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Endoscopic Sleeve Gastroplasty (ESG) or Gastric Sleeve?



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The Society for Metabolic and Bariatric Surgery estimates that 18 million adults in the U.S. qualify for weight-loss surgery, but only about 1 percent actually do it. The length of recovery and cost concerns are the main reasons more people don't have such procedures.

Endoscopic Sleeve Gastroplasty is a non-surgical weight loss procedure that is commonly referred to as ESG and also known as the incisionless gastric sleeve or the accordion procedure.

Instead of incisions, stapling and removing parts of the stomach, a tiny camera and tools go down a patient's throat with a needle and thread. Specialized tools mark out guidelines in the stomach, sutures are placed in triangular patterns and the area is cinched together.

Stomach size is reduced by 70 to 80 percent.

ESG works by reducing the space inside your stomach and by slowing down the rate at which food empties from your stomach. Unlike the band, sleeve, and bypass, however, which are surgical procedures, the ESG procedure is non-surgical. Access to the stomach is gained not through incisions in the abdomen but endoscopically, i.e. through the mouth. Like the surgical procedures, the ESG is performed under general anesthesia, and it takes about 1 hour to complete.

A device called the 'Overstitch' is inserted into the stomach and reduces the stomach capacity from the inside by stitching the stomach together with a series of approximately 6 stitches.

https://www.healthierweight.co.uk/non-surgical-gastric-sleeve/esg-or-gastric-sleeve/

https://www.mooremetabolics.com/weight-loss/endoscopic-sleeve-gastroplasty/

http://bmiclinic.com.au/endoscopic-sleeve-gastroplasty/

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Wow interesting, I never heard of that.

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I have chosen to undergo an ESG for the fact that it is a minimally invasive non-surgical option, however, in Australia it is not covered by medicare thus private health insurance will not also contribute, so in fact it is more expensive for me. If I had chosen a VSG or RNY I would be covered and would have out of pocket costs of approx $5000 (though that does depend on the surgeon and the required support plan).

My ESG, including the after procedure support for 18 months is $17,000. I also have travel costs - airfares and accommodation to pay. It is not readily available in my state and the one doctor who may do it, wouldn't have done that many procedures, so would lack experience.

I am a member of three FB groups for ESG and there are some people reporting that they do not feel any restriction or very little restriction. It is possible that it is doctor error or the stitches have loosened for some reason. My doctor for instance will no longer do ESG for anyone who previously had a gastric balloon he has found that the stitches do not hold. The reason has yet to be determined.

Note that in general the average weight to be lost with an ESG will be lower than VSG or RNY but many people have achieved more than the average.

I am not counting down the days to my ESG yet, but the time is passing quickly and in about five weeks I commence my pre-op diet.

Edited by 2shea

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1 hour ago, 2shea said:

I have chosen to undergo an ESG for the fact that it is a minimally invasive non-surgical option, however, in Australia it is not covered by medicare thus private health insurance will not also contribute, so in fact it is more expensive for me. If I had chosen a VSG or RNY I would be covered and would have out of pocket costs of approx $5000 (though that does depend on the surgeon and the required support plan).

My ESG, including the after procedure support for 18 months is $17,000. I also have travel costs - airfares and accommodation to pay. It is not readily available in my state and the one doctor who may do it, wouldn't have done that many procedures, so would lack experience.

I am a member of three FB groups for ESG and there are some people reporting that they do not feel any restriction or very little restriction. It is possible that it is doctor error or the stitches have loosened for some reason. My doctor for instance will no longer do ESG for anyone who previously had a gastric balloon he has found that the stitches do not hold. The reason has yet to be determined.

Note that in general the average weight to be lost with an ESG will be lower than VSG or RNY but many people have achieved more than the average.

I am not counting down the days to my ESG yet, but the time is passing quickly and in about five weeks I commence my pre-op diet.

