• No surgery is performed, The stomach is reduced by 60 - 70% so that the patient loses weight.
• Type of anesthesia - General
• Hospitalization - Ambulatory, no hospitalization required • Time of incapacity - 5 days
ESG is a minimal invasive 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.
ESG is performed endoscopically, meaning there are no incisions or scars, and most patients can go home the same day.
In a randomized trial, patients undergoing ESG lost 13% of their total body weight at 1 year, and the majority of weight loss was maintained out to 2 years.’
In a US randomized trial, 61.1% of patients with Type 2 Diabetes lost at least 10% TBWL” and 70.0% showed improvement in their diabetes, as determined by their doctor.?
In that same study, 59.5% of patients with hypertension lost at least 10% TBWL” and 64.3% showed improvement in their hypertension, as determined by their doctor?
Over 250 publications and abstracts have reported outcomes in >10,000 patients receiving ESG worldwide. In the US.
Apollo ESG™ is indicated for adult patients with obesity with 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.
Some contraindications to Apollo ESG™M include 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.
Some of the common side effects are gastrointestinal symptoms such as nausea, abdominal pain, vomiting, constipation, burping, heartburn or diarrhea, which typically resolve within 30-60 days.
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.
In the event the sutures loosen and the sleeve-like shape stretches, retightening can be performed.