for a few weeks following the procedure.
You'll also need to follow a specific diet as you recover from ESG. Typically, this means you'll start with liquids for a few days before gradually progressing to soft, then solid foods over the course of several weeks.
Conclusion
If you're looking for a less invasive weight loss surgery option, endoscopic sleeve gastrectomy may be worth considering. With no incisions and less risk of complications, it's a promising alternative to traditional gastric sleeve surgery. Talk to your doctor to see if ESG is right for you.
Gastroplastia en Manga por Endoscopia - Dr. Camilo Ortiz Silva
Another option for weight loss surgery is the Gastroplasty en Manga por Endoscopia, or Mange Gastrectomy by Endoscopy. This procedure is similar to ESG in that it's minimally invasive and performed entirely through a scope.
In gastroplasty en manga por endoscopia, your surgeon will use a special device to create a tube-like shape in the top portion of your stomach. This helps reduce the size of your stomach so you feel full faster and eat less.
As with ESG, gastroplasty en manga por endoscopia is typically recommended for patients with a BMI of less than 40 who have not had previous weight loss surgery.
Conclusion
Both the endoscopic sleeve gastrectomy and the gastroplasty en manga por endoscopia are promising weight loss surgery options for patients who are seeking a less invasive procedure. Talk to your doctor to decide which option is right for you.
¿Como se realiza el procedimiento de la Manga Gástrica Endoscópica?
La manga gástrica endoscópica es un procedimiento de pérdida de peso que se realiza completamente a través de un endoscopio. Al igual que con ESG y gastroplasty en manga por endoscopia, no se hacen incisiones durante el procedimiento.
En la manga gástrica endoscópica, su cirujano hará pliegues en el revestimiento de su estómago utilizando un dispositivo especial. Estos pliegues reducirán efectivamente el tamaño de su estómago, lo que lo hará sentir lleno más rápido y comer menos.
Como con ESG y gastroplasty en manga por endoscopia, la manga gástrica endoscópica se recomienda típicamente para pacientes con un IMC de menos de 40 que no han tenido cirugía de pérdida de peso previa.
Conclusión
El procedimiento de la manga gástrica endoscópica es otra opción de cirugía bariátrica prometedora para pacientes que buscan un procedimiento menos invasivo. Hable con su médico para decidir si la manga gástrica endoscópica es adecuada para usted.
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