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Endosleeve Effective Weight Loss Without Surgery: ESG vs. LSG

Endosleeve Effective Weight Loss ESG vs. LSG

Learn about the mechanism and procedure of Endosleeve Effective Weight Loss Without Surgery, including how it promotes effective weight loss without the need for surgery.

Endosleeve Effective Weight Loss

I am one of the few weight loss doctors who will tell you right away that obesity is a chronic disease and that we do not have a cure for it yet. For some people, achieving a sense of fullness is a constant struggle that affects them every day. When an individual continually feels hungry, it impedes their ability to lose weight. A doctor may determine that weight loss surgery is the best course of action to help them achieve effective weight loss.

Weight Regain after Weight Loss Procedure

Weight regain is common after both non-surgical and surgical bariatric procedures. The reasons behind this regain are often complex and not always patient-related.

There was a need to develop an effective, safe, and repeatable procedure to manage excess weight for patients such as these. Today, we have the Endosleeve or the medical terminology is endoscopic sleeve gastroplasty (ESG.) This non-surgical procedure is close to being the holy grail of weight loss procedures for these patients. Endoscopic sleeve gastroplasty (ESG) has proven a viable option for patients who may not be able to undergo a lengthy surgery.

People often confuse the endosleeve with another similar procedure called the Laparoscopic Gastric Sleeve (LSG). There is also some confusion because each procedure has a few different names that are used to describe them.

Names Used to Describe ESG vs. LSG

Endosleeve, endoscopic sleeve gastroplasty, ESG, and accordion procedures are all used to describe the same non-surgical weight loss procedure.

Laparoscopic sleeve gastrectomy, vertical gastric sleeve, VSG, LSG, or just gastric sleeve are all used to describe the same surgical weight loss procedure.

Endosleeve Effective Weight Loss: ESG vs. LSG

We explored the differences between laparoscopic sleeve gastrectomy (LSG) and endoscopic sleeve gastroplasty (ESG).

In the past, laparoscopic sleeve gastrectomy (LSG) was the most common procedure to curb constant hunger. However, a newer alternative called endoscopic sleeve gastroplasty (ESG) has emerged, offering a less invasive option with similar outcomes.

By comparing these two procedures, individuals can better prepare for medical consultation and determine the most suitable method for appetite control and successful weight loss.

What is a Laparoscopic Sleeve Gastrectomy (LSG)?

Laparoscopic Sleeve Gastrectomy, also known as LSG, is a highly effective surgical procedure that aims to decrease the stomach’s storage capacity. This weight loss surgery assists in controlling appetite, eating habits, and portion control, ultimately resulting in significant weight loss. Additionally, it enables patients to feel full even after consuming smaller portions of food.

How is Laparoscopic Sleeve Gastrectomy Surgery Performed?

The anesthesiologist puts the patient under general anesthesia and then the surgeon performs a 40-70 minute laparoscopic surgery on the patient. During the procedure, the surgeon makes five small incisions to access the stomach and removes between 70% and 80% of the stomach by cutting it away. The remainder of the stomach is stapled together along the edges to form a narrow sleeve-like pouch. This reduced stomach size limits the amount of food the patient can consume at one time so they eat less, maintain the feeling of being full longer, and can lose weight.

LSG requires at least an overnight stay in the hospital, a few weeks of wound care, and about a 4-6 week recovery. The surgeon cannot reverse laparoscopic sleeve surgery; however, they can convert it into gastric bypass surgery if necessary.

What is an Endoscopic Sleeve Gastroplasty (ESG)?

Endoscopic Sleeve Gastroplasty, also known as ESG, is a cutting-edge weight loss procedure that has gained significant popularity in recent years due to its proven benefits supported by numerous studies. This innovative technique reduces the size of the stomach using an endoscopic suturing device. Moreover, it delivers results comparable to those of traditional laparoscopic sleeve gastrectomy (LSG) but without the need for surgery. By restricting the stomach’s capacity, this procedure allows patients to consume smaller portions, experience prolonged satiety, and successfully achieve weight loss.

How is Endoscopic Sleeve Gastroplasty Performed?

The doctors perform endoscopic sleeve gastroplasty (ESG) through an endoscope that they place down the patient’s throat to access the stomach. General anesthesia is used for this procedure, but it is not considered surgery since there are no incisions involved. The surgeon reshapes the stomach to make it smaller using between 7 to 12 strategically placed sutures. The new stomach area will be much smaller, about 25% of its original size, and resemble a small sleeve-like pouch.

The ESG procedure, or endoscopic sleeve gastroplasty, offers a convenient option for patients seeking weight loss without requiring a hospital stay. Unlike a laparoscopic sleeve gastrectomy, ESG allows patients to return home on the same day. Recovery time is typically around 3 days, with the added benefit of no lifting restrictions. Notably, ESG can provide a long-lasting solution as the sutures are durable, but it can also be reversed. Experience the advantages of ESG for effective weight loss and improved health outcomes.

Endosleeve Effective Weight Loss: Which is the Best Option?

If you are wondering if gastric sleeve surgery or endoscopic sleeve gastroplasty is better for effective weight loss, the answer depends on the circumstances.

1. Both ESG and LSG Work Through Restrictive Means

ESG and LSG procedures limit food intake to aid weight loss. Furthermore, these procedures help alleviate hunger pangs by reducing the stomach size, which in turn leads to slower digestion and prolonged satiety. By working together, these two elements contribute significantly to the patient’s weight loss journey.

2. Surgery vs. Non-surgical

  • LSG is surgery and has increased risk factors and a longer recovery time.

  • ESG is a non-surgical procedure offering a shorter recovery time.

3. The Risks of  ESG vs. LSG

The risks associated with the use of general anesthesia apply to both LSG and ESG.

  • Risks of LSG include bleeding, leaking along the staple line, and abscess.

  • Risks of ESG include temporary vomiting and nausea (1-3 days), however, to date, ESG has shown a favorable safety profile.

4. Dietary Considerations 

After both procedures, a special diet is required immediately to allow the stomach and digestive system to adjust to the alterations that have been made. The return to solid foods takes between 3-4 weeks after ESG and typically about 3 months for LSG.

5. Weight Loss Surgery ESG vs. LSG Potential

Losing a significant amount of weight is possible through both LSG (Laparoscopic Sleeve Gastrectomy) and ESG (Endoscopic Sleeve Gastroplasty) procedures. However, the extent of weight loss greatly depends on a patient’s commitment to adopting a healthy lifestyle long-term.

After LSG surgery, patients lose weight because they heal and stick to a liquid diet. Comparatively, ESG patients may achieve similar weight loss results, although it may take a bit longer. Nevertheless, there have been instances where non-surgical ESG has resulted in as much as 114 pounds of weight loss.

To achieve weight loss, it is advisable to consult with a skilled bariatric surgeon for their expertise. You will be able to determine which procedure, LSG or ESG, best suits your specific circumstances.

Explore Effective Weight Loss Surgery Options

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