Please keep us informed, 2shea . I had never heard of this procedure until today (which is why I posted information about it. Not that my lack of knowledge about something is postworthy in itself.:) )

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I had this Endoscopic Sleeve Gastroplasty on 11/15/17. I think a sleeve would have been a better choice. It was truly easy for me with no pain or discomfort at all, but I only lost in the first 3 months, then the weightloss stalled and the weight slowly started to come back on. My sister had the same surgery on the same day and had a lot of trouble since then. Most of it was due to gall bladder issues, but she recently had an endoscopy and it showed that the stitches have pulled and are not holding in certain areas. We still need to figure out what the next step is. I was hoping that this would be more permanent or last at least a few years. It was great while it lasted. I still have some restriction to the amount of food that I can eat and I am grateful for that. I am not sure what the next step is for me. It looks like I will be back to low carb for the rest of the winter.

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On 8/21/2018 at 12:50 AM, Missouri-Lee's Summit said:

The Society for Metabolic and Bariatric Surgery estimates that 18 million adults in the U.S. qualify for weight-loss surgery, but only about 1 percent actually do it. The length of recovery and cost concerns are the main reasons more people don't have such procedures.

Endoscopic Sleeve Gastroplasty is a non-surgical weight loss procedure that is commonly referred to as ESG and also known as the incisionless gastric sleeve or the accordion procedure.

Instead of incisions, stapling and removing parts of the stomach, a tiny camera and tools go down a patient's throat with a needle and thread. Specialized tools mark out guidelines in the stomach, sutures are placed in triangular patterns and the area is cinched together.

Stomach size is reduced by 70 to 80 percent.

ESG works by reducing the space inside your stomach and by slowing down the rate at which food empties from your stomach. Unlike the band, sleeve, and bypass, however, which are surgical procedures, the ESG procedure is non-surgical. Access to the stomach is gained not through incisions in the abdomen but endoscopically, i.e. through the mouth. Like the surgical procedures, the ESG is performed under general anesthesia, and it takes about 1 hour to complete.

A device called the 'Overstitch' is inserted into the stomach and reduces the stomach capacity from the inside by stitching the stomach together with a series of approximately 6 stitches.

https://www.healthierweight.co.uk/non-surgical-gastric-sleeve/esg-or-gastric-sleeve/

https://www.mooremetabolics.com/weight-loss/endoscopic-sleeve-gastroplasty/

http://bmiclinic.com.au/endoscopic-sleeve-gastroplasty/

Why such a weird choice the RNY has been around for years done to millions of people. There's no reason to be scared of a procedure that is so common place and done everyday. I'm I Adelaide and found a great surgeon with good reputation and only costs $3000 out of pocket after health insurance coverage. It's a no brainer. The surgery your talking about is so unheard of and as it appears has little success

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Why such a weird choice the RNY has been around for years done to millions of people. There's no reason to be scared of a procedure that is so common place and done everyday. I'm I Adelaide and found a great surgeon with good reputation and only costs $3000 out of pocket after health insurance coverage. It's a no brainer. The surgery your talking about is so unheard of and as it appears has little success
Yes, I had the sleeve and now wish I had done the bypass because of the acid reflux which no really talked about.

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Yes, I had the sleeve and now wish I had done the bypass because of the acid reflux which no really talked about.

Sent from my LG-LS777 using BariatricPal mobile app

I had the sleeve in 2015 and am now scheduled for revision due to reflux. My surgeon said they are doing revisions every day because the reflux after sleeve is such a big problem. He also said that they are now doing swallow tests before doing the sleeve. Damage in the esophagus leads to cell changes which can then cause cancer. I asked what the chances are of this not getting better and was told that there is no chance of 5he reflux getting better. The damage to the valve that goes into the stomach will not get better on its own. I've heard really good things about the RnY revision stopping the reflux immediately. I wish I'd have done this to begin with. Not sure about a procedure as new as the one above. Not enough info on long term side effects or success.

Sent from my SAMSUNG-SM-T377A using BariatricPal mobile app

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