At CMC Hosptial Dubai the ESG procedure is performed by expert French Board Certified Gastroenterologists that has almost 10 years experience purely conducting ESG’s. Endoscopic sleeve gastroplasty (ESG) is a minimally invasive weight loss procedure that involves reducing the size of the stomach using an endoscope. The procedure involves placing a suturing device through the endoscope and using it to create a series of stitches along the inside of the stomach, reducing its size and altering its shape to resemble a sleeve.
ESG is intended for individuals who have a body mass index (BMI) between 30 to 35 and have not been able to achieve long-term weight loss through diet and exercise alone. For individuals with a BMI above 35, other surgical weight loss options such as Laparoscopic or Robotic sleeve gastroplasty or gastric bypass may be more appropriate.
ESG is also an option for those who are not candidates for traditional weight loss surgery due to medical reasons such as a history of heart disease or lung disease.
After the ESG procedure, patients are normally kept in the hospital for a few hours for observation before being discharged. Most patients are able to resume normal activities within a few days of the procedure.
Patients are advised to follow a liquid diet for the first week after the procedure before gradually transitioning to solid foods over the next few weeks.
In order to achieve long-term weight loss success, patients will need to make lifestyle changes such as following a healthy diet and engaging in regular exercise. Follow-up appointments with the doctor will be necessary to monitor weight loss progress and ensure that there are no complications.
Like any weight loss surgery, although safe when performed by an experienced and qualified physician, it’s still considered a major procedure and therefore carries some risks that include: - Infection - This risk is relatively low, and patients are typically given antibiotics before the procedure to help reduce the risk - Bleeding - There is a small risk of bleeding during the procedure. - Stomach perforation - Gastroesophageal reflux disease (GERD): In some cases, ESG can worsen symptoms of GERD. Patients who have a history of GERD should discuss this with their doctor before considering ESG.
The ESG procedure can take from 60-180 minutes depending on the complexity of the patient case. ESG is generally done on an outpatient basis with most patients returning home the same day.
Dr Tarek Saleh is a French Board Certified Gastroenterologist and Obesity Consultant who has been performing ESG procedures since 2016. He has performed over 3000 various weight loss procedures.