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Effective Weight Loss without Surgery With Endosleeve

By “Dr Chris” Ibikunle

I am one of the few weight loss doctors who will tell you upfront that obesity is a chronic disease and that we do not have a cure for it as of yet. For some people, achieving a sense of fullness is a constant struggle that affects them every day. When this is the case, a doctor may determine that weight loss surgery is the best course of action to help them achieve and maintain a healthy weight.

Furthermore, weight regain is common after nonsurgical and bariatric procedures. Often times the reasons behind this regain are complex and not always patient related.

Hence, there is a need to develop an effective, safe and repeatable procedure to manage excess weight. In fact, Endosleeve or at is scientifically know Endoscopic Sleeve Gastroplasty-ESG is as close to an holy grail as possible.

Oftentimes people confuse the endosleeve with its older sibling – the laparoscopic gastric sleeve (LSG). It’s important to know that they are not the same.

So let us explore the difference between ESG and LSG

Until recently, the most common surgical procedure used to achieve this goal was the minimally invasive Laparoscopic Sleeve Gastrectomy (LSG). However, a recent alternative called an Endoscopic Sleeve Gastroplasty (ESG) provides a less invasive option that can achieve virtually the same effect. Looking at the two options in detail to compare them can help a patient have a useful discussion with a doctor about which procedure can give them control over their appetite once and for all.

What is a Laparoscopic Sleeve Gastrectomy (LSG)?

An LSG procedure is an effective means to reduce the storage capacity of a patient’s stomach. This allows the patient to feel full after consuming a much smaller portion of food than before the weight loss surgery, thereby controlling their appetite and eating habits. Essentially, the doctor makes five small incisions and stitches the stomach to a narrower size in order to reduce its storage capacity. It is much less invasive than open surgery and allows a patient to return to normal life after just a few weeks.

The patient is put under general anesthesia and then undergoes the 20 to 40 minute laparoscopic procedure. After an overnight stay to recover, the patient can return to work in a week or two, while abstaining from strenuous activity or heavy lifting for an additional three weeks after that. The result of the procedure is that the patient will eat less, feel full after less food, and experience less hunger overall. The result is healthy weight loss that will help control or eliminate medical issues due to obesity.

What is an Endoscopic Sleeve Gastroplasty (ESG)?

Also known as Non-surgical Sleeve or “Endosleeve”, Endoscopic sleeve gastroplasty is a newer type of weight-loss procedure. Endoscopic sleeve gastroplasty reduces the size of your stomach using an endoscopic suturing device without the need for surgery. 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.

Endoscopic sleeve gastroplasty leads to significant weight loss. It helps you lose weight by limiting how much you can eat. And the procedure is minimally invasive, reducing the risk of operative complications.

Like other weight-loss procedures, endoscopic sleeve gastroplasty requires a commitment to a healthier lifestyle. You need to make permanent healthy changes to your diet and get regular exercise to help ensure the long-term success of endoscopic sleeve gastroplasty.

An ESG procedure achieves the same effect as the LSG, but much less invasively. It’s technically not a surgery, because the patient is not cut open or left with any scars. In fact, patients experience little or no pain throughout the entire process. An endoscope goes down the patient’s throat and into the gastrointestinal tract so the doctor can see. Then another device is introduced the same way as the endoscope in order to suture the front wall of the stomach to the back wall in order to reduce the storage space.

Patients are still placed under general anesthesia due to the length of the procedure, but most are able to return home the same day as the procedure and go back to work within a day or two. Since there are no incisions, there is no lifting or activity restriction afterward. Basically, a patient can go back to life as normal just a day or two later with nothing more than a sore throat.

Which Weight Loss Surgery is the Best Option?

The best person to determine which, if either, medical procedure is appropriate is a surgical professional like Dr. Chris. He will be able to evaluate a patient’s unique situation to determine the most effective way to curb appetite and encourage healthy weight loss.

A gastric sleeve is an established and effective weight loss surgery to fight obesity, and both the endoscopic sleeve gastroplasty and the laparoscopic sleeve gastrectomy are trusted methods but they are not the same. Contact Dr. Chris today to discuss more about weight loss surgery and taking control of weight and health or request a free phone consultation today.



ESG, Gastric Sleeve, LSG, Weight Loss Surgery, Atlanta, bariatrics, endobariatrics, endosleeve, endoscopic sleeve gastroplasty, accordion procedure


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