Endoscopic Sleeve Gastroplasty

Endoscopic sleeve gastroplasty, often known as the accordian surgery, is a weight loss procedure that reduces the size of your stomach using an endoscopic suturing device. The technique mimics the effects of a surgical sleeve gastrectomy, but without the necessity for surgery. This surgery is best for people who have a BMI of 30 or more and have failed to lose weight through diet and exercise. There is a lower chance of problems because the technique is minimally invasive. A dedication to a healthier lifestyle, like other weight loss regimens, will help to assure long-term success and lasting weight loss.

Obesity not only erodes self-esteem, but it also causes many patients to lose confidence in their appearance. Endoscopic sleeve gastroplasty (ESG), a new method derived from laparoscopic sleeve gastrectomy (LSG), is less invasive and results in better weight loss. In comparison to LSG, ESG has gained popularity because to its absence of incision, incisionless fashion, faster recovery, and decreased rates of acid reflux.

You must meet the following criteria to be considered:

  1. Must be at least 18 years old.
  2. If you have a BMI of 30 or over, you’re overweight.
  3. Be willing to participate in a weight-loss programme that is medically monitored.

Why it’s done:

Endoscopic sleeve gastroplasty is a procedure that can help you lose weight and reduce your risk of major weight-related health problems, such as:

  • Stroke and heart disease
  • Blood pressure that is too high
  • NAFLD, also known as nonalcoholic steatohepatitis, is a type of nonalcoholic fatty liver disease (NASH)
  • Apnea (sleep deprivation)
  • Diabetes type 2
  • Osteoarthritis is a type of arthritis that affects the joints (joint pain)

Endoscopic sleeve gastroplasty and other weight-loss procedures or surgeries are usually performed only after you’ve attempted to lose weight by changing your diet and exercising more.


ESG is a new process that has a lot of advantages for people who want to lose weight. To find out if you’re a good candidate for ESG, go to a general surgeon in Dallas or Fort Worth. The following are some of the advantages of the accordion procedure:

  • There are no incisions required because the treatment is done through the mouth.
  • It’s a quick outpatient surgery that can be done the same day.
  • It does not leave any scars.
  • The technique could be a good method to control obesity-related health problems like type 2 diabetes, high blood pressure, and sleep apnea.
  • When compared to typical measures such as diet and exercise, results in significant weight loss over a five-year period.
  • Assists with mobility
  • When compared to other options, the operation carries a minimal risk.
  • It is cost-effective.
  • The natural digestion process isn’t hampered in any way.
  • When combined with frequent medical checkups and behavioural changes, it produces long-term results.

Who it’s for:

Endoscopic sleeve gastroplasty is a procedure for persons with a BMI of 30 or higher who haven’t been able to maintain weight loss with lifestyle changes alone and don’t qualify for or want to seek traditional bariatric surgery.

However, not everyone who is overweight is a candidate for endoscopic sleeve gastroplasty. A screening process allows doctors to determine whether the surgery is right for you. You must also be willing to make healthy lifestyle adjustments, check up with your doctor on a regular basis, and participate in behavioural treatment.

Anyone with a big hiatal hernia or a condition that causes gastrointestinal bleeding, such as gastritis or peptic ulcer disease, should avoid endoscopic sleeve gastroplasty.

Most health insurance plans do not currently cover endoscopic sleeve gastroplasty.

Endoscopic sleeve gastroplasty Risks:

Endoscopic sleeve gastroplasty has so far demonstrated a positive safety profile. After the surgery, you may experience pain and nausea for many days. Pain and nausea drugs are commonly used to treat these symptoms. After a few days, most people feel much better.

Endoscopic sleeve gastroplasty can also be converted to other bariatric surgeries, despite the fact that it is not intended to be a temporary procedure.

Endoscopic sleeve gastroplasty, when paired with lifestyle changes, yields in a total body weight decrease of 15% to 20% in 12 to 24 months.

How you prepare:

If you are a candidate for endoscopic sleeve gastroplasty, your doctor will give you detailed advice on how to prepare for the treatment. Before surgery, you may need to have a variety of lab tests and checkups. You may be limited in what you can eat and drink, as well as which drugs you can use. It’s also possible that you’ll be required to begin a physical activity programme.

It’s a good idea to plan ahead for your post-surgery recuperation. Arrange for a companion or someone else to assist you at home, for example. Endoscopic sleeve gastroplasty usually takes only a few days to recover from.


Under general anaesthesia, endoscopic sleeve gastroplasty (ESG) is performed in the hospital. You will need to follow particular preparation instructions prior to your surgery, which you will discuss with your doctor ahead of time.

During ESG:

An endoscope, a flexible tube with a camera and an endoscopic suturing device attached, will be introduced down your neck into your stomach for the treatment.

The endoscope’s tiny camera allows the doctor operating it to see and operate inside your stomach without cutting your abdomen open.

The doctor uses an endoscope to implant roughly 12 stitches in the stomach. The sutures alter the contour of your stomach, causing it to resemble a tube. This limits the number of calories your body can absorb as well as the amount of food you can consume.

The accordian operation takes about 90 minutes, and most patients are able to return home the same day. After the procedure, some patients may need to stay in the hospital for a day or less for observation.

After ESG:

The accordian operation takes about 90 minutes, and most patients are able to return home the same day. After the procedure, some patients may need to stay in the hospital for a day or less for observation.

What you can expectDuring the procedure

Endoscopic sleeve gastroplasty is an outpatient surgery performed in the endoscopy unit. Because general anaesthetic is utilised, you will be completely unconscious during the treatment.

A flexible tube with a camera and an endoscopic suturing equipment is used for the surgery (endoscope). The endoscope is introduced into your stomach through your throat. The endoscope (endoscopist) lets the doctor operating it to see and operate inside your stomach without creating incisions in your belly.

