Endoscopic Sleeve Gastroplasty (ESG)

An endoscopic sleeve gastroplasty (ESG) is a minimally invasive, non-surgical procedure that promotes weight loss by reducing the size of the stomach. Using an endoscope, the stomach is stitched internally, creating a sleeve-like shape without any incisions. Once the procedure is completed, the patient feels fuller faster, which reduces calorie consumption and leads to weight loss.

This procedure lowers the risk of serious weight-related health problems including:

  • Heart disease and stroke
  • High blood pressure
  • High cholesterol levels
  • Type 2 diabetes
  • Sleep apnea
  • Nonalcoholic fatty liver disease (NAFLD) or nonalcoholic steatohepatitis (NASH)

ESG has been shown to be a safe procedure, but just like every medical procedure, there are some risks. Nausea and pain may happen several days after the procedure, but these symptoms are usually managed with medicine and most patients feel better after a few days.

This procedure also requires lifestyle changes for it to be successful. After the procedure, patients begin a liquid diet which needs to be continued for at least two weeks. Eventually, patients can move on to semisolid foods, then need to move to a regular healthy diet.

Don’t worry! Prior to your procedure, your physician will do a full walk through of how to prepare for your procedure and what aftercare needs to be done following the procedure. Our team is here to help you make sure you get the results you are hoping for!

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TORe

A transoral outlet reduction (TORe) is a minimally invasive endoscopic procedure for patients who have previously undergone gastric bypass surgery who experience weight regain or inadequate weight loss. This procedure reduces the size of the opening between the gastric pouch and small intestine. This restricts the amount of food that can pass through, promoting a feeling of fullness which leads to weight loss.

TORe is not suitable for all patients who have had gastric bypass. Generally, it is recommended for individuals who have a dilated outlet and have experienced weight regain or inadequate weight loss.

Since this outpatient procedure is minimally invasive, there are not many risks of complications; However, there are risks in any medical procedure. Patients may experience mild stomach discomfort and nausea in the days after the procedure, but this is usually managed with medications. Other complications such as bleeding and infections can happen, but they are rare.

Prior to your procedure, your physician will give you a full walk through of how to prepare for your procedure and what aftercare needs to be done following the procedure.

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Non-Surgical Gastric Balloon

A non-surgical gastric balloon is a weight-loss procedure where a silicone balloon is placed inside the stomach to occupy space. This makes patients feel full sooner and eat less. This is a temporary, reversible procedure where the balloon is typically removed after six months.

This procedure can lower your risk of potentially serious weight-related health problems including:

  • Cancers such as prostate, breast and endometrial
  • Heart disease and stroke
  • High blood pressure
  • Sleep apnea
  • Type 2 diabetes
  • Nonalcoholic fatty liver disease (NAFLD) or nonalcoholic steatohepatitis (NASH)

Like any medical procedure, non-surgical gastric balloon can have risks. Pain and nausea can occur and last a few days after balloon placement. Serious side effects, such as belly pain, persistent nausea and vomiting, are very rare because this procedure is minimally invasive, but if you are experiencing these effects, contact your physician right away.

Like other weight-loss procedures, a commitment to a healthier lifestyle, such as changes to your diet and regular exercise, is paramount to ensure the long-term success of this procedure.

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