Endoscopic sleeve gastroplasty is a newer type of minimally invasive weight-loss procedure. There are no cuts with endoscopic sleeve gastroplasty. Instead, a suturing device is inserted into the throat and down to the stomach. The endoscopist then sutures the stomach to make it smaller.
Endoscopic sleeve gastroplasty is done to help you lose weight and lower the risk of serious weight-related health problems, including: Heart disease and stroke. High blood pressure. High cholesterol levels. Joint pain caused by osteoarthritis. Nonalcoholic fatty liver disease (NAFLD) or nonalcoholic steatohepatitis (NASH). Sleep apnea. Type 2 diabetes. Endoscopic sleeve gastroplasty and other weight-loss procedures or surgeries are typically done only after you've tried to lose weight by improving your diet and exercise habits.
So far, endoscopic sleeve gastroplasty has been shown to be a safe procedure. Pain and nausea may happen for several days after the procedure. These symptoms are usually managed with medicine. Most people feel better after a few days. In addition, although it's not designed to be a temporary procedure, endoscopic sleeve gastroplasty can be converted to another bariatric surgery. When combined with lifestyle changes, endoscopic sleeve gastroplasty results in about 18% to 20% total body weight loss at 12 to 24 months.
If you qualify for endoscopic sleeve gastroplasty, your health care team will give you instructions on how to prepare for your procedure. You may need to have lab tests and exams before surgery. You may have restrictions on eating, drinking and taking medicines. You also may be required to start a physical activity program. It's helpful to plan for your recovery after the procedure. For instance, arrange for a companion or someone else to help at home. Recovery from endoscopic sleeve gastroplasty generally takes only a few days.
As with any weight-loss program, commitment to nutrition, physical activity, emotional health and resiliency play a large role in how much weight you lose. Typically, people who complete their entire programs and follow all the guidelines can expect to lose about 10% to 15% of their body weight in the first year. Endoscopic sleeve gastroplasty may improve conditions often related to being overweight, including: Heart disease or stroke. High blood pressure. Severe sleep apnea. Type 2 diabetes. Gastroesophageal reflux disease (GERD). Joint pain caused by osteoarthritis.
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