If you have a few extra pounds that you desperately want shed, you will be interested in learning more about endoscopic sleeve gastroplasty, especially if you have sleep apnea. Endoscopic sleeve gastroplasty is a completely new procedure used for weight loss. This procedure is minimally invasive and leads to significant weight loss.
During endoscopic sleeve gastroplasty, the endoscopist inserts a suturing device into your throat and down to your stomach. Then, sutures are placed in your stomach to make it smaller.
Endoscopic sleeve gastroplasty is an option for people who are overweight with a body mass index of 30 or more, especially if they’ve tried diet and exercise and it hadn’t worked for them.
The procedure helps you lose weight by limiting how much you can eat and there are no risks of operative complications. However, it required that the person commits to a healthier lifestyle, such as a healthy diet and doing regular exercises to ensure the long-term success of the procedure.
Reasons for Doing Endoscopic Sleeve Gastroplasty
Endoscopic sleeve gastroplasty is a procedure performed to help you lose weight. It also lowers the risk of serious weight-related health problems, such as :
- Sleep apnea
- Heart disease and stroke
- Nonalcoholic fatty liver disease or nonalcoholic steatohepatitis
- Type 2 diabetes
This procedure, just like any other weight-loss method is only performed after a person has tried diet, exercise, and everything in their power to lose weight, but failed.
Who Can Do Endoscopic Sleeve Gastroplasty?
People whose body mass index (BMI) is above 30, but haven’t been able to lose weight besides all efforts, and don’t qualify or want to pursue traditional bariatric surgery. However, this doesn’t mean that every person who is overweight can undergo an endoscopic sleeve gastroplasty.
Doctors usually recommend a screening process that shows if the procedure can be beneficial or not. Likewise, the person has to commit to plenty of lifestyle changes after the procedure, regular medical follow-up, and participate in behavioral therapy.
People who have a large hiatal hernia or a condition associated with gastrointestinal bleeding, such as gastritis or peptic ulcer disease can’t undergo an endoscopic sleeve gastroplasty. The procedure is currently not covered by most health insurance.
Risks of Endoscopic Sleeve Gastroplasty
This procedure is quite safe and the only side-effects that have shown several days after it is pain and nausea, but only in rare cases. Most people feel better after a few days.
If the person commits to a healthy diet and exercise after the procedure, they can expect about 15% to 20% total body weight loss at 12 to 24 months.
Before, During, and After the Procedure
You will receive specific instructions for the procedure by the health care team. This might mean that you will need to do several lab tests before the surgery. The instructions might also include restrictions on drinking and eating. You may also be required to start a physical activity program.
Remember that the recovery from endoscopic sleeve gastroplasty takes a couple of days, but you will need someone to come with you and help you get home after the procedure.
The procedure is performed in the endoscopy unit as an outpatient procedure. General anesthesia is used for the procedure, which means you’ll be unconscious. To perform the procedure, the doctor will use a flexible tube with a camera and an endoscopic suturing device attached (endoscope).
The endoscope is inserted down your throat into the stomach. The tiny camera allows the doctor to operate the endoscope (endoscopist) to see and operate inside your stomach without making incisions in your abdomen.
The doctor will place sutures in the stomach with the endoscope which changes the structure of the stomach. The sutures make the stomach look like a tube. Due to this, people are more likely to feel fuller soon by eating less food. The whole procedure lasts from 1 hours to an hour and a half.
After the procedure, you’ll wake up in a recovery room. The healthcare team will monitor you for any complications. Most people go home the same day if everything is okay.
When you get home, you won’t be allowed to eat for a few hours, and then you’ll start a liquid diet which will last for at least 2 weeks.
You can expect to lose about 12% to 20% of your body weight in one year.