ENDOSCOPIC SLEEVE
GASTROPLASTY

A specialized weight loss solution
for post-gastric surgery patients

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WHAT’S ENDOSCOPIC SLEEVE GASTROPLASTY?

Endoscopic Sleeve Gastroplasty (ESG) represents a breakthrough in weight loss intervention, offering a minimally invasive and non-surgical approach to achieving significant and sustainable weight reduction. During the procedure, an endoscopist skillfully reduces the size of the stomach from within by suturing it, effectively creating a smaller gastric space.

HOW IS ESG PERFORMED?

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HOW ENDOSCOPIC SLEEVE GASTROPLASTY FOR?

Endoscopic Sleeve Gastroplasty presents an optimal solution for individuals who have encountered challenges achieving their weight loss goals through conventional diet and lifestyle modifications. Additionally, it serves as a compelling choice for those who are averse to surgical interventions or do not meet the prerequisites for standard bariatric procedures.

The prime candidate for ESG embodies a BMI ranging from 30 to 40 and demonstrates a steadfast dedication to the prescribed weight loss regimen. Crucially, they exhibit a willingness to embrace and sustain a healthier way of life, making a commitment to the comprehensive lifestyle changes integral to the success of the procedure.

HOW MUCH WEIGHT WOULD YOU LOSE?

Following the procedure, individuals typically experience a weight loss of around 18 to 20% of their total body weight in the first year, with a sustained 15% reduction after five years. However, long-term success relies on embracing a healthier lifestyle beyond the initial phase.

ENDOSCOPIC SLEEVE GASTROPLASTY
ENDOSCOPIC SLEEVE GASTROPLASTY

WHAT ARE POSSIBLE COMPLICATIONS AFTER ENDOSCOPIC SLEEVE GASTROPLASTY?

ESG boasts the lowest complication rate among bariatric procedures like gastric balloon, lap band, gastric sleeve, and gastric bypass. While serious issues are rare, potential complications include gastric leak, fluid collection, pneumothorax, and pulmonary embolism. Instances requiring additional procedures are extremely uncommon, and importantly, no fatalities have occurred due to ESG complications.

HOW IS THE ENDOSCOPIC SLEEVE GASTROPLASTY DIFFERENT FROM THE LAPAROSCOPIC SLEEVE GASTRECTOMY?

ESG and LSG represent two distinct approaches to weight loss surgery, each with its unique features and recovery timelines.

ESG, a non-surgical procedure, involves suturing the stomach internally using an endoscope, bypassing the need for incisions or stomach removal. Recovery time is relatively short, typically spanning 2-4 days. Complications, though rare, may include gastric leak or fluid accumulation, but further intervention is seldom necessary, and fatalities are nonexistent.

In contrast, LSG, conducted laparoscopically, necessitates small abdominal incisions for camera and instrument insertion. Recovery typically takes longer, about 1-3 weeks. While complications like gastric leaks or bleeding are infrequent, they may require additional surgery. Despite a low mortality rate (0.04%), it’s not entirely absent.

Weight loss outcomes vary between the two procedures, with ESG yielding around 30-60% excess weight loss and LSG achieving 50-80%. Both emphasize holistic lifestyle changes encompassing nutrition, activity, and mindset for sustained success.

For those considering ESG, exploring options like endoscopic sleeve revision or seeking specialists in Atlanta for endoscopic sleeve gastroplasty can provide further insights. Expert guidance is available to navigate choices like esophageal sleeve procedures, with services tailored to individual needs, including ESG and other endoscopic weight loss surgeries.

Ready to commence your weight loss journey? Schedule a consultation today and take the first step toward a healthier tomorrow.

POST-PROCEDURE DIET
Following the procedure, an immediate return to normal eating habits isn't feasible. Instead, a gradual diet progression is initiated, commencing with clear liquids, advancing to full liquids, followed by soft foods, and eventually reintroducing regular foods. This step-by-step approach facilitates optimal healing while minimizing any discomfort or pain associated with the procedure.
Stage 1 (7 Days):
During the initial phase of the diet, focus on consuming 48-64 fluid ounces per day, ensuring hydration by taking small sips every 15 minutes. Opt for sugar-free, non-carbonated beverages with fewer than 10 calories per 8-ounce serving. Suitable options include water, Hint Water, Fruit2O, Mio Drops, Crystal Light, True Lemon/True Lime Packets, Sugar-Free Jell-O, Sugar-Free Popsicles, and decaf tea or coffee without cream or sugar. Note that hot or cold liquids may not be as well tolerated. Steer clear of caffeine and alcohol during this phase. Additionally, incorporate a daily dose of MiraLAX for the initial two weeks to support digestive regularity.
Stage 2 (Until ready to move to soft foods):
During the full liquid phase, maintain a target of 64 fluid ounces of sugar-free beverages per day. Enhance protein intake by incorporating two or three protein shakes daily, ensuring each serving contains 20-30 grams of protein, less than 200 calories, and less than 5 grams of sugar.
Stage 3 (1 Month): Part 1
Welcome to Stage 3 of your post-op diet! You've reached a significant milestone on your journey towards achieving your nutrition objectives. During this phase, the focus shifts from pureed foods to soft options that can be easily mashed with a fork. It remains crucial to aim for a daily protein intake of approximately 60-90 grams to support your dietary goals.
Stage 3 (1 Month): Part 2
Luckily, there's a wide array of soft food options available to choose from. These include eggs, soft-baked white fish, canned chicken, tuna, or salmon (mixed with mayonnaise or plain Greek yogurt for optimal texture), deli meats like chicken, turkey, and ham, as well as tofu and other soft vegetable proteins. Additionally, you can incorporate real cheese, cottage cheese, ricotta cheese, and plain or light Greek yogurt into your meals for added protein. Legumes such as lentils and refried beans, along with non-starchy vegetables and unsweetened applesauce, are also recommended, but it's best to consume them after meeting your daily protein target.
Stage 3 (1 Month): Part 3
Maintain your meal routine with three small meals a day and one protein-packed snack. Begin each meal by prioritizing protein consumption. Remember to cease drinking liquids 15 minutes before eating and wait 20-30 minutes post-meal before resuming liquid intake. This strategy ensures adequate hydration without the discomfort associated with overeating.
Stage 4 (Regular Maintenance Diet): Part 1
We encourage all patients to prioritize a healthier lifestyle post-procedure. Aim for three balanced meals each day, with the option of a snack if needed. Additionally, for the next month or so, incorporating one protein shake daily can help ensure you meet the recommended protein intake of 60-90 grams per day.
Stage 4 (Regular Maintenance Diet): Part 2
When planning your meals, focus on selecting high-quality protein sources that require thorough chewing. Prioritizing protein in your meals, comprising about 75% of each serving, promotes satiety over extended periods. If hunger persists within 15-20 minutes after consuming your primary protein portion, consider adding non-starchy vegetables as a side dish. Avoid deep-fried or breaded items when aiming for weight loss goals.
Stage 4 (Regular Maintenance Diet): Part 3
While the texture of the diet shifts in Stage 4, it remains crucial to uphold a minimum protein intake of 60-90 grams (or more) daily, alongside consuming 64 ounces (or more) of sugar-free liquids. To optimize weight loss outcomes, maintaining regular exercise routines and adjusting intensity or duration as needed can be beneficial. Consistent prioritization and practice of these dietary and lifestyle adjustments are key to achieving success.
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