Gastric Sleeve Surgery
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Gastric Sleeve Endoscopy

Gastric Sleeve Endoscopy

What is Endoscopic Sleeve Gastroplasty (ESG)?

ESG is a procedure performed endoscopically by a gastroenterologist or surgeon that uses a small suturing device and camera to reduce the size of the stomach from the inside.

How does it work?

ESG is performed endoscopically, meaning there are no incisions or scars, and most patients can go home the same day.

How much weight do patients lose?

In a randomized trial, patients undergoing ESG lost 15%-25% of their total body weight at 1 year, and the majority of weight loss was maintained out to 2 years.

What are the potential positive health impacts of ESG?

In a US randomized study, 61.1% of patients with Type 2 Diabetes showed improvement in their diabetes. In that same study, 59.5% showed improvement in their hypertension.

How many ESG procedures have been done?

Over 250 publications and abstracts have reported outcomes in more than 10,000 patients receiving ESG worldwide. In the US, leading institutions like the Mayo Clinic, Johns Hopkins, Brigham and Women’s, University of Chicago, The University of Texas, and others participated in the US clinical trial.

Who is a candidate for ESG?

Apollo ESG™ is indicated for adult patients with obesity with a Body Mass Index (BMI) between 30-50 kg/m² who have not been able to lose weight or maintain weight loss through more conservative measures.

Who should not have ESG?

Contraindications to Apollo ESG™ include the inability to have an endoscopic procedure, malignant tissue, large hiatal hernia, potential bleeding gastric lesions, eating disorders, women who are pregnant, and patients using certain types of blood thinning medications.

What are the most common side effects?

The most common side effects are gastrointestinal symptoms such as nausea, abdominal pain, vomiting, constipation, burping, heartburn, or diarrhea, which typically resolve within 3-6 days. Oral medication can be used to alleviate these symptoms.

Is the procedure permanent?

Over time, there will be scarring and bridging tissue to maintain the reduced stomach size and sleeve-like shape. However, the procedure can be reversed by endoscopically cutting these bridges and removing sutures. If the sutures loosen and the sleeve-like shape stretches, retightening can be performed.