Endoscopic sleeve gastroplasty is a bariatric weight loss surgery that reshapes the stomach. It’s an incision-less procedure, reducing the size of the stomach and leaving no external scarring.
Cost
ESG is a relatively new, nonsurgical weight loss surgery. It achieves a similar result as gastric sleeve surgery without incisions and cutting into your stomach. It does this by reducing the volume of your stomach, restricting how much food you can eat, and making it take longer for your stomach to empty.
During the surgery, your doctor will insert an endoscope—a protruding, long tube with a camera—into your stomach. Afterward, they’ll sew up a portion of your stomach using a suturing tool. As a result, your stomach has a tubular “sleeve” form, and its capacity is reduced. Additionally, they will alter the curvature of your stomach to reduce food absorption and help you lose weight.
ESG may be an option if you are moderately obese and do not qualify for bariatric surgery. This is because it’s a safer and less permanent option than gastric bypass surgery. It is also a good choice if you cannot change your diet and lifestyle enough to maintain your ideal weight over time. It is critical to perform a direct comparison to ensure you comprehend all included in the endoscopic sleeve gastroplasty cost—an endoscopic sleeve gastroplasty cost from $9,000 to $11,000.
The average patient with ESG loses a significant amount of excess weight. This helps improve conditions such as sleep apnea, diabetes, and blood pressure. Additionally, it reduces your chances of cancer and heart disease. After the surgery, some patients have discomfort and nausea, which can often be treated with over-the-counter drugs.
Insurance Coverage
ESG is an endoscopic, minimally invasive weight-loss technique that shrinks your stomach. Your stomach is stitched into a tube-like form, restricting how much food you can consume and modifying your satiety hormones. It has a decreased risk and is an alternative to surgical laparoscopic sleeve gastrectomy (LSG). People not prepared to commit to bariatric surgery might also choose it.
In a clinical study, 60% of people with ESG lost about 20% of their body weight within a year. This weight loss can improve obesity-related medical conditions, such as high blood pressure, sleep apnea, and diabetes.
To perform ESG, your surgeon will pass a narrow, lighted tube with surgical tools down your throat and into your stomach. This tube, called an endoscope, won’t leave any scars.
Your doctor will use the endoscope to stitch your stomach into a sleeve about 30% smaller than before ESG. This smaller size restricts how much you can eat and changes how your stomach works, so you feel full after a small amount of food. You must eat nutrient-rich foods to maintain your new, healthy weight. It would help if you also focused on regular exercise and behavioral therapy to support your long-term success.
Pre-Operative Tests
You must go through a few common health exams as part of the ESG screening procedure to ensure you can get general anesthesia safely. A regimen of good food and exercise will also be expected of you, and you might need to switch certain medications. Although making these adjustments might be difficult, doing so is crucial to get the greatest outcomes from this surgery.
This procedure aims to reduce stomach size by converting it from its original bean shape into a narrow, tube-like structure. This is done with a long, flexible endoscope, passed down your throat and into the stomach. A suturing device at the end of the endoscope allows the surgeon to make stitches within your stomach.
As a result of this procedure, your stomach can no longer hold large meals. As a result, you will need to follow a restricted diet for the first month after the surgery until your stomach heals. This will include starting with a liquid diet, progressing to soft foods, and then semi-solids until you are ready for a regular diet.
Studies have shown that ESG can help people lose 15% to 20% of their body weight, which is substantial and could significantly reduce the risk of disease in people with obesity. However, like any other weight loss surgery, it is not a cure for obesity or related diseases, and it works best when combined with behavioral therapy, exercise, and nutritional guidance from your care team.
Post-Operative Care
Endoscopic sleeve gastroplasty is an option for patients who want to lose weight but have not seen results with diet and exercise alone. The procedure is also helpful for reducing the risk of a host of health conditions, including cardiovascular disease, high blood pressure, and diabetes.
During ESG, doctors use an endoscope (a flexible tube with a camera and suturing device attached) to insert it down the throat and into the stomach. They then staple part of the stomach into a narrow “sleeve” shape to reduce its volume and restrict the amount of food eaten. The sleeve-shaped stomach causes patients to feel full with smaller portions. This changes how they eat and helps them maintain the weight loss results of gastric sleeve surgery for years.
After the procedure, most patients go home the same day but may need to stay for a night or two to allow the hospital staff to monitor them closely. The patient needs someone to drive and care for them during this time. They also need to start eating a liquid diet, followed by semi-solid foods and eventually a regular healthy diet that includes protein. They must also attend regular medical checkups and work with their dietitian and behavior coach.
Unlike some bariatric procedures, ESG does not make permanent changes to the anatomy of the stomach and is completely reversible. However, it isn’t appropriate for people with a large hiatal hernia or conditions that cause gastrointestinal bleeding, like gastritis or peptic ulcer disease.
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