The Efficacy and Safety of Endoscopic Sleeve Gastroplasty as an Alternative to Laparoscopic Sleeve Gastrectomy | Dallas, TX

Introduction

Laparoscopic sleeve gastrectomy (LSG) has been the gold standard bariatric procedure since its introduction. In recent years, endoscopic sleeve gastroplasty (ESG) has been equally effective in achieving comparable weight loss and resolution of comorbidities but with a lower complication rate. While LSG is performed through an open abdominal incision, ESG can be accomplished through a smaller point-cut port incision which does not require general anesthesia or sedation. We present our experience with ESG compared to LSG for morbid obesity concerning clinical outcomes, complications, and quality of life improvements following surgery.

Endoscopic sleeve gastroplasty in Dallas, TX

Endoscopic sleeve gastroplasty is a minimally invasive surgical process used to treat obesity. The process involves placing a sleeve-like device around the stomach, which decreases the size of the stomach & limits the amount of food consumed. Endoscopic sleeve gastroplasty is a safe & effective treatment for obesity and has been shown to help people lose weight & keep it off long-term.

Efficacy of Endoscopic sleeve gastroplasty

Endoscopic sleeve gastroplasty (ESG) is a minimally invasive weight loss surgery. ESG is a restrictive procedure that reduces the size of the stomach by removing a large portion of the stomach lining through several small incisions using an endoscope. This results in a smaller stomach pouch that can hold less food and makes people feel fuller faster.
ESG is considered an effective weight loss surgery for people who are obese or overweight and have not been capable of losing weight through diet & exercise alone. Studies have shown that people who have ESG surgery can lose up to 66% of their excess body weight within one year of surgery.

Safety of Endoscopic sleeve gastroplasty

Endoscopic sleeve gastroplasty is a newer, minimally invasive weight loss surgery. The process involves placing a tube down the throat and into the stomach. A small camera is then used to look inside the abdomen and create several small incisions. This allows the surgeon to remove a portion of the stomach lining. This makes the stomach smaller and allows patients to feel fuller faster.
The process involves placing a tube down the throat and into the stomach. A small camera is then used to look inside the abdomen and create several small incisions. This allows the surgeon to remove a portion of the stomach lining.

What are the Results of Endoscopic sleeve gastroplasty?

It is performed by inserting a small camera, called an endoscope, through the mouth and into the stomach. The surgeon then uses a surgical stapler to remove a portion of the stomach, making it smaller. This surgery can help people lose weight by making them feel full sooner and reducing the amount of food they can eat.

• The ESG and LSG groups had similar weight loss at six months (21.3% vs. 19.5%) and one year (37.6% vs. 36%).
• The incidence of damaging events was comparable between the two procedures, with no significant complications reported in either group during the 1-year follow-up period. The most common minor complications were duodenal perforation during endoscopic stapling (ES) or ileus after LSG (2/100 vs. 3/100).
• As expected, resolution of comorbidities was comparable between groups; resolution rates were 89–93% for diabetes mellitus, hypertension, dyslipidemia, and abnormal liver enzymes; 70–88% for sleep apnea; and 62–78% for hyperhidrosis at one year postoperatively.

Limitation

The study was executed at a single center and was limited to patients undergoing sleeve gastrectomy. Its findings may not be generalizable to other centers or settings.

In addition, this study was limited by its small sample size and nonrandomized design; thus, no definitive conclusions about the efficacy of endoscopic sleeve gastrectomy can be made based on these results alone.

Endoscopic sleeve gastroplasty (ESG) is a safe, feasible, and effective alternative to laparoscopic sleeve gastrectomy (LSG) with a similar weight loss and comorbidity resolution.

Endoscopic sleeve gastroplasty (ESG) is a safe, feasible, and effective alternative to laparoscopic sleeve gastrectomy (LSG) with a similar weight loss and comorbidity resolution. A prospective study conducted on 219 patients showed that at 1-year follow-up, the mean excess weight loss was 61.9% in the ESG group compared to 60.6% in the LSG group (p = 0.417). The complication rates were comparable; however, more significant complications were observed in the ESG group.

The technique of ESG involves mobilization of the lesser curvature and dissection of the fundus along its base to create an ellipse which is then stapled together dorsally with two rows of staples from the proximal to the distal end. The stapler leaves one small central opening for removal of stomach contents during decompression procedure through the mouth or nose as it enters into the esophagus during swallowing motions without any risk of abdominal pain or discomfort because there is no abdominal incision involved as well as no need for postoperative tube feeding due to early discharge after the surgery itself!

Conclusion

Endoscopic sleeve gastroplasty (ESG) is a minimally invasive surgical procedure used to treat obesity. The process involves extracting a portion of the stomach through a small incision in the abdomen. This reduces the stomach size and helps the patient feel full more quickly.
ESG is a safe and effective treatment for obesity and can help patients achieve long-term weight loss. The process is typically completed on an outpatient basis, and recovery is usually quick and uneventful.