Endoscopic Sleeve Gastroplasty Overview
Endoscopic sleeve gastroplasty is a non-surgical minimally invasive procedure which, like more common bariatric weight loss treatments, is designed to reduce the capacity of the stomach to achieve significant weight loss.
This technique works by reducing the size of the stomach through the mouth and has some significant differences from more traditional surgical operations. Endoscopic sleeve gastroplasty, like any other surgical weight loss treatment, should be considered an aid to reducing body fat in combination with a healthy lifestyle.
Even after endoscopic sleeve gastroplasty treatment you will have to commit to a healthy lifestyle of dieting and exercise to maintain the long-term success of the procedure.
Who is it for?
If you have a BMI greater than 30 you may be eligible for endoscopic sleeve gastroplasty. However, this alone isn’t enough to qualify for this type of surgery. You must have the motivation to change your lifestyle, diet and exercise, to maintain results delivered through this procedure. You should also be prepared to bear the financial cost of the treatment.
Despite all of this, endoscopic sleeve gastroplasty isn’t going to be suitable for everyone who is overweight. A doctor’s assessment will establish whether or not the procedure will be beneficial to you.
The procedure may not be suitable for anyone who has previously had stomach surgery, gastrointestinal bleeding or a hiatal hernia larger than 3 centimetres.
Your surgical consultant will discuss the risks of surgery prior to treatment, during your consultation.
What to expect from Endoscopic Sleeve Gastroplasty surgery?
The procedure is carried out using an endoscope, which is a flexible tube with a camera and an endoscopic suturing device attached. Once the endoscope is inserted down the throat the doctor can see in the stomach and operate without the need for incisions in the abdomen.
The procedure takes around 90 minutes to complete, by the end of which the structure of the stomach has changed and is left shaped like a tube. As a result of this the capacity of the stomach is reduced and calorie absorption is restricted.
You’ll wake up in the recovery room after surgery where medical staff will monitor you and look out for any complications. Most people will be discharged to go home on the day of the surgery after recovering from the effects of sedation. Having said that some people may need to stay in hospital for further observations.
After endoscopic sleeve gastroplasty Surgery
After the procedure:
- You won’t be allowed to eat food for the first 8 hours
- You will be able to start a liquid diet shortly after that, for 2 weeks
- For four weeks you’ll move onto a semi-solid diet
- You may need to see a nutritionist and psychologist after your procedure
Significant weight loss can be achieved through endoscopic sleeve gastroplasty. However, the amount of weight you lose depends on the lifestyle changes you adopt.
Studies have shown people with an average BMI of 38 have lost 17.8kg within the first 6 of surgery. People with higher BMI can expect greater weight loss over the same period of time.
Benefits of weight loss
Achieving weight loss through endoscopic sleeve gastroplasty can bring with it many health improvements and reduce certain health risks. These include:
- Gastroesophageal reflux disease
- Heart disease or stroke
- High blood pressure
- Severe sleep apnea
- Type 2 diabetes
What is Obesity?
The term “obese” literally means to be grossly fat or overweight and is used to describe people that fit this classification.
There are many ways to define or classify a person based on their weight. The most commonly used method to do this is with the Body Mass Index (BMI) which gives you a score based on a weight to height ratio.
Typical BMI scores for adults and their meaning:
- 18.5 to 24.9 – Healthy weight
- 25 to 29.9 – Overweight
- 30 to 39.0 – Obese
- 40+ – Severely obese
One of the major flaws with this technique is it doesn’t take muscle mass into consideration. A person with low body fat who is muscular may still score high in this test. Having said that, this shouldn’t be a significant issue for the average person.
Waste size is another measure used to diagnose obesity. Typically, men with waists greater than 37in and women with waists that 31.5in are deemed to be at greater risk of developing obesity related health problems.
what are the causes of obesity?
Access to cheap foods with high calories and lots of sugar is becoming an increasing problem in modern life. Having a poor diet and not much exercise is a major contributor to obesity. Naturally, if you consume more calories than you use your body will convert the excess energy into fat.
Aside from the excesses of modern life, there are also certain health conditions that can cause weight gain. These include:
- Underactive thyroid glands
- Crushing syndrome
Medication for certain conditions may also cause weight gain like:
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About Bariatric Weight Loss Surgery
Obesity is a serious problem affecting roughly one in four adults in the economically developed world. Weight loss surgery is a medical procedure developed for people who are seriously overweight and is commonly referred to as bariatric or metabolic surgery.
Weight loss surgery is a serious procedure and should only be considered as a last resort if traditional weight loss techniques like dieting and exercise have not worked.
The results of such a procedure can be positive. Not only will you notice a significant drop in weight, but you should see a general improvement in disorders associated with obesity like blood pressure and diabetes.
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