Obesity Increases The Risk Of Disease
TYPE 2 DIABETES
TYPE 2 DIABETES
Endoscopic sleeve gastroplasty is a weight loss procedure that uses an endoscopic suturing device to reduce the size of your stomach.
The procedure recreates what would occur at a surgical sleeve gastrectomy though without the need for surgery. This procedure is ideal for those with a body mass index of 40 or less and for those where diet and exercise alone have not worked. Because the procedure is minimally invasive, there is a reduced risk of complicaons. Like other weight loss programs, however, a commitment to a healthier lifestyle will help to ensure long-term success and permanent weight loss with ESG.
In addion to weight loss, endoscopic sleeve gastroplasty can also lower your blood sugar and potenally address other serious weight-related problems.
It is non surgical procedure done by endoscopy to reduce weight. There is no incision & by suturing device stomach size is reduce to 1/4th size, this limits the amount of food intake before feeling full.
An overweight person who's BMI 30% to 40% can not control weight by diet & exercise. A person who does not wish to go for surgery for obesity can lose 20% or 30% of total body weight by ESG.
Definitely many paent suffering from HTN, sleep apnea, DM reduce disease burden for life aer achieving desired BMI. Achieving desired weight also prevents future development of DM/HTN/ Sleep apnea/ osteoarthris.
ESG is not surgery. It has no incision no scar. It has faster & healthy recovery no admission is required.
Procedure is completed within an hour. No requirement of overnight stay no bed rest is required aer discharge. Paent can return to daily acvity work aer discharge.
Current studies suggest ESG leads to weight loss up to 30% over a period to 6 months post surgery.
Aer losing weight diet complaine will help to maintain weight loss & desired BMI.
Non morbid obesity with BMI < 40kg/m2
Lower BMI with significant comorbidies
Before surgery for superobase
Median excess weight loss around 30%
Median BMI loss 5 /kgm2
Orbera apollo Endosurgery / Spatz Balloon
Elasc spherical balloon made from Silicone and filled with about 500-700 ml of saline
It is intrested and retrived endoscopically
Physiologically, their restricve effect increases the feeling of fullness, early saety and slowgastric emptying.
Nausea & voming can persist for week in 2/3rd
Gastric erosion and of Paents Ulceraon
Hiatal hernia of 5 cm or greater
Potenally bleeding lesion of the upper gastrointesnal tract
Pregnancy, breaseeding, severe liver disease