Obesity is a growing health concern worldwide, and many individuals struggle with weight loss. Endoscopic Sleeve Gastroplasty (ESG) is a minimally invasive procedure that offers hope to those seeking a non-surgical solution. In Fiji, there are several top plastic surgeons who specialize in performing ESG and can help patients achieve their weight loss goals.
What is Endoscopic Sleeve Gastroplasty?
Endoscopic Sleeve Gastroplasty, also known as the "accordion procedure," is a minimally invasive weight loss procedure that reduces the size of the stomach without the need for traditional surgery. During the procedure, a surgeon uses an endoscope to insert sutures into the stomach wall, creating a sleeve-like shape. This restricts the amount of food that can be consumed, leading to weight loss.
What can ESG achieve?
ESG can help individuals achieve significant weight loss and improve obesity-related health conditions. It has been found to be effective in reducing excess body weight and improving metabolic markers such as blood pressure, cholesterol levels, and blood sugar levels. ESG can also contribute to a better quality of life and increased self-esteem.
What's included in the ESG procedure?
The ESG procedure typically includes several components:
- Pre-operative consultation and evaluation
- Anesthesia
- Endoscopic suturing to create the sleeve in the stomach
- Post-operative care and monitoring
Pros and Cons of ESG
Pros:
- Minimally invasive with no external incisions or scarring
- Reduced recovery time compared to traditional bariatric surgery
- No device implantation, such as gastric band, required
- Potential improvement in obesity-related health conditions
Cons:
- Not suitable for patients with large hiatal hernias or severe gastroesophageal reflux disease
- May require multiple sessions for optimal results
- Requires commitment to lifestyle changes, including diet and exercise
- Possible complications, such as bleeding, infection, or perforation
What is the cost of ESG?
The cost of ESG in Fiji can vary depending on factors such as the surgeon's expertise, the facility, and any additional services included. On average, ESG can cost between $10,000 to $15,000. However, it is essential to consult with the chosen plastic surgeon for an accurate cost estimate.
Who's a good candidate for ESG?
ESG is recommended for individuals who:
- Have a body mass index (BMI) of 30 or higher
- Have struggled to lose weight through traditional methods
- Do not have any contraindications for ESG
- Are motivated to make necessary lifestyle changes for long-term success
Is ESG worth it?
ESG can be a worthwhile option for individuals who have not achieved significant weight loss through diet and exercise alone. It offers a non-surgical approach with promising results and can improve obesity-related health conditions. However, it is crucial to discuss the potential benefits and risks with a qualified plastic surgeon before making a decision.
How to prepare for ESG?
Prior to ESG, patients will need to undergo a thorough evaluation by their plastic surgeon. This may include physical examinations, medical history review, and diagnostic tests. The surgeon will provide specific instructions on pre-operative dietary restrictions and any necessary medications adjustments.
How does ESG work?
During the ESG procedure:
- Patients are placed under anesthesia to ensure their comfort throughout the procedure.
- An endoscope is inserted through the mouth and into the stomach.
- The surgeon uses sutures to create a sleeve-like shape by folding and reducing the size of the stomach.
- Once the suturing is complete, the endoscope is removed.
How long does the ESG procedure take?
The ESG procedure typically takes between 60 to 90 minutes to complete, depending on individual circumstances and surgeon expertise.
How long does the effect of ESG last?
The effects of ESG can vary from person to person. When combined with a healthy lifestyle, including proper diet and exercise, the weight loss achieved through ESG can be long-lasting. However, individual commitment to maintaining lifestyle changes is crucial for long-term success.
Is ESG safe?
ESG is generally considered safe when performed by experienced plastic surgeons. As with any medical procedure, there are risks involved, such as bleeding, infection, or perforation. However, serious complications from ESG are rare. It is essential to choose a qualified and experienced plastic surgeon to minimize potential risks.
How soon will you see results?
Patients can typically start to see noticeable weight loss within a few weeks to months after the procedure. However, it is important to remember that individual results may vary, and weight loss progress will depend on adherence to post-operative dietary and lifestyle changes.
How's the recovery after ESG?
ESG is a minimally invasive procedure, and the recovery time is relatively short compared to traditional bariatric surgery. Most patients can return home on the same day or the day after the procedure. It is normal to experience some discomfort, bloating, and nausea initially, but these symptoms usually resolve within a few days. The plastic surgeon will provide specific post-operative care instructions.
Frequently Asked Questions
1. How much weight can I expect to lose with ESG?
Weight loss varies by individual, but studies suggest an average excess weight loss of approximately 60-70% within the first year after ESG.
2. Will my insurance cover the cost of ESG?
Insurance coverage for ESG may vary depending on the insurance provider and policy. It is best to consult with your insurance company to determine if the procedure is covered.
3. Can I regain weight after ESG?
Weight regain is possible if individuals do not adhere to the necessary lifestyle changes. It is important to maintain a healthy diet and exercise regimen to achieve long-term weight loss success.
References:
- National Center for Biotechnology Information: Endoscopic Sleeve Gastroplasty
- Mayo Clinic: Endoscopic Sleeve Gastroplasty
- SpringerLink: Endoscopic Sleeve Gastroplasty - Safety and efficacy analysis