Endoscopic Sleeve Gastroplasty (ESG) in San Diego

What is endoscopic sleeve gastroplasty (ESG) and how can it help me lose weight?

In our weight loss clinic, we have developed an integrated program that will allow you to benefit the most from our Endoscopic Gastric Sleeve procedure.

Endoscopic sleeve gastroplasty (ESG) is a weight loss procedure that uses an endoscopic suturing device to reduce the size of your stomach. The procedure recreates what would occur at surgical sleeve gastrectomy without surgery. This results in the stomach taking on the shape of a tube or “sleeve,” which holds much less food.

In addition to weight loss, endoscopic sleeve gastroplasty can also lower your blood sugar and potentially address other serious weight-related problems. Results vary from patient to patient; better results are obtained with good adherence to dietary and behavioral guidelines. With smart food choices, regular exercise and good eating habits, patients who have had a sleeve gastrectomy will enjoy and maintain good weight loss.

What to expect from the endoscopic gastric sleeve

• Weight-loss surgery isn’t advised for people who abuse medicines or alcohol, or who are not able to commit to a lifelong change in diet and exercise habits.
• Like other weight loss programs, however, a commitment to a healthier lifestyle will help to ensure long-term success and permanent weight loss.
• The procedure is done using an endoscope, a flexible tube with a camera and an endoscopic suturing device attached, and it will be inserted down your throat into the stomach.
• The tiny camera allows the doctor operating the endoscope to see and operate inside your stomach without making incisions in your abdomen.
• Using the endoscope, the doctor places approximately 12 sutures in the stomach. The sutures change the structure of your stomach, leaving it shaped like a tube. This restricts the amount of calories your body absorbs and the amount of food you can eat.
• After surgery, your stomach will hold only about a tenth of what it did before.
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• Hormonal changes after the procedure help patients to feel sated, eat less, as well as improve or resolve diabetes.
• Patients recover quickly because the surgical incisions are tiny.
• Less risk of vitamin deficiencies post-surgery.
• No foreign objects implanted in the body.

How much does the endoscopic gastric sleeve cost?

The gastric sleeve procedure costs $10,000. Please contact our San Diego office to learn more.

Who qualifies for the endoscopic gastric sleeve (ESG)?

Endoscopic Gastric sleeve surgery is used to treat severe obesity. It is often an option for people who aren’t candidates for other bariatric surgeries. The procedure is available to people whose body mass index (BMI) is above 30 who have tried other weight loss methods without long-term success.

But endoscopic sleeve gastroplasty isn’t for everyone who is overweight. A screening process helps doctors see if the procedure might be beneficial for you. And you must be willing to commit to healthy lifestyle changes, regular medical follow-up and participate in behavioral therapy.

Endoscopic revision of previous bariatric surgery

Although bariatric surgery is often a highly effective tool for weight loss, sometimes patients experience weight re-gain. If this occurs, endoscopic bariatric therapies, including endoscopic suturing, are available to help patients by non-surgically reducing the size of their residual stomach or surgical connection site to assist in losing weight that has been regained.

What causes weight regain post bariatric surgery?

Bariatric surgeries reduce the size of the stomach. It helps patients feel full quicklier and eat less. Over time, the stomach can begin to stretch again, enabling the patient to eat more before feeling full and can lead to weight gain.

Can endoscopic therapy help with post-bariatric weight gain?

Endoscopic procedures, such as endoscopic suturing, are nonsurgical procedures for reducing the size of the stomach pouch or sleeve for patients who have gradually stretched the stomach after weight loss surgery. Sutures are put in place internally to tightening the stomach or the surgical connection site where it has stretched. This can restore that feeling of fullness and encourage patients to eat smaller meals again. For maximum results, patients should do it before a significant amount of weight is re-gained. When patients feel loss of restriction, notice an increased larger meals, or start regaining weight, it is time to contemplate scheduling a consultation.

Nutrition follow-up

ESG works best together with lasting changes in eating habits. Our team, including our registered dietitian, supports you after the procedure. Learn more about our medical weight loss program, or compare it with the gastric balloon.

Endoscopic sleeve gastroplasty FAQ

What is endoscopic sleeve gastroplasty (ESG)?

ESG is a procedure performed through the mouth with an endoscope that reduces the size of the stomach without cutting it.

Is ESG the same as gastric sleeve surgery?

No. ESG is performed through the mouth with an endoscope, without cutting the stomach.

How much does ESG cost at Gastro SB?

The endoscopic gastric sleeve procedure costs $10,000. Call (619) 382-3315 to confirm current pricing.

How long is recovery?

Recovery time varies from patient to patient. Dr. Alayo explains what to expect at your consultation. Contact us to schedule one.