Endoscopic sleeve gastrectomy, endoscopic sleeve gastroplasty (ESG), also known as non-surgical sleeve, endosleeve or accordion procedure, is a minimally invasive weight loss method.
Endoscopic suture device (OverStitch, Apollo Endosurgery, USA) to reduce the size of your stomach. In this way, you will feel full faster and it is aimed to lose weight by eating less. This procedure can be done if you have weight problems, diet and exercise have not been effective. In addition, it is a non-surgical option for patients with obesity who are recommended gastric reduction or by-pass surgery and do not want to have surgery.
What is Endoscopic Tube Stomach?
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Stomach size is permanently reduced by using internal sutures. With the reduction in stomach size, patients feel fuller more quickly and for a long time.
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The prominent feature of the endoscopic sleeve gastrectomy is that it is non-surgical. In this procedure, no incision is made on the abdomen, and there is no visible scar from the outside. The procedure usually takes 60-120 minutes. Since there is no incision in the procedure and the procedure is performed with endoscopy, patients return to daily life quickly. Patients can continue their daily lives on the 2nd or 3rd day.
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Apollo endostich endoscopic suture device, which is the first and only FDA-approved device, is used for endoscopic sleeve gastrectomy.
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The procedure is performed with the help of a small suture device attached to the endoscope as thick as a pinky finger. Your trained doctor enters through the mouth with an endoscope and reaches your stomach. It shrinks the stomach in volume by suturing stitches in the large area of your stomach. Sutures are placed in a U-shaped pattern from the base of the stomach to the top. When each U is completed, the sutures are tightened to reduce the stomach volume. By reducing the stomach volume, patients are provided to eat less and feel full faster.
Endoscopic Tube Stomach Suitable for Who IChina?
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Endoscopic sleeve gastrectomy can be applied to people with a body mass index above 30 and who have not been successful in maintaining weight loss with other methods. Non-surgical sleeve gastrectomy, obesity surgery It is a suitable option for patients whose surgeon is recommended but do not want to have surgery.
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Also, it can be applied as a good option for patients who have undergone tube stomach surgery for obesity before but who start to gain weight again.
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In addition to losing weight in individuals with endoscopic tube stomach obesity, it also helps with weight loss such as Type 2 diabetes, hypertension, sleep apnea, fatty liver disease, joint pain (osteoarthritis) and heart disease. It reduces the risk of related diseases and offers a treatment option in these diseases.
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Patients can lead a healthy life by losing weight with the endoscopic sleeve gastrectomy method and quitting their blood pressure and diabetes medications. Joint pain is reduced in patients and mobility is increased. Patients' sleep health and mood are improving.
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Endoscopic sleeve gastrectomy is not suitable for individuals with a condition associated with active gastric bleeding, such as a large gastric hernia or peptic ulcer disease. These conditions can be detected by control endoscopy before the procedure.
How Much Weight Can Be Lost with Endoscopic Tube Stomach?
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It can result in an average of 49% loss of excess body weight within one year after surgery. Patients can lose an average of 20% of their whole body weight at the end of the first year, and more importantly, permanent weight loss can be achieved by maintaining the lost weight for many years. Lifestyle change and healthy living are important for the process to be effective for many years.
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Compared to diet and exercise alone, up to 10 times more weight can be lost.
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Endoscopic sleeve gastrectomy, laparoscopic sleeve gastrectomy surgery (LSG or VSG) and gastric bypass surgery (RYGB) with comparable results.
With Endoscopic Tube Stomach IWhat Are the Associated Risks and Side Effects?
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It is a procedure approved by the American Food and Drug Agency (FDA). In general, Endoscopic Tube Stomach is a very safe procedure. Related risks include general anesthesia and rarely bleeding (<1%). Bleeding that may develop is controlled during and after the procedure.
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After the procedure, you may experience a slight pain-discomfort in your throat and this is due to the insertion of the endoscope into your esophagus throughout the procedure. This side effect can also be seen in all existing endoscopic procedures. After the procedure, there may be temporary pain or cramps in the stomach area, and this process can be managed with medication and supports.
IHow is the Application of the Process and How Does the Process Work?
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Before the procedure is performed, a routine upper endoscopic examination is performed and gastric health is evaluated.
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Patients' general blood values are checked.
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A dietitian meeting is planned to ensure the patients' diet after the procedure.
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The procedure is performed under general anesthesia. The process usually takes 1-2 hours. After the procedure, the patient is discharged after 6 hours of follow-up.
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Patients use pain relievers and anti-nausea drugs for 2-3 days after the procedure. Stomach medication should be continued for up to 2 months in patients.
IHow does the Post-Process Nutrition Process Iwork? strong>
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After the procedure, she should usually take a break from eating for about eight hours.
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Then, a liquid diet, which must be continued for at least two weeks, is followed, followed by semi-solid foods for four weeks, and then a healthy eating program.
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