Endoscopic Sleeve Gastroplasty


Endoscopic Sleeve Gastroplasty (Accordion) Procedure
Endoscopic sleeve gastroplasty, also known as the accordian procedure, 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. 
Endoscopic sleeve gastroplasty (ESG) is performed in the hospital under general anesthesia. Before your procedure, you will need to follow specific preparation instructions, which you will discuss with your doctor in advance.

During ESG:

  • ·         The procedure is done using an endoscope, a flexible tube with a camera and an endoscopic suturing device attached, and it will be inserted down your throat into the stomach.
  • ·         The tiny camera allows the doctor operating the endoscope to see and operate inside your stomach without making incisions in your abdomen.
  • ·         Using the endoscope, the doctor places approximately 12 sutures in the stomach. The sutures change the structure of your stomach, leaving it shaped like a tube. 

    After ESG:
  • ·         You will not be allowed to eat for eight hours.
  • ·         After the initial eight hours, you will be allowed to start a liquid diet, which you will continue for one week.
  • ·         Approximately two weeks after the procedure, you will move on to semisolid foods, and then to a normal, healthy diet.
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