The doctor uses an endoscope to insert stitches in the stomach. The sutures alter the contour of your stomach, causing it to resemble a tube. Because you feel filled sooner, this limits the amount of food you can eat.

The endoscopic sleeve gastroplasty procedure takes between 60 and 90 minutes.

After the procedure

You’ll wake up in a recovery room after the endoscopic sleeve gastroplasty, where medical professionals will keep an eye on you for any issues.

The majority of people return home the same day after waking up from anaesthesia. After the procedure, some people may need to stay in the hospital for one day or less for observation.

You won’t be able to consume anything for a few hours after the treatment. After that, you’ll be able to begin a liquid diet, which you must adhere to for at least two weeks.

You’ll eventually go to semisolid foods, and then to a more balanced diet.


Commitment to nutrition, physical activity, emotional health, and resiliency, as with any weight-loss programme, will play a big part in how much weight you lose. If someone follows all of the instructions and completes the programme, he or she can expect to lose between 12 and 20 percent of their body weight in a year.

Endoscopic sleeve gastroplasty can help with a variety of issues associated with obesity, including:

  • Stroke or heart disease
  • Blood pressure that is too high
  • Sleep apnea is a serious sleep disorder.
  • Diabetes type 2
  • Gastroesophageal reflux disease (GERD) is a type of gastroesophageal reflux (GERD)
  • Osteoarthritis is a type of arthritis that affects the joints (joint pain)

When weight-loss surgery doesn’t work

Even if a weight-loss surgery works properly, it’s possible that you won’t lose enough weight or that you’ll gain weight afterward. If you don’t make the advised lifestyle modifications, you may gain weight. You must make permanent healthy dietary modifications and engage in regular physical activity and exercise to avoid regaining weight.

Endoscopic sleeve gastroplasty cost:

Package for Self-Pay Endoscopic Sleeve Gastroplasty for $6,500 as little as $165 per month with financing* Package for Self-Pay Fees for the surgeon are included.

Follow-up appointments for a year *Facility fees are not included. It’s possible that additional testing and expenses will be required. The monthly payment is calculated only on the basis of the purchase price, excluding taxes and interest. Patients must be approved by a third-party medical lender. Independent lenders make loan offers based on approved credit, and not everyone qualifies. With current lender terms and circumstances for the advertised price for applicants with qualifying credit, the lowest attainable financing price is $165 per month for 60 months.

Collis gastroplasty:

Collis gastroplasty is a minimally invasive surgery that allows us to treat the underlying cause of your issue by lengthening a shortened oesophagus. Chronic acid reflux causes scar tissue to form in the oesophagus, resulting in a shortened oesophagus. Because scar tissue is less flexible than healthy tissue, your oesophagus loses length.

A vertical incision parallel to the left border of the oesophagus is made in the stomach. The oesophagus is effectively lengthened as a result of this. The stomach fundus is then wrapped around the neo-esophagus, preventing stomach acid from refluxing into the oesophagus.

Weight loss procedures without surgery:

Diet and exercise are one way to tackle non-surgical weight loss treatments. It is critical for your health to consult with a physician to develop the ideal regimen for you and your weight loss objectives. They can recommend various diets to assist you lose weight, as well as the appropriate training or exercise regimens to go along with that diet.

Best Non-Surgical Weight Loss Procedure

The gastric balloon is the greatest non-surgical weight loss therapy on the market. It is fully non-surgical and has a low level of invasiveness. The body is free of cuts or microscopic holes.

How does it work?

By swallowing or via an endoscopic tube, a deflated gastric balloon is introduced through the mouth (depending on what company you choose). Orbera, ReShape, and Obalon are three varieties of balloons offered in the United States. It takes roughly 20 to 30 minutes to finish each treatment. It passes via your oesophagus and into your stomach. When it lands in your stomach, it expands to fill part of the empty space.

This causes patients to feel full sooner while eating, resulting in their eating less and losing weight than they would otherwise. In just six months, patients have shed up to one-third of their excess weight.

The gastric balloon’s benefits:

Aside from being a non-surgical option, doctors and patients agree that it is a safer alternative to the gastric sleeve, gastric bypass, and even the LAP-BAND. Despite the fact that it is non-surgical, it nevertheless results in significant weight loss while allowing you to eat anything you want, feel fuller for longer, and minimise your hunger.

Weight loss using a gastric balloon has a number of health benefits, including improved diabetes, cardiac health, and joint/bone health.

After the procedure:

The patient is allowed to leave the hospital the same day as the balloon treatment, therefore there is no need for the patient to stay overnight. It takes three days to recover fully, which is faster than the alternatives to a gastric balloon, such as a bypass or sleeve, which can take weeks or months to recover after.

Doctors will be asked to recommend a 14-day transition diet with minor dietary restrictions. When you opt to remove the balloon, the diet transition will help you jump start improved eating and lifestyle habits, which will benefit your future health. The balloon will be removed after 6 months.

Downsides to the procedure:

Although there is a decreased chance of complications with the gastric balloon than with other operations, there are still minor and transitory side effects. If the patient needs to be sedated, general anaesthesia risks can cause certain issues.

The balloon has a minimal chance of deflating, which could result in an obstruction. To avoid this, the balloon is loaded with a blue or green dye that causes the urine to become that colour, alerting the patient to the fact that the balloon has deflated. Medications may be prescribed to prevent ulcers in some cases. Acute pancreatitis and balloon overinflation are two other hazards.

Because this operation is only temporary, there is a risk of weight gain.

Side effects:

The following are some of the procedure’s mild negative effects:

  • Bloating
  • Food intolerance is a condition in which a person is unable to eat certain foods
  • Vomiting or nausea
  • Constipation